Assessment of Barriers that Delay For Acute Malnutrition Treatment Services among Caretakers Having Under-Five Children in Lay-Gaynt, Northwest Ethiopia: 2020. Descriptive Qualitative Study.
No Thumbnail Available
Date
2020-11
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba University
Abstract
Background: about 55 million children under the age of five suffer from acute malnutrition. The problem is aggravated by acute malnutrition treatment delay due to different barriers. As pointed out in Nigeria, about 39% of the population access health facility within one hour walk during the dry season and it decreased to 24% during the wet season(1). Likewise, evidences showed that there was a high admission rate for under-five children in Ethiopia. However; evidences in the study area were rare to explore the barriers for early treatment. Thus, exploring barriers that delay for acute malnutrition cares of under-5 children qualitatively to have detail understanding and evidence-based interventions in a holistic approach are vital.
Objectives: The objective aimed to explore the barriers that delay for acute malnutrition treatment services among parents/caregivers having under-five children from June 01/2020 to August 28/2020.
Methods:A descriptive qualitative content analysis study with a purposive sampling technique were employed to conduct in-depth interview and key informant interview. The data was collected by two trained research assistants from6 parents/care givers for in-depth interviewsand16participants for the key informant interview with observations of the practice. Open code version 4.02 software was used for data management during analysis. Coding and codebook were prepared. There were simultaneous data collection and initial analysis to grasp what was said and how it was said by memoing; verbatim transcription was undertaken. A qualitative content analysis method was hired to conduct the analysis process.
Result: Parents faced lack of health seeking behavior: lack of awareness, perceptions of illness behavior, poverty, workload and traditional beliefs; poor infrastructures and difficult geographical setup, the travel distance, in accessibility of the service, and lack of organized treatment facility, COVID-19 pandemic, lack of sustainable interventions, lack of skilled and committed health worker, lack of health worker training, discontinuity of stock supply and long waiting time to receive the treatment were identified as the barrier for early prevention and treatment of under-5 child acute malnutrition.
Conclusion: The health education and promotion on social behaviour change communication (SBCC)had to be strengthened, and monitored along with
health workers skill development and successive trainings. There should be strong and close monitoring and evaluation of the impacts of the service provision and inter-sectoral collaborations among different sectors. It also needs to evaluate the impacts of projects in the area on SBCC forAMTS
Description
Keywords
Under-Five Child Acute Malnutrition, Cute Malnutrition Treatment Barrier, Under Five Hildren, Treatment Delay, Lay Gaynet, Amhara, Ethiopia