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Effectiveness of nutrition centers in Ceara state, northeastern Brazil

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Date
1998
Author
Monte, Cristina Maria Gomes do
Ashworth, Ann
Sa, Maria Lúcia Barreto
Diniz, Regina Lúcia Portela
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Abstract
Childhood 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 indicators
Series
Rev Panam Salud Publica;4(6),dic. 1998
Subject
Programas de Nutrição; Nutrição da Criança; Efetividade; Brasil
URI
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49891998001200002&lng=en&nrm=iso&tlng=en
https://iris.paho.org/handle/10665.2/8552
Citation
Monte, 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=en
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