ArticleBMJ open2023
Perceptions of healthcare providers and mothers on management and care of severely wasted children: a qualitative study in Karnataka, India.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Barriers and Factors Associated With Treatment Coverage of Severe Acute Malnutrition Among Children 6-59 Months in Agrarian and Pastoralist Areas of Ethiopia.Maternal & child nutrition · 2026Article
- Qualitative research: a needed but neglected form of inquiry in nutrition.European journal of clinical nutrition · 2026Review
- Perceptions, Causes and Treatment of Severe Acute Malnutrition, Mbuji-Mayi, Kasai-Oriental, Democratic Republic of the Congo.Maternal & child nutrition · 2025Article
- Perceptions of Underlying Factors and Consequences of Childhood Malnutrition and Care-Seeking Behaviour for Children Under 5 Years With Acute Malnutrition: A Qualitative Study in Rural Bangladesh.Maternal & child nutrition · 2025Article
- A qualitative approach to assess operational barriers of service providers of community-based management of severe acute malnutrition program in a district of central India.Journal of family medicine and primary care · 2025Article
- Evaluating the effectiveness of training on malnutrition for Anganwadi workers in Anekal Taluk, Bengaluru Urban District.Journal of family medicine and primary care · 2025Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo explore perceptions of healthcare providers and mothers of children with severe wasting on the perceived reasons for severe wasting, constraints on the management and barriers to caregiving and care-seeking practices.
designIn-depth qualitative interviews conducted with healthcare providers and mothers of children with severe wasting.
settingUrban and rural locations in Karnataka state, India.
participantsHealthcare providers (anganwadi workers, accredited social health activists, auxiliary nurse midwives, junior health assistant, medical officers, nutrition counsellors) from public healthcare centres and mothers of children with severe wasting.
resultsForty-seven participants (27 healthcare providers, 20 mothers) were interviewed. Poverty of households emerged as the underlying systemic factor across all themes that interfered with sustained uptake of any intervention to address severe wasting. Confusion of 'thinness' and shortness of stature as hereditary factors appeared to normalise the condition of wasting. Management of this severe condition emerged as an interdependent phenomenon starting at the home level coupled with sociocultural factors to community intervention services with its supplemental nutrition programme and clinical monitoring with therapeutic interventions through an institutional stay at specialist referral centres. A single-pronged malnutrition alleviation strategy fails due to the complexity of the ground-level problems, as made apparent through respondents' lived experiences. Social stigma, trust issues between caregivers and care-seekers and varying needs and priorities as well as overburdened frontline workers create challenges in communication and effectiveness of services resulting in perpetuation of severe wasting.
conclusionsTo ensure a continuum of care in children with severe wasting, economic and household constraints, coordinated policies across the multidimensional determinants of severe wasting need to be addressed. Context-specific interventions are necessary to bridge communication gaps between healthcare providers and caregivers.
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