Abstract

Background: Malnutrition is a universal problem that affects children under-five years and a major cause of death in children worldwide. About 60% of the 10.2 million annual mortality rates of children under-five years globally is caused by malnutrition. Children at risk must be reached during their first two years of life for early diagnosis of malnutrition with adequate management to prevent morbidity and subsequent mortality. In Ghana, mothers lack understanding of the nutritional value of local foods in their children's meals.

Purpose: To increase the knowledge of mothers on malnutrition and the use of local food sources to prevent malnutrition in children under-five years.

Methods: Questionnaires were used to assess the knowledge of sixty seven (N= 67) mothers on malnutrition and current complementary feeding practices. Five live cooking and health education sessions were held at the Child Welfare Clinic with a focus on affordable local food sources using the National Food Guide. Mothers were educated on the need to continue breastfeeding up to two years. A post-test was used to determine any changes after education sessions.

Results: Overall, 58.2% of the 67 participants attributed malnutrition to spiritual causes and 90% preferred ready-to-eat complementary foods. Post-test analyses showed that 94.8% of the mothers had gained knowledge on the causes of malnutrition as a dietary deficiency and 82% were ready to use local food sources.

Conclusion: Parents of children under- five years need continuous education on affordability and use of local foods in the continuum of care.

Implications: Community and Public Health nurses need to intensify education on the preparation, use and storage of local foods to prevent malnutrition in children under-5 years. Further research is needed into mothers' understanding of spirituality and its relational cause to malnutrition. Parents' socio-cultural beliefs impacting the usage of local food sources in children's meals need to be explored. Policy directives from the Ministry of Health, Ghana are needed to allow free access to nutritious meals and food subventions for children with malnutrition. Health administrators must provide logistics for training frontline child health care providers on the prevention and management of malnutrition at primary health care levels.

Author Details

Lydia Owusu, University Hospital, Legon- Accra, Ghana –West Africa; Lorraine Arko, University Hospital, Legon – Accra, Ghana – West Africa; Dr. Mary Ani-Amponsah, School of Nursing and Midwifery, College of Health Sciences, University of Ghana, Accra - Ghana, West Africa; Prof. Lydia Aziato, School of Nursing and Midwifery, College of Health Sciences, University of Ghana, Accra - Ghana, West Africa

Sigma Membership

Non-member

Lead Author Affiliation

University Hospital, Legon-Accra, Ghana, West Africa

Type

Poster

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Maternal-Child Health, Malnutrition in Children Under 5 Years, Leadership Development

Conference Name

Inter-professional Education and Collaborative Practice for Africa Conference

Conference Host

Tau Lambda at-Large Chapter of Sigma Theta Tau International||Amref International University||WHO-FIC Collaborating Centre for the African region||Africa Interprofessional Education Network (AfrIPEN)||WHO Regional Office for Africa

Conference Location

Nairobi, Kenya

Conference Year

2019

Rights Holder

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All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Faculty/Mentor Approved: Sigma Academy Participant Poster

Acquisition

Proxy-submission

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Preventing malnutrition in children under 5-years using affordable local foods at a referral hospital, Ghana

Nairobi, Kenya

Background: Malnutrition is a universal problem that affects children under-five years and a major cause of death in children worldwide. About 60% of the 10.2 million annual mortality rates of children under-five years globally is caused by malnutrition. Children at risk must be reached during their first two years of life for early diagnosis of malnutrition with adequate management to prevent morbidity and subsequent mortality. In Ghana, mothers lack understanding of the nutritional value of local foods in their children's meals.

Purpose: To increase the knowledge of mothers on malnutrition and the use of local food sources to prevent malnutrition in children under-five years.

Methods: Questionnaires were used to assess the knowledge of sixty seven (N= 67) mothers on malnutrition and current complementary feeding practices. Five live cooking and health education sessions were held at the Child Welfare Clinic with a focus on affordable local food sources using the National Food Guide. Mothers were educated on the need to continue breastfeeding up to two years. A post-test was used to determine any changes after education sessions.

Results: Overall, 58.2% of the 67 participants attributed malnutrition to spiritual causes and 90% preferred ready-to-eat complementary foods. Post-test analyses showed that 94.8% of the mothers had gained knowledge on the causes of malnutrition as a dietary deficiency and 82% were ready to use local food sources.

Conclusion: Parents of children under- five years need continuous education on affordability and use of local foods in the continuum of care.

Implications: Community and Public Health nurses need to intensify education on the preparation, use and storage of local foods to prevent malnutrition in children under-5 years. Further research is needed into mothers' understanding of spirituality and its relational cause to malnutrition. Parents' socio-cultural beliefs impacting the usage of local food sources in children's meals need to be explored. Policy directives from the Ministry of Health, Ghana are needed to allow free access to nutritious meals and food subventions for children with malnutrition. Health administrators must provide logistics for training frontline child health care providers on the prevention and management of malnutrition at primary health care levels.