Effects of a hospital-based food security programme for children with complex diseases in an upper-middle-income country: a before-and-after study

Autor: Andres Gempeler, Sergio I Prada, Ángela María Gómez-Casas, Diana Montoya, Luisa Fernanda González, Luis Alberto Escobar, Jorge Mario Madriñán, Marcela Granados
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMJ Paediatrics Open, Vol 8, Iss 1 (2024)
Druh dokumentu: article
ISSN: 2399-9772
DOI: 10.1136/bmjpo-2024-002690
Popis: Background To reduce health inequities in paediatric patients with complex diseases, our hospital developed a food security programme in 2022. The programme aims to mitigate food insecurity (FI) in paediatric patients with oncological, transplantation and congenital cardiovascular diagnoses, by providing a monthly nutritious food supply that covers up to 50% of the patient’s family food intake, accompanied by social and nutritional follow-up. In this study, we aimed to assess the effect of the programme on FI and nutritional status and describe its implementation.Method We conducted a before-and-after study of patients who entered the programme in a 14-month period. We used the Escala Latinoamericana y Caribeña de Seguridad Alimentaria (ELCSA) scale score, FI level and nutritional status measures to assess the effect of the programme. We used the Wilcoxon and McNemar tests to assess changes in scores and proportions of patients with moderate and severe FI, respectively, 31.5%–14.4% (p=0.0008) and of moderate FI from 68.5% to 36.9%.Results 111 patients were included. They had a baseline median (IQR) ELCSA score=8 (7–11) that changed to 6 (4–9) (p
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