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PTH-122 Assessing The Impact of A Nutritional Course to A Third World Country - Lessons from A BSG-Funded Delegation to Iraq
  1. HN Haboubi1,2,
  2. N Al-Mossawi3,
  3. M Boyle4,
  4. A Evans5,
  5. A Alhamdani6,
  6. M Jawad7,
  7. M Esmail8,
  8. A Hassan2,
  9. NA Haboubi8,
  10. W Haboubi9,
  11. H Twaij10,
  12. NY Haboubi5
  1. 1Swansea University
  2. 2ABMU Health Board, Swansea
  3. 3Great Ormond Street Hospital, London
  4. 4City Hospitals, Sunderland
  5. 5Nevill Hall Hospital, Abergavenny
  6. 6Whittington Hospital NHS Trust, London
  7. 7SASH NHS Trust, Surrey
  8. 8Hywel Dda Health Board, Carmarthen
  9. 9St. James’ Dental Practice, Swansea
  10. 10St Mary’s Hospital, London, UK

Abstract

Introduction Good nutrition is pivotal for ensuring an individuals health and wellbeing. The Iraqi Healthcare system has suffered years of underinvestment, war and turmoil. In particular, services dealing with nutrition and dietetics are often overlooked or entirely non-existent in Iraqi hospitals leading to a significant adverse effect on overall health outcomes. We investigate the usefulness of an intensive nutritional course in improving knowledge and confidence amongst healthcare professionals in Iraq.

Methods A BSG-funded delegation visited the University of Kufa, Iraq in January 2016 to deliver an intensive four-day course on clinical nutrition based on the BSG, BDS, and BAPEN guidelines. Each day was dedicated to specific learning outcomes in general dietetic assessment, special situations (including GI nutrition & trauma), paediatric nutrition and obesity nutrition. This free for all course received 20 external CPD credits from the Royal College of Physicians. A detailed pre-course questionnaire was distributed to evaluate understanding of common nutritional problems and confidence in managing these. A subsequent questionnaire one-month following the course evaluated changes to confidence (using a standardised 5 point confidence Likert scale).

Results 147 delegates attended the course from 8 of the 19 Iraqi governates. Completed post-course questionnaires were available for 69 individuals (47% response rate). Whilst 88% of attendees did not feel confident diagnosing malnutrition before the course, this improved to 97% of respondents with >3/5 confidence in the post-course questionnaire (67% scoring >4/5). Other observed improvements included mean confidence scores for biochemical workup of patients with suspected malnutrition (2.9 pre-course compared to 4.3 post-course, p < 0.01). In fact, for the 40 sessions organised during the 4 day course, all showed a significant improvement in post-course confidence.

Conclusion Clinical nutrition is an often under taught component of medical education. It’s importance; particularly to war-torn developing countries that have no dietetic infrastructure should not be understated. A BSG-funded delegation was able to deliver an intensive 4 day conference to health leaders in Iraq and demonstrated improved knowledge and confidence at dealing with nutritional dilemmas. We welcome BSG-funding for such endeavours and thank them for their support.

Disclosure of Interest None Declared

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