Improving the awareness of healthy dietary practices and non-communicable diseases among adults in Mbingo community.

D'vumbighe Brenda  Nsang; Jane Frank  Nalubega; Edith  Akankwasa; Elizabeth Okello; David  Kavuma

doi:10.51168/sjhrafrica.v6i6.1905

Authors

D'vumbighe Brenda Nsang Mildmay Institute of Health Sciences.
Jane Frank Nalubega Mildmay Institute of Health Sciences
Edith Akankwasa Mildmay Institute of Health Sciences
Elizabeth Okello Mildmay Institute of Health Sciences
David Kavuma Mildmay Institute of Health Sciences

DOI:

https://doi.org/10.51168/sjhrafrica.v6i6.1905

Keywords:

Healthy dietary practices, Nutrition awareness, Non-communicable diseases (NCDs), Adult health education, Community health promotion, Mbingo Community

Abstract

Background

Non-communicable diseases have posed a serious health problem both in developed and LMICs. The main NCDs that are diet-related include DM, HTN, CA, CVDs hence NR-NCDs. The dietary factor has been noted with evidence to be the highest contribution to these diseases as a lot of people are relegated to consuming unhealthy diets with many dietary practices that pose health risks. This project aimed at improving the awareness of healthy nutritional practices and non-communicable diseases among adults in Mbingo Community.

Results

Conducted massive sensitization and education to all adults 18 to 65 years in the MBH community. Provided monthly education in churches, schools, social gatherings, and clinics by trained health and community workers. Training of health professionals and CHWs in behavior and attitude change towards unhealthy dietary practices among adults, Community utilization of NCD services, and Resource mobilization with leadership was done. Conducted massive screening among adults 18 to 65 years in the MBH community and referred diagnosed cases with complications to health facilities for better management and NCD clinics for better networking.

Conclusion

The NCD problem globally, in Cameroon and MBH community is a crucial issue due to increased morbidity and mortality. Several risk factors have been known to contribute to the incidence and prevalence, with unhealthy dietary risk factors being the most prominent among others.

Recommendation

The Ministry of Health should set out funds right down to regional levels for Nutrition awareness and campaign programs, and monitor its implementation to ensure that the budgeted funds are used as planned.

References

Arena, R., Guazzi, M., Lianov, L., Whitsel, L., Berra, K., Lavie, C.J., Kaminsky, L., Williams, M., Hivert, M.F., Cherie Franklin, N. and Myers, J., 2015. Healthy lifestyle interventions to combat noncommunicable disease-a novel nonhierarchical connectivity model for key stakeholders: a policy statement from the American Heart Association, European Society of Cardiology, European Association for Cardiovascular Prevention and Rehabilitation, and American College of Preventive Medicine. European heart journal, 36(31), pp.2097-2109. https://doi.org/10.1093/eurheartj/ehv207 PMid:26138925

Baloh, J., Zhu, X. and Ward, M.M., 2018. Implementing team huddles in small rural hospitals: How does the Kotter model of change apply?. Journal of nursing management, 26(5), https://doi.org/10.1111/jonm.12584 PMid:29250892 PMCid:PMC6900979

Bennett, J.E., Stevens, G.A., Mathers, C.D., Bonita, R., Rehm, J., Kruk, M.E., Riley, L.M., Dain, K., Kengne, A.P., Chalkidou, K. and Beagley, J., 2018. NCD Countdown 2030: worldwide trends in non-communicable disease mortality and progress towards Sustainable Development Goal target 3.4. The lancet, 392(10152), pp.1072-1088. https://doi.org/10.1016/S0140-6736(18)31992-5 PMid:30264707

Bloch, P., 2014. Revitalising the setting approach-Supersettings for sustainable action against lifestyle diseases: Paul Bloch. European Journal of Public Health, 24(suppl_2), pp.cku161-123. https://doi.org/10.1093/eurpub/cku161.123

Echouffo-Tcheugui, J.B. and Kengne, A.P., 2011. Chronic non-communicable diseases in Cameroon-burden, determinants and current policies. Globalization and health, 7, pp.1-9. https://doi.org/10.1186/1744-8603-7-44 PMid:22112686 PMCid:PMC3251529

