Effectiveness of nutrition centers in Ceará state, northeastern Brazil
Childhood malnutrition has been a major, long-standing health concern in northeastern Brazil. In response, during 1992_1994, the state government of Ceará, with financial support from the World Bank, established 34 new nutrition centers. During 1996 an evaluation of the centers was conducted to dete...
Main Authors: | , , , |
---|---|
Format: | Article in Journal/Newspaper |
Language: | English Spanish Portuguese |
Published: |
Pan American Health Organization
1998
|
Subjects: | |
Online Access: | https://doaj.org/article/22e2e3d9381041c09bbcc8d3f48b63c1 |
id |
ftdoajarticles:oai:doaj.org/article:22e2e3d9381041c09bbcc8d3f48b63c1 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:22e2e3d9381041c09bbcc8d3f48b63c1 2023-05-15T15:05:17+02:00 Effectiveness of nutrition centers in Ceará state, northeastern Brazil Monte Cristina Maria Gomes do Ashworth Ann Sá Maria Lúcia Barreto Diniz Regina Lúcia Portela 1998-01-01T00:00:00Z https://doaj.org/article/22e2e3d9381041c09bbcc8d3f48b63c1 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49891998001200002 https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/22e2e3d9381041c09bbcc8d3f48b63c1 Revista Panamericana de Salud Pública, Vol 4, Iss 6 (1998) Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 1998 ftdoajarticles 2022-12-31T12:15:54Z Childhood malnutrition has been a major, long-standing health concern in northeastern Brazil. In response, during 1992_1994, the state government of Ceará, with financial support from the World Bank, established 34 new nutrition centers. During 1996 an evaluation of the centers was conducted to determine their effectiveness in treating children with malnutrition and to identify weaknesses in the system and possible solutions. Also evaluated were the adequacy of resources, admission and discharge criteria, staff training, and community satisfaction. Effectiveness was found to be low. Treatment procedures did not conform with World Health Organization recommendations. Rates of weight gain were inadequate, and the mean duration of rehabilitation-8.7 months-was too long. Case fatality in two centers was unacceptably high, 40% and more. Entry and exit criteria for rehabilitation were ill defined, resulting in some nonmalnourished children being enrolled. Few staff were adequately trained; knowledge was weak, especially about case management; and mothers were not effectively instructed. Recommendations include setting objectives for the centers, improving referral systems, standardizing entry criteria, improving case management, and establishing performance indicators. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Monte Cristina Maria Gomes do Ashworth Ann Sá Maria Lúcia Barreto Diniz Regina Lúcia Portela Effectiveness of nutrition centers in Ceará state, northeastern Brazil |
topic_facet |
Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Childhood malnutrition has been a major, long-standing health concern in northeastern Brazil. In response, during 1992_1994, the state government of Ceará, with financial support from the World Bank, established 34 new nutrition centers. During 1996 an evaluation of the centers was conducted to determine their effectiveness in treating children with malnutrition and to identify weaknesses in the system and possible solutions. Also evaluated were the adequacy of resources, admission and discharge criteria, staff training, and community satisfaction. Effectiveness was found to be low. Treatment procedures did not conform with World Health Organization recommendations. Rates of weight gain were inadequate, and the mean duration of rehabilitation-8.7 months-was too long. Case fatality in two centers was unacceptably high, 40% and more. Entry and exit criteria for rehabilitation were ill defined, resulting in some nonmalnourished children being enrolled. Few staff were adequately trained; knowledge was weak, especially about case management; and mothers were not effectively instructed. Recommendations include setting objectives for the centers, improving referral systems, standardizing entry criteria, improving case management, and establishing performance indicators. |
format |
Article in Journal/Newspaper |
author |
Monte Cristina Maria Gomes do Ashworth Ann Sá Maria Lúcia Barreto Diniz Regina Lúcia Portela |
author_facet |
Monte Cristina Maria Gomes do Ashworth Ann Sá Maria Lúcia Barreto Diniz Regina Lúcia Portela |
author_sort |
Monte Cristina Maria Gomes do |
title |
Effectiveness of nutrition centers in Ceará state, northeastern Brazil |
title_short |
Effectiveness of nutrition centers in Ceará state, northeastern Brazil |
title_full |
Effectiveness of nutrition centers in Ceará state, northeastern Brazil |
title_fullStr |
Effectiveness of nutrition centers in Ceará state, northeastern Brazil |
title_full_unstemmed |
Effectiveness of nutrition centers in Ceará state, northeastern Brazil |
title_sort |
effectiveness of nutrition centers in ceará state, northeastern brazil |
publisher |
Pan American Health Organization |
publishDate |
1998 |
url |
https://doaj.org/article/22e2e3d9381041c09bbcc8d3f48b63c1 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 4, Iss 6 (1998) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49891998001200002 https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/22e2e3d9381041c09bbcc8d3f48b63c1 |
_version_ |
1766337015205330944 |