User perceptions of the quality of nutrition care for children under five year in Botswana

Abstract

Abstract
Background: Perceptions about the quality of healthcare attract a great deal of attention due to their influence on user
satisfaction and the continued utilization of health services.
Objective: To examine the perceptions of caregivers and healthcare providers about nutrition care for children aged 05
years and the interpersonal communication between providers and caregivers in health facilities in Botswana. Methods:
Ten focus group discussions involving about six caregivers each and survey data from health providers (n = 39) were
used to examine perceptions about nutrition care for children aged 0-5 years and interpersonal communications between
providers and caregivers.
Results: Caregivers examined in this study perceived nutrition and dietary screening and intervention as important
components of healthcare for children. However, the caregivers were concerned about the frequent shortage of food
supplements, the lack of alternative food supplements and programs for children whose needs were not adequately met
by existing services. Poor interpersonal communication between providers and caregivers, shortage of supplements and
long queues were also identified as concerns by both caregivers and health providers. Although health care service
providers reported to have been trained to provide nutrition and dietary care, many were not satisfied with their present
skill level in these areas.
Conclusion: The caregivers perceived nutrition care to be an important aspect of care. However, the poor interpersonal
communication between providers and caregivers and the low confidence that providers have in their skill level in
nutrition care is likely to adversely influence the dependent care abilities of caregivers. [Ethiop.J.Health Dev.
2006;20(3):177-183]