Emadi, M., Delavari, S. and Bayati, M., 2021. Global socioeconomic inequality in the burden of communicable and non-communicable diseases and injuries: an analysis on global burden of disease study 2019. BMC public health, 21, pp.1-13. https://doi.org/10.1186/s12889-021-11793-7 PMid:34583668 PMCid:PMC8480106

Fedacko, J., Takahashi, T., Singh, R.B., Pella, D., Chibisov, S., Hristova, K., Pella, D., Elkilany, G.N., Tomar, R.S. and Juneja, L.R., 2019. Globalization of diets and risk of noncommunicable diseases. In The role of functional food security in global health (pp. 87-107). Academic Press. https://doi.org/10.1016/B978-0-12-813148-0.00006-2

Girum, T., Mesfin, D., Bedewi, J. and Shewangizaw, M., 2020. The burden of noncommunicable diseases in Ethiopia, 2000-2016: analysis of evidence from global burden of disease study 2016 and global health estimates 2016. International journal of chronic diseases, 2020. https://doi.org/10.1155/2020/3679528 PMid:32149073 PMCid:PMC7053448

Hackman, T., 2017. Leading change in action: Reorganizing an academic library department using Kotter's eight stage change model. https://doi.org/10.5860/llm.v31i2.7208

Hawkes, C., Jewell, J. and Allen, K., 2013. A food policy package for healthy diets and the prevention of obesity and diet‐related non‐communicable diseases: the NOURISHING framework. Obesity reviews, 14, pp.159-168. https://doi.org/10.1111/obr.12098 PMid:24103073

Jailobaeva, K., Falconer, J., Loffreda, G., Arakelyan, S., Witter, S. and Ager, A., 2021. An analysis of policy and funding priorities of global actors regarding noncommunicable disease in low-and middle-income countries. Globalization and health, 17(1), pp.1-15. https://doi.org/10.1186/s12992-021-00713-4 PMid:34187499 PMCid:PMC8240078

Kabir, A., Miah, S. and Islam, A., 2018. Factors influencing eating behavior and dietary intake among resident students in a public university in Bangladesh: A qualitative study. PloS one, 13(6), p.e0198801. https://doi.org/10.1371/journal.pone.0198801 PMid:29920535 PMCid:PMC6007825

Kassa, M. and Grace, J., 2019. The global burden and perspectives on non-communicable diseases (NCDs) and the prevention, data availability and systems approach of NCDs in low-resource countries. In Public Health in Developing Countries-Challenges and Opportunities. IntechOpen. https://doi.org/10.5772/intechopen.89516

Kotter, J.P. and Cohen, D.S., 2002. Creative ways to empower action to change the organization: Cases in point. Journal of Organizational Excellence, 22(1), pp.73-82. https://doi.org/10.1002/npr.10055

Knowles, L., 2014. The role of communities in environmental sustainability projects: the need for local action (Master's thesis, University of Cape Town).

Krishnan, A., Gupta, V., Nongkynrih, B. and Thakur, J.S., 2011. How to effectively monitor and evaluate NCD programmes in India. Indian Journal of Community Medicine, 36(Suppl1), pp.S57-S62. https://doi.org/10.4103/0970-0218.94710 PMid:22628913 PMCid:PMC3354904

Laar, A.K., Aryeetey, R.N., Annan, R., Aryee, P.A., Amagloh, F.K., Akparibo, R., Laar, M.E., Amuna, P. and Zotor, F.B., 2017. Contribution of scaling up nutrition Academic Platforms to nutrition capacity strengthening in Africa: local efforts, continental prospects and challenges. Proceedings of the Nutrition Society, 76(4), pp.524-534. https://doi.org/10.1017/S0029665117001124 PMid:28756793

Laar, A., Barnes, A., Aryeetey, R., Tandoh, A., Bash, K., Mensah, K., Zotor, F., Vandevijvere, S. and Holdsworth, M., 2020. Implementation of healthy food environment policies to prevent nutrition-related non-communicable diseases in Ghana: national experts' assessment of government action. Food Policy, 93, p.101907. https://doi.org/10.1016/j.foodpol.2020.101907 PMid:32565610 PMCid:PMC7299075

Lee, S.J. and Kim, C.M., 2018. Individualizing prevention for older adults. Journal of the American Geriatrics Society, 66(2), pp.229-234. re, B., Trigueiro, H., Johnsen, J.T., Khalid, A.A., Ball, L. and Ray, S., 2022. Global architecture for the nutrition training of health professionals: a scoping review and blueprint for next steps. BMJ Nutrition, Prevention & Health, 5(1), p.106. https://doi.org/10.1136/bmjnph-2021-000354 PMid:35814726 PMCid:PMC9237864

