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 | ||
| Abstract: Introduction: In Egypt, malnutrition among under-five children remains an important issue. Aim of the study: To evaluate the preventive nutritional services provided for under-five children in PHC facilities in Fayoum Governorate. Subjects and Methods: This health services research was conducted throughout 2019 using Donabedian framework to assess the structure, process, and outcome dimensions of the services. We employed a facility-based assessment that entailed a situation analysis of Fayoum PHC facilities and a quantitative survey to assess the mothers’ satisfaction with preventive nutritional services. Results: For service evaluation in PHC facilities, our results revealed that appropriate recording and record-keeping were available. Additionally, scales for weight and height measurements were available. Weight and height were measured and recorded. In some PHCs, weight and height were not plotted on the growth chart. Regarding the assessment of mothers’ satisfaction, the median (IQR) for the total satisfaction score was 69 (65-74). Mothers’ age, residence, marital status, 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 nationwide 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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