Nutrition education, knowledge, attitudes, and practices among physicians in hospitals in Malawi: A baseline cross-sectional study

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Date
2021-03-17
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Kamuzu University of Health Sciences
Abstract
Problem statement It is estimated that poor diet, which has been shown to be responsible for many NCD’s, is liable for 11 million deaths globally. In many sub-Saharan African countries, including Malawi, the incidence of NCD’s is growing, and undernutrition, diabetes, overweight and obesity are now diet-related diseases of public health concern. Medical doctors who are trusted providers of healthcare, need to be knowledgeable and competent in nutrition-care as it applies to health promotion, prevention and treatment of these chronic diseases. However, there is limited information on medical nutrition education and knowledge among practicing medical doctors as it relates to self-efficacy in nutrition care in Malawi. 2.1 Broad objective To assess graduate doctors’ medical nutrition education, knowledge, attitudes and practices regarding nutrition care in Malawi. 2.2 Specific Objectives a. To evaluate the nutrition-related knowledge, attitudes and self-efficacy of graduate doctors b. To determine the associations among Knowledge, Attitudes and Self-Efficacy c. To compare nutrition-related knowledge, attitudes and self-efficacy with level of clinical training. d. To provide baseline values to the key performance indicators outlined in the Performance Measurement Framework. e. To provide relevant and practical recommendations for improving nutrition training at sub-national (district) and national level based on the gaps identified in the policies and their implementation under the thematic area of Human Resources for Health. Methodology The medical nutrition education KAP survey is a cross-sectional study conducted among 78 health care workers in Malawi public health service, from August 2020 to October 2020. Hospitals will be purposively selected based on availability of medical doctors in those facilities. Results and dissemination The medical nutrition education KAP survey is the first study of its kind in Malawi that will contribute new information on the deficits in nutrition education in medical education in Malawi and other related settings. The findings will facilitate future research and implementation of targeted interventions to improve on any gaps in knowledge and practice identified. Primarily, the findings from this audit will be disseminated back to all involved departments in l clinical services. Realizing that the results are to be of primary interest to all departments, a presentation will be made to all clinical departments highlighting the key findings. Results will also be disseminated through local (COM annual research dissemination conference), regional and international scientific meetings/conferences/seminars/workshops and by publication in peer-reviewed journals. A copy of the final report and any ensuing publications will be submitted to the COMREC, the College of Medicine Library, the Health Science Research Committee and the University Research and Publication Committee
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