Evaluation of Preventive Nutritional Services for under five Children in Fayoum Primary Health Care Facilities | ||
| Fayoum University Medical Journal | ||
| Volume 15, Issue 3, September 2025, Pages 67-83 PDF (810.4 K) | ||
| Document Type: Review Articles | ||
| DOI: 10.21608/fumj.2025.261625.1304 | ||
| Authors | ||
| Naglaa A El-Sherbiny1; Yousra Zain Hamida2; Mohamed Masoud* 1 | ||
| 1Department of Public Health and Community Medicine, Faculty of Medicine, Fayoum University, Fayoum, Egypt | ||
| 2Faculty of Medicine, Fayoum University, Fayoum, Egypt | ||
| Abstract | ||
| Introduction: In Egypt, malnutrition among under-five children remains an important issue. Aim of the study: The current study aimed to evaluate the preventive nutritional services provided for under-five children at PHC facilities in Fayoum governorate. Subjects and Methods: This health services research was conducted throughout 2019 to assess the input, process, and outcome dimensions of the services. We employed two approaches: a qualitative approach that entailed a situation analysis at Fayoum PHC facilities and a quantitative approach to assess the mothers satisfaction with preventive nutritional services. Results: As regards service evaluation at PHC facilities, our results revealed that appropriate recording and record-keeping were available. Also, scales for weight and height measurements were available. Weight and height were measured and recorded. Plotting of weight and height on the growth chart wasn't performed in some PHCs. Regarding the assessment of mother satisfaction, the median (IQR) for the total satisfaction score was 69 (65-74). Mother age, residence, marital status, mother education, and occupation were found to be significant predictors according to the multiple linear regression model. Conclusions: Appropriate recording was available in the studied PHC facilities, which can be utilized for implementing a nation-wide surveillance system for undernutrition among under-five children. Improving the provision of nutrition services at the PHC level requires strengthening supervision and increasing the number of nurses responsible for nutritional assessment. It's also critical to provide the appropriate equipment and training to enhance the delivery of nutrition services at the PHC level. | ||
| Keywords | ||
| Growth monitoring; Breastfeeding; Primary health care; Mother satisfaction | ||
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