Facilitators and barriers to implementing complex community-based interventions for addressing acute malnutrition in low- and lower-middle income countries: A scoping review.

Autor:	Beggs B; School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada., Bustos M; School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada., Brubacher LJ; School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada., Little M; School of Public Health and Social Policy, University of Victoria, Victoria, BC, Canada., Lau L; School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada.; International Care Ministries, Manila, Philippines.; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada., Dodd W; School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada.
Jazyk:	angličtina
Zdroj:	Nutrition and health [Nutr Health] 2024 Sep; Vol. 30 (3), pp. 447-462. Date of Electronic Publication: 2024 May 20.
DOI:	10.1177/02601060241253327
Abstrakt:	Background: Community-based nutrition interventions have been established as the standard of care for identifying and treating acute malnutrition among children 6-59 months in low- and lower-middle-income countries. However, limited research has examined the factors that influence the implementation of the community-based component of interventions that address severe acute malnutrition and moderate acute malnutrition among children. Aim: The objective of this review was to identify and describe the facilitators and barriers in implementing complex community-based nutrition interventions to address acute malnutrition among children in low- and lower-middle-income countries. Methods: This review used a systematic search strategy to identify existing peer-reviewed literature from three databases on complex community-based interventions (defined as including active surveillance, treatment, and education in community settings) to address severe acute malnutrition and moderate acute malnutrition in children. Results: In total, 1771 sources were retrieved from peer-reviewed databases, with 38 sources included in the review, covering 26 different interventions. Through an iterative deductive and inductive analysis approach, three main domains (household and interpersonal, sociocultural and geographical; operational and administrative) and eight mechanisms were classified, which were central to the successful implementation of complex community-based interventions to address acute child malnutrition. Conclusion: Overall, this review highlights the importance of addressing contextual and geographical challenges to support participant access and program operations. There is a need to critically examine program design and structure to promote intervention adherence and effectiveness. In addition, there is an opportunity to direct resources towards community health workers to facilitate long-term community trust and engagement. Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu