关键利益相关者对孟加拉国五岁以下儿童急性营养不良管理计划的看法:定性见解
Md Abdul Alim1,2, M Munirul Islam3, Benjamin Guesdon4
1Institute of Public Health Nutrition, Directorate General of Health Services, Dhaka, Bangladesh.
Maternal & child nutrition
|July 24, 2025
概括
基于社区的急性营养不良管理 (CMAM) 计划重视特殊食品,但营养咨询和有激励的演示 (NC&CD) 是家长更喜欢的. 建议将NC&CD整合到CMAM指南中,以提高护理人员的意识和可持续影响.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 卫生政策 卫生政策
背景情况:
- 五岁以下儿童的急性营养不良 (AM) 是一个关键的全球卫生问题.
- 基于社区的急性营养不良管理 (CMAM) 计划,利用特殊配方食品 (SFF),是治疗中度 (MAM) 和无并发性严重 (SAM) 营养不良的标准.
- 将营养咨询和演示 (NC&CD) 整合到CMAM中可以增强护理人员的知识和实践.
研究的目的:
- 检查家长,医疗保健提供者和政策制定者在有或没有CMAM计划的地区对CMAM的看法和理解.
- 确定营养不良管理干预措施的首选组成部分.
- 在孟加拉国为有效的CMAM实施提供政策和计划制定信息.
主要方法:
- 一项使用有目的抽样进行的定性研究.
- 通过30次重点小组讨论 (FGD),34次与家长的深入访谈 (IDI),28次与医疗保健人员的关键信息人访谈 (KII) 和16次与政策制定者的KII进行数据收集.
- 使用NVivo进行主题分析,以理论框架为指导.
主要成果:
- 家长和医疗人员通常会对CMAM的SFF进行评估,但干预部门的家长更喜欢NC&CD带有激励.
- 政策制定者支持将SFF与NC&CD结合起来,有些人只主张NC&CD.
- 挑战包括劳动力短缺,政策缺口和优先级不足;许多医疗保健工作者和家长倾向于NC&CD.
结论:
- 基于NC&CD的CMAM计划,特别是有激励措施的CMAM计划,有望提高护理人员的意识和实践.
- 建议将NC&CD整合到CMAM指南中.
- 可持续的CMAM需要更多的人力,政策倡导,强有力的政府领导和预防性营养计划.
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