Pre-natal nutrition education: Health care providers’ knowledge and quality of services in primary health care centres in Lagos, Nigeria

<h4>Introduction</h4> A healthy and balanced diet is very important during pregnancy. By enhancing maternal nutritional status, healthcare providers can lower the risks of pregnancy complications and adverse birth outcomes. <h4>Objectives</h4> To assess the pre-natal nutritio...

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Autores principales: Hanifat Abisola Ibikunle, Ifeoma Peace Okafor, Adebola Afolake Adejimi
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:595c4c6295a741a09056b4932b4a185c2021-11-18T06:34:41ZPre-natal nutrition education: Health care providers’ knowledge and quality of services in primary health care centres in Lagos, Nigeria1932-6203https://doaj.org/article/595c4c6295a741a09056b4932b4a185c2021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8577761/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4> A healthy and balanced diet is very important during pregnancy. By enhancing maternal nutritional status, healthcare providers can lower the risks of pregnancy complications and adverse birth outcomes. <h4>Objectives</h4> To assess the pre-natal nutrition knowledge and services rendered by healthcare providers in antenatal clinics at Primary Health care Centres in Lagos, Nigeria. <h4>Methodology</h4> This was a cross-sectional study carried out in June—September 2019. Self-administered questionnaires were used to collect data on nutritional knowledge from 391 nurses and midwives who provided pre-natal nutrition education. Direct observation with checklist was used to assess the nutrition education services at the ANC clinics and covered: adequacy of the venue, availability/use of nutrition education resources, education content and teaching strategies. EPi-Info version 3.5 was used for data analysis. Inferential statistics such as chi square and multiple logistic regression were used to determine associated factors and predictors of nutrition knowledge. The level of significance was set at 5% (p<0.05). <h4>Results</h4> The mean age of respondents was 41.71±10.33years, all were females; 44.8% were Registered Nurses, 12.0% were Registered Midwives, and 23.8% had a B.Sc. in Nursing. Majority (81.3%) had taken a nutrition course in nursing training program, 62.1% as elective classes. Majority (81.1%) had good knowledge of prenatal nutrition. Respondents who were older (51-60years) (p<0.001), single (p<0.001) and Christian (p = 0.001) had significantly better knowledge. Nurses who had University degrees (p<0.001), of higher cadre (p<0.001), more years of practice (p<0.001) and involved in treating severely malnourished children (p = 0.013) were also significantly more knowledgeable. Respondents below 40 years (OR 0.104, CI 0.049–0.218) and those with 10 years or less of practice (OR 0.189, CI 0.092–0.387) had less odds of having good nutrition knowledge. Being single (OR 8.791, CI 3.125–24.731), and Christian (OR = 5.810, CI: 3.321–10.164) predict good nutrition knowledge. In 39% of the 41 PHCs observed, quality of nutrition education services was inadequate. Gaps were mainly in availability of certain nutrition education facilities/resources and teaching strategies. <h4>Conclusion</h4> The majority of the respondents had good knowledge of pre-natal nutrition. Overall, however, nutrition education services provided by two-fifths of the facilities were inadequate. Interventions to improve prenatal nutrition knowledge of nurses/midwives should be focused more on those who are younger and have less work experience. All necessary equipment required for health service providers to execute their roles as nutrition counselors and educators should also be provided by the government.Hanifat Abisola IbikunleIfeoma Peace OkaforAdebola Afolake AdejimiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Hanifat Abisola Ibikunle
Ifeoma Peace Okafor
Adebola Afolake Adejimi
Pre-natal nutrition education: Health care providers’ knowledge and quality of services in primary health care centres in Lagos, Nigeria
description <h4>Introduction</h4> A healthy and balanced diet is very important during pregnancy. By enhancing maternal nutritional status, healthcare providers can lower the risks of pregnancy complications and adverse birth outcomes. <h4>Objectives</h4> To assess the pre-natal nutrition knowledge and services rendered by healthcare providers in antenatal clinics at Primary Health care Centres in Lagos, Nigeria. <h4>Methodology</h4> This was a cross-sectional study carried out in June—September 2019. Self-administered questionnaires were used to collect data on nutritional knowledge from 391 nurses and midwives who provided pre-natal nutrition education. Direct observation with checklist was used to assess the nutrition education services at the ANC clinics and covered: adequacy of the venue, availability/use of nutrition education resources, education content and teaching strategies. EPi-Info version 3.5 was used for data analysis. Inferential statistics such as chi square and multiple logistic regression were used to determine associated factors and predictors of nutrition knowledge. The level of significance was set at 5% (p<0.05). <h4>Results</h4> The mean age of respondents was 41.71±10.33years, all were females; 44.8% were Registered Nurses, 12.0% were Registered Midwives, and 23.8% had a B.Sc. in Nursing. Majority (81.3%) had taken a nutrition course in nursing training program, 62.1% as elective classes. Majority (81.1%) had good knowledge of prenatal nutrition. Respondents who were older (51-60years) (p<0.001), single (p<0.001) and Christian (p = 0.001) had significantly better knowledge. Nurses who had University degrees (p<0.001), of higher cadre (p<0.001), more years of practice (p<0.001) and involved in treating severely malnourished children (p = 0.013) were also significantly more knowledgeable. Respondents below 40 years (OR 0.104, CI 0.049–0.218) and those with 10 years or less of practice (OR 0.189, CI 0.092–0.387) had less odds of having good nutrition knowledge. Being single (OR 8.791, CI 3.125–24.731), and Christian (OR = 5.810, CI: 3.321–10.164) predict good nutrition knowledge. In 39% of the 41 PHCs observed, quality of nutrition education services was inadequate. Gaps were mainly in availability of certain nutrition education facilities/resources and teaching strategies. <h4>Conclusion</h4> The majority of the respondents had good knowledge of pre-natal nutrition. Overall, however, nutrition education services provided by two-fifths of the facilities were inadequate. Interventions to improve prenatal nutrition knowledge of nurses/midwives should be focused more on those who are younger and have less work experience. All necessary equipment required for health service providers to execute their roles as nutrition counselors and educators should also be provided by the government.
format article
author Hanifat Abisola Ibikunle
Ifeoma Peace Okafor
Adebola Afolake Adejimi
author_facet Hanifat Abisola Ibikunle
Ifeoma Peace Okafor
Adebola Afolake Adejimi
author_sort Hanifat Abisola Ibikunle
title Pre-natal nutrition education: Health care providers’ knowledge and quality of services in primary health care centres in Lagos, Nigeria
title_short Pre-natal nutrition education: Health care providers’ knowledge and quality of services in primary health care centres in Lagos, Nigeria
title_full Pre-natal nutrition education: Health care providers’ knowledge and quality of services in primary health care centres in Lagos, Nigeria
title_fullStr Pre-natal nutrition education: Health care providers’ knowledge and quality of services in primary health care centres in Lagos, Nigeria
title_full_unstemmed Pre-natal nutrition education: Health care providers’ knowledge and quality of services in primary health care centres in Lagos, Nigeria
title_sort pre-natal nutrition education: health care providers’ knowledge and quality of services in primary health care centres in lagos, nigeria
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/595c4c6295a741a09056b4932b4a185c
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AT adebolaafolakeadejimi prenatalnutritioneducationhealthcareprovidersknowledgeandqualityofservicesinprimaryhealthcarecentresinlagosnigeria
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