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10.1093/heapol/czv003 http://scihub22266oqcxt.onion/10.1093/heapol/czv003 C4625758!4625758 !25749873     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=25749873 &cmd=llinks): Failed to open stream: HTTP request failed! 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Perceptions of usage and unintended consequences of provision of ready-to-use therapeutic food for management of severe acute child malnutrition A qualitative study in Southern Ethiopia |pdf=|usr=}}{{25749873 }} gab.com Text Perceptions of usage and unintended consequences of provision of ready-to-use therapeutic food for management of severe acute child malnutrition A qualitative study in Southern Ethiopia JO: Health Policy Plan http://www.kidney.de/pget.php?&tw=1&pmid=25749873 #FOAvip BACKGROUND: Severe acute child malnutrition (SAM) is associated with high risk of mortality. To increase programme effectiveness in management of SAM, community-based management of acute malnutrition (CMAM) programme that treats SAM using ready-to-use-therapeutic foods (RUTF) has been scaled-up and integrated into existing government health systems. The study aimed to examine caregivers' and health workers perceptions of usages of RUTF in a chronically food insecure area in South Ethiopia. METHODS: This qualitative study recorded, transcribed and translated focus group discussions and individual interviews with caregivers of SAM children and community health workers (CHWs). Data were complemented with field notes before qualitative content analysis was applied. RESULTS: RUTF was perceived and used as an effective treatment of SAM; however, caregivers also see it as food to be shared and when necessary a commodity to be sold for collective benefits for the household. Caregivers expected prolonged provision of RUTF to contribute to household resources, while the programme guidelines prescribed RUTF as a short-term treatment to an acute condition in a child. To get prolonged access to RUTF caregivers altered the identities of SAM children and sought multiple admissions to CMAM programme at different health posts that lead to various control measures by the CHWs. CONCLUSION: Even though health workers provide RUTF as a treatment for SAM children, their caregivers use it also for meeting broader food and economic needs of the household endangering the effectiveness of CMAM programme. In chronically food insecure contexts, interventions that also address economic and food needs of entire household are essential to ensure successful treatment of SAM children. This may need a shift to view SAM as a symptom of broader problems affecting a family rather than a disease in an individual child. Twit Text FOAVip Perceptions of usage and unintended consequences of provision of ready-to-use therapeutic food for management of severe acute child malnutrition A qualitative study in Southern Ethiopia ????Health Policy Plan http://www.kidney.de/pget.php?&tw=1&pmid=25749873 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25749873 #FOAvip English Wikipedia <ref>{{Cite pmid|25749873 }}</ref> Perceptions of usage and unintended consequences of provision of ready-to-use therapeutic food for management of severe acute child malnutrition A qualitative study in Southern Ethiopia #MMPMID25749873 Tadesse E ; Berhane Y ; Hjern A ; Olsson P ; Ekström EC Health Policy Plan 2015[Dec]; 30 (10 ): 1334-41 PMID25749873 show ga BACKGROUND: Severe acute child malnutrition (SAM) is associated with high risk of mortality. To increase programme effectiveness in management of SAM, community-based management of acute malnutrition (CMAM) programme that treats SAM using ready-to-use-therapeutic foods (RUTF) has been scaled-up and integrated into existing government health systems. The study aimed to examine caregivers' and health workers perceptions of usages of RUTF in a chronically food insecure area in South Ethiopia. METHODS: This qualitative study recorded, transcribed and translated focus group discussions and individual interviews with caregivers of SAM children and community health workers (CHWs). Data were complemented with field notes before qualitative content analysis was applied. RESULTS: RUTF was perceived and used as an effective treatment of SAM; however, caregivers also see it as food to be shared and when necessary a commodity to be sold for collective benefits for the household. Caregivers expected prolonged provision of RUTF to contribute to household resources, while the programme guidelines prescribed RUTF as a short-term treatment to an acute condition in a child. To get prolonged access to RUTF caregivers altered the identities of SAM children and sought multiple admissions to CMAM programme at different health posts that lead to various control measures by the CHWs. CONCLUSION: Even though health workers provide RUTF as a treatment for SAM children, their caregivers use it also for meeting broader food and economic needs of the household endangering the effectiveness of CMAM programme. In chronically food insecure contexts, interventions that also address economic and food needs of entire household are essential to ensure successful treatment of SAM children. This may need a shift to view SAM as a symptom of broader problems affecting a family rather than a disease in an individual child. |*Family Characteristics [MESH] |Acute Disease [MESH] |Child Nutrition Disorders/*diet therapy [MESH] |Child, Preschool [MESH] |Community Health Services/economics [MESH] |Disease Management [MESH] |Ethiopia [MESH] |Focus Groups [MESH] |Food Supply/*economics [MESH] |Government Programs [MESH] |Humans [MESH]Perceptions of usage and unintended consequences of provision of ready(epmc).pdf DeepDyve Pubget Overpricing