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dc.contributor.authorMonte, Cristina Maria Gomes does_ES
dc.contributor.authorAshworth, Annes_ES
dc.contributor.authorSa, Maria Lúcia Barretoes_ES
dc.contributor.authorDiniz, Regina Lúcia Portelaes_ES
dc.date.accessioned2015
dc.date.available2015
dc.date.issued1998es_ES
dc.identifier.citationMonte, Cristina Maria Gomes do,Ashworth, Ann,Sa, Maria Lúcia Barreto,Diniz, Regina Lúcia Portela (1998) Effectiveness of nutrition centers in Ceara state, northeastern Brazil. Rev Panam Salud Publica;4(6) 375-382,dic. 1998. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49891998001200002&lng=en&nrm=iso&tlng=enes_ES
dc.identifier.urihttp://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49891998001200002&lng=en&nrm=iso&tlng=enes_ES
dc.identifier.urihttps://iris.paho.org/handle/10665.2/8552
dc.format.extentiluses_ES
dc.relation.ispartofseriesRev Panam Salud Publica;4(6),dic. 1998es_ES
dc.subjectProgramas de Nutriçãopt_BR
dc.subjectNutrição da Criançapt_BR
dc.subjectEfetividadees_ES
dc.subjectBrasilpt_BR
dc.titleEffectiveness of nutrition centers in Ceara state, northeastern Braziles_ES
dc.typeJournal articlesen_US
dc.rights.holderPan American Health Organizationen_US
dc.description.notesChildhood malnutrition has been a major, long-standing health concern in northeastern Brazil. In response, during 1992-1994, the state government of Ceará, with financial support from the World Bank, established 34 new nutrition centers. During 1996 an evaluation of the centers was conducted to determine their effectiveness in treating children with malnutrition and to identify weaknesses in the system and possible solutions. Also evaluated were the adequacy of resources, admission and discharge criteria, staff training, and community satisfaction. Effectiveness was found to be low. Treatment procedures did not conform with World Health Organization recommendations. Rates of weight gain were inadequate, and the mean duration of rehabilitation-8.7 months- was too long. Case fatality in two centers was unacceptably high, 40 per cent and more. Entry and exit criteria for rehabilitation were ill defined, resulting in some non-malnourished children being enrolled. Few staff were adequately trained; knowledge was weak, especially about case management; and mothers were not effectively instructed. Recommendations include setting objectives for the centers, improving referral systems, standardizing entry criteria, improving case management, and establishing performance indicatorsen_US


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