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Process Evaluation of Community-Based Nutrition Service for Under 2 Years Children in Degadamot District Using

Teshome Demis Nimani1, Enyew Muluneh2, Geta Asrade2

  • 1Haramaya University, Harar, Ethiopia.

Inquiry : a Journal of Medical Care Organization, Provision and Financing
|September 20, 2024
PubMed

Insights

The Community-Based Nutrition (CBN) program in Ethiopia shows a 62.68% implementation rate, indicating fair progress. Improvements are needed in resources and provider compliance to reduce child malnutrition.

Area of Science:

  • Public Health
  • Nutrition Science
  • Global Health

Background:

  • Malnutrition significantly impacts Ethiopian children under 5, causing 45% of morbidities, particularly in rural areas.
  • Ethiopia's Community-Based Nutrition (CBN) program aims to improve child nutrition, yet malnutrition persists.
  • The implementation status of the CBN program in Ethiopia remained unevaluated.

Purpose of the Study:

  • To evaluate the implementation status of the Community-Based Nutrition (CBN) program for children under two years old.
  • To assess resource availability and service provider compliance within the CBN program in Degadamot district health posts, Ethiopia.

Main Methods:

  • A facility-based, single-case qualitative evaluation study was conducted from March 28 to April 28, 2023.
  • The evaluation utilized multiple data sources, with qualitative data analyzed thematically using OPEN CODE software.
  • Program implementation was determined using predetermined judgmental criteria.

Main Results:

  • The overall Community-Based Nutrition (CBN) program implementation in Degadamot district was rated as 'fair', achieving 62.68% completion.
  • Resource availability scored 71.36%, while service provider compliance was lower at 54.0%.

Conclusions:

  • The CBN program implementation in Degadamot district health posts is deemed 'fair'.
  • Recommendations include enhancing training for Health Extension Workers (HEWs) and Health Development Army (HDA) members, improving nutritional supply distribution, and ensuring regular support and follow-up for Growth Monitoring and Promotion (GMP) activities.

Keywords:
availabilitycommunity-based nutrition servicecomplianceimplementation

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