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Readiness of Mozambique Health Facilities to Address Undernutrition and Diarrhea in Children under Five: Indicators from 2018 and 2021 Survey Data

The World Health Organization’s systems framework shows that service delivery is key to addressing pressing health needs. Inadequate healthcare and the lack of healthcare services are factors associated with undernutrition and diarrhea in children under five, two health conditions with high morbi-mo...

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Autores principales: Sambo, Júlia, Bauhofer, Adilson Fernando Loforte, Boene, Simone S., Djedje, Marlene, Júnior, António, Pilale, Adalgisa, Gonçalves, Luzia, de Deus, Nilsa, Chicumbe, Sérgio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9319856/
https://www.ncbi.nlm.nih.gov/pubmed/35885727
http://dx.doi.org/10.3390/healthcare10071200
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author Sambo, Júlia
Bauhofer, Adilson Fernando Loforte
Boene, Simone S.
Djedje, Marlene
Júnior, António
Pilale, Adalgisa
Gonçalves, Luzia
de Deus, Nilsa
Chicumbe, Sérgio
author_facet Sambo, Júlia
Bauhofer, Adilson Fernando Loforte
Boene, Simone S.
Djedje, Marlene
Júnior, António
Pilale, Adalgisa
Gonçalves, Luzia
de Deus, Nilsa
Chicumbe, Sérgio
author_sort Sambo, Júlia
collection PubMed
description The World Health Organization’s systems framework shows that service delivery is key to addressing pressing health needs. Inadequate healthcare and the lack of healthcare services are factors associated with undernutrition and diarrhea in children under five, two health conditions with high morbi-mortality rates in Mozambique. The aim of the analysis was to determine the readiness score of nutrition and diarrhea services for children under five and the influence of malaria and HIV (Human Immunodeficiency Virus) service readiness on the readiness of these two services. A total of 1644 public health facilities in Mozambique were included from the 2018 Service Availability and Readiness Assessment. Additionally, a cross-sectional study was conducted to determine the availability and readiness scores of nutrition services in 2021 in five referral health facilities. The availability of nutrition and diarrhea services for children is low in Mozambique, with both scoring below 75%. Major unavailability was observed for human resources, guidelines, and training dimensions. Diarrhea (median (IQ): 72.2% (66.7 to 83.3)) and nutrition service readiness (median (IQ): 57.1% (52.4 to 57.1)) scores were significantly different (p < 0.001), while it is desirable for both services to be comprehensively ready. Nutrition services are positively associated with diarrhea service readiness and both services are associated with malaria and HIV service readiness (p < 0.05). None of the health facilities had all tracer items available and none of the facilities were considered ready (100%). There is a persisting need to invest comprehensively in readiness dimensions, within and across child health services.
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spelling pubmed-93198562022-07-27 Readiness of Mozambique Health Facilities to Address Undernutrition and Diarrhea in Children under Five: Indicators from 2018 and 2021 Survey Data Sambo, Júlia Bauhofer, Adilson Fernando Loforte Boene, Simone S. Djedje, Marlene Júnior, António Pilale, Adalgisa Gonçalves, Luzia de Deus, Nilsa Chicumbe, Sérgio Healthcare (Basel) Article The World Health Organization’s systems framework shows that service delivery is key to addressing pressing health needs. Inadequate healthcare and the lack of healthcare services are factors associated with undernutrition and diarrhea in children under five, two health conditions with high morbi-mortality rates in Mozambique. The aim of the analysis was to determine the readiness score of nutrition and diarrhea services for children under five and the influence of malaria and HIV (Human Immunodeficiency Virus) service readiness on the readiness of these two services. A total of 1644 public health facilities in Mozambique were included from the 2018 Service Availability and Readiness Assessment. Additionally, a cross-sectional study was conducted to determine the availability and readiness scores of nutrition services in 2021 in five referral health facilities. The availability of nutrition and diarrhea services for children is low in Mozambique, with both scoring below 75%. Major unavailability was observed for human resources, guidelines, and training dimensions. Diarrhea (median (IQ): 72.2% (66.7 to 83.3)) and nutrition service readiness (median (IQ): 57.1% (52.4 to 57.1)) scores were significantly different (p < 0.001), while it is desirable for both services to be comprehensively ready. Nutrition services are positively associated with diarrhea service readiness and both services are associated with malaria and HIV service readiness (p < 0.05). None of the health facilities had all tracer items available and none of the facilities were considered ready (100%). There is a persisting need to invest comprehensively in readiness dimensions, within and across child health services. MDPI 2022-06-27 /pmc/articles/PMC9319856/ /pubmed/35885727 http://dx.doi.org/10.3390/healthcare10071200 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sambo, Júlia
Bauhofer, Adilson Fernando Loforte
Boene, Simone S.
Djedje, Marlene
Júnior, António
Pilale, Adalgisa
Gonçalves, Luzia
de Deus, Nilsa
Chicumbe, Sérgio
Readiness of Mozambique Health Facilities to Address Undernutrition and Diarrhea in Children under Five: Indicators from 2018 and 2021 Survey Data
title Readiness of Mozambique Health Facilities to Address Undernutrition and Diarrhea in Children under Five: Indicators from 2018 and 2021 Survey Data
title_full Readiness of Mozambique Health Facilities to Address Undernutrition and Diarrhea in Children under Five: Indicators from 2018 and 2021 Survey Data
title_fullStr Readiness of Mozambique Health Facilities to Address Undernutrition and Diarrhea in Children under Five: Indicators from 2018 and 2021 Survey Data
title_full_unstemmed Readiness of Mozambique Health Facilities to Address Undernutrition and Diarrhea in Children under Five: Indicators from 2018 and 2021 Survey Data
title_short Readiness of Mozambique Health Facilities to Address Undernutrition and Diarrhea in Children under Five: Indicators from 2018 and 2021 Survey Data
title_sort readiness of mozambique health facilities to address undernutrition and diarrhea in children under five: indicators from 2018 and 2021 survey data
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9319856/
https://www.ncbi.nlm.nih.gov/pubmed/35885727
http://dx.doi.org/10.3390/healthcare10071200
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