Publication:

Caregivers’ and stakeholders’ perceptions on treatment intervention of nutritional rehabilitation centre in Eastern India: a qualitative study

Background Severe acute malnutrition (SAM) prevalence in India has increased over the last decade. SAM children are admitted to nutritional rehabilitation centres (NRCs) for medical complications. NRCs have successfully achieved weight gain among SAM children; however, long-term weight gain is difficult to maintain. This study aimed to explore caregivers’ and stakeholders’ perceptions of the treatment interventions offered at NRCs in Bhubaneswar.

Methods The research used qualitative methods, where nine in-depth interviews (IDIs) were conducted using a semi-structured interview guide among mothers of SAM children and their stakeholders. Transcripts from the recorded IDIs were prepared in English. ATLAS.ti version 7 software was used for in-depth thematic analysis using an inductive approach to generate top codes, sub-themes, and major themes. The study was approved ethically with written informed consent from the participants.

Results The study found three major themes: perceived improvement in their child's health, a sense of being welcomed and cared for, challenging and unfamiliarity, along with a reluctance to accept intervention. Caregivers reported improvements in children’s health, including better adherence to daily routines, increased food intake, and notable weight gain. However, challenges included unfamiliarity with NRC environments, concerns about family care during their stay, and societal reluctance towards government health interventions. Stakeholders’ perspectives focused on the quality and effectiveness of services and interventions, and systemic hindrances to service provision.

Conclusions Our findings suggest that community-level challenges persist in delivering NRC services. Public health measures are needed to increase awareness in the community about the prevention and management of SAM children.