Determinants of food intake and nutritional status among inpatients in northern hospitals in Tanzania

Abstract

Adequate nutrition is a key among hospitalized patients. It is crucial and most significant aspect of improving quality of life of inpatients. However, hospitals in developing nations challenged with adequate meal provisions. In Tanzania, meal provision isn’t part of inpatients service. This impacted quality of life, causing an increased number of days in hospital stay. Furthermore, research has demonstrated the significance of food consumption to promote recovery. Cross-sectional study design was used in this study. Data were analyzed for descriptive statistical inferences by using R statistical software. Results showed; determinants of food intake were; distance to hospital, 76% inpatients used more than 60 minutes to arrive at hospital and 31% stayed hospital for 15 days and above. Moreover, dietary study was conducted; results showed 70% of inpatients didn’t meet minimum dietary diversity. Insufficient nutrition awareness was another determinant where, 70% of inpatients didn’t understand balanced diet. Findings revealed that, 86% of inpatients consumed monotonous diet high in starch, 12% of adult inpatients were underweight (BMI <18.5) while 7% were obese with BMI > 30. Twenty nine percent of children aged 6 to 59 months were severely stunted (SD < -3). In this study, association between dietary intake and distance from home indicated, some patients lacking food services because of leaving far from hospital. It was concluded that, higher pro­portion of inpatients didn’t meet minimum dietary diversity due to monotonous diet they consumed. To meet SDGs challenges of zero hunger, good health and well-being, hospital meal provision is essential.