Liyanage, H., Liaw, S.T., Jonnagaddala, J., Schreiber, R., Kuziemsky, C., Terry, A.L. and de Lusignan, S., 2019. Artificial intelligence in primary health care: perceptions, issues, and challenges: primary health care informatics working group contribution to the yearbook of medical informatics 2019. Yearbook of medical informatics, 28(1), p.41. https://doi.org/10.1055/s-0039-1677901 PMid:31022751 PMCid:PMC6697547

Ogden, L.L., Richards, C.L. and Shenson, D., 2012. Clinical preventive services for older adults: the interface between personal health care and public health services. American journal of public health, 102(3), pp.419-425. https://doi.org/10.2105/AJPH.2011.300353 PMid:22390505 PMCid:PMC3487658

Pekka, P., Pirjo, P. and Ulla, U., 2002. Influencing public nutrition for non-communicable disease prevention: from community intervention to national programme-experiences from Finland. Public health nutrition, 5(1A), pp.245-252. https://doi.org/10.1079/PHN2001300 PMid:12027291

Pollack, J. and Pollack, R., 2015. Using Kotter's eight stage process to manage an organisational change program: Presentation and practice. Systemic practice and action research, 28, pp.51-66. https://doi.org/10.1007/s11213-014-9317-0

Qiao, J., Lin, X., Wu, Y., Huang, X., Pan, X., Xu, J., Wu, J., Ren, Y. and Shan, P.F., 2022. Global burden of non‐communicable diseases attributable to dietary risks in 1990-2019. Journal of Human Nutrition and Dietetics, 35(1), pp.202-213. https://doi.org/10.1111/jhn.12904 PMid:33834556

Rao, M., Afshin, A., Singh, G. and Mozaffarian, D., 2013. Do healthier foods and diet patterns cost more than less healthy options? A systematic review and meta-analysis. BMJ open, 3(12), p.e004277. https://doi.org/10.1136/bmjopen-2013-004277 PMid:24309174 PMCid:PMC3855594

Sammut‐Bonnici, T. and Galea, D., 2015. SWOT analysis. Wiley Encyclopedia of management, pp.1-8. https://doi.org/10.1002/9781118785317.weom120103

Story, M., Kaphingst, K.M., Robinson-O'Brien, R. and Glanz, K., 2008. Creating healthy food and eating environments: policy and environmental approaches. Annu. Rev. Public Health, 29, pp.253-272. https://doi.org/10.1146/annurev.publhealth.29.020907.090926 PMid:18031223

Suryani, D., Rizal, A., Eliana, E., Darwis, D., Pratiwi, B.A., Angraini, W. and Yandrizal, Y., 2019. The Effect of Counseling on Improving Knowledge, Attitude, and Behavior in Efforts to Prevent and Control Non-Communicable Diseases. KEMAS: Jurnal Kesehatan Masyarakat, 14(3), pp.297-302. https://doi.org/10.15294/kemas.v14i3.10469

Tang, A.M., Quick, T., Chung, M. and Wanke, C.A., 2015. Nutrition Assessment, Counseling, and Support (NACS) interventions to improve health-related outcomes in people living with HIV/AIDS: a systematic review of the literature. Journal of acquired immune deficiency syndromes (1999), 68(0 3), p.S340. https://doi.org/10.1097/QAI.0000000000000521 PMid:25768873 PMCid:PMC4397900

Tong, K.K., Chen, J.H., Yu, E.W.Y. and Wu, A.M., 2020. Adherence to COVID‐19 precautionary measures: Applying the health belief model and generalised social beliefs to a probability community sample. Applied Psychology: Health and Well‐Being, 12(4), pp.1205-1223. https://doi.org/10.1111/aphw.12230 PMid:33010119 PMCid:PMC7675419

World Health Organization, 2012. Population-based approaches to childhood obesity prevention.

World Health Organization, 2014. Noncommunicable diseases country profiles 2014.

World Health Organization, 2018. Global nutrition policy review 2016-2017 World Health Organization, 2018. Guideline: implementing effective actions for improving adolescent nutrition.