Community-based management of acute malnutrition: Implementation quality, and staff and user satisfaction with services

Akuu, Joshua A. and Amagnya, Moses A. (2023) Community-based management of acute malnutrition: Implementation quality, and staff and user satisfaction with services. Journal of Taibah University Medical Sciences, 18 (5). pp. 988-996. ISSN 16583612

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Abstract or description

Background: Malnutrition is a problem that affects many children and therefore is the focus of multiple interventions worldwide. One intervention is the community-based management of acute malnutrition (CMAM).

Objective: This study assessed CMAM implementation quality in the Builsa North District of Ghana, and the satisfaction among both users and CMAM staff.

Design: The study used a convergent mixed-method design involving in-depth interviews with CMAM staff and users, document reviews, and observations of the CMAM implementation. The data were collected across eight health care facilities in eight sub-districts. The data were qualitatively and thematically analysed in Nvivo software.

Results: Several factors were found to adversely affect the quality of CMAM implementation. Significant factors included inadequate training of CMAM workers; religious belief systems; and a lack of implementation materials, such as ready-to-use therapeutic food (RUTF), CMAM registration forms/cards, and computers. These factors adversely affected programme quality, thus resulting in dissatisfaction among CMAM users and staff.

Conclusion: This study established that the CMAM programme in the Builsa North District of Ghana is hindered by a lack of primary resources and logistics necessary for successful programme implementation.

Item Type:	Article
Uncontrolled Keywords:	CMAM, Community-based management, Health professionals, Malnutrition, Quality, RUTF
Faculty:	School of Law, Policing and Forensics > Forensic Sciences and Policing
Depositing User:	Moses AMAGNYA
Date Deposited:	15 Mar 2023 16:23
Last Modified:	15 Mar 2023 16:23
URI:	https://eprints.staffs.ac.uk/id/eprint/7662

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