2 research outputs found
Effect of enhanced nutrition services with communityâbased nutrition services on the diet quality of young children in Ethiopia
Abstract Poor diet quality related to inadequate complementary feeding is a major public health problem in low and middleâincome countries including Ethiopia. Low dietary diversity has been linked to negative health outcomes in children. To provide a package of interventions to close nutritional gaps through agriculture, the Sustainable Undernutrition Reduction in Ethiopia (SURE) programme was set up as a multiâsectoral initiative and the results of combined effects of communityâbased and enhanced nutrition services, compared to communityâbased alone, on diet diversity and diet quality of complementary feeding of young children are presented. The study used preâ and postâintervention design. Baseline (nâ=â4980) data were collected from May to July 2016, and followâup (nâ=â2419) data from December 2020 to January 2021. From 51 intervention districts having the SURE programme, 36 intervention districts were randomly selected for baseline and 31 for the followâup survey. The primary outcome was diet quality: minimum dietary diversity (MDD), minimum meal frequency (MMF) and minimum acceptable diet (MAD). Comparing endline to baseline over the 4.5âyear intervention, the use of standard communityâbased nutrition services of growth monitoring and promotion increased (16%â46%), as did enhanced nutrition services of infant and young child feeding counselling, and agricultural advising (62%â77%). Women involved in home gardening significantly increased (73%â93%); however, household production of food decreased yet consumption of most ownâgrown foods increased. Importantly, MAD and MDD increased fourâfold. The SURE intervention programme was associated with improvements in complementary feeding and diet quality through enhanced nutrition services. This suggests programmes targeted at nutritionâsensitive practices can improve child feeding in young children
Level of JMP ladders for water, sanitation, and hygiene (WASH) services among healthcare facilities of Bishoftu Town, Ethiopia: An implication of healthcare-associated infection prevention status
This study aimed to assess the level of JMP ladders for WASH services. A cross-sectional study was conducted. Forty-four healthcare facilities were enrolled. From each healthcare facility, water samples were collected directly from water storage facilities. In addition to the interview, an observational checklist was used. Descriptive statistics and a chi-square test were conducted to analyze the data. The coverage of advanced and basic drinking water services in healthcare facilities was 4.6 and 70.4%, respectively. However, the healthcare facilitiesâ access to advanced and basic sanitation services was nil. Similarly, 61.4 and 88.6% of the healthcare facilities had no hygiene and waste disposal services, respectively. While 2.6, 4.5, and 75% of healthcare facilities had advanced, basic, and limited environmental cleaning services, 18.2% lacked environmental cleaning services. Water samples of 15.9, 11.4, and 6.8% of the healthcare facilities were found positive for total coliforms, fecal coliforms, and E. coli, respectively. The WASH services of the healthcare facilities were very low and not on track to achieve the Sustainable Development Goal target. Healthcare facilities could be sources of healthcare-associated infections. Hence, the government and other concerned bodies should take urgent action to improve WASH services.
HIGHLIGHTS
4.6 and 70.4% of the healthcare facilities used advanced and basic water services, respectively.;
The healthcare facilitiesâ access to advanced and basic sanitation services was nil.;
The majority of the healthcare facilities had no hygiene and waste disposal services.;
18.2% of the healthcare facilities lacked environmental cleaning services.;
Bacteria and chemical contaminants contaminated many water samples.