Table 4.

Facilitators and Barriers of Play Integration Reported by Caregivers of Children with Acute Malnutrition

Category	Barriers	Facilitators
Children Characteristics	Children too sick to play	When children are better
Toys	Toys are expensive Toys are not available Toys not appropriate for age -young ones Toys not appropriate for disability Children fear some toys No source of local materials for toys Shy to bring local toys from home	Play is on the timetable Play materials which are locally made All children playing at the same time
Caregiver	Not aware about value of play Focus on healing then go home Worried about their children at admission Do not bring toys from home because they are too sick to play at admission to ITC Caregivers are hungry Caregivers are stressed because of being away from home	Volunteer from caregivers to be responsible for toys Supportive fathers buy toys and play with the children Money
Health facility Program	Health education to caregivers does not include play No time for play-busy with activities esp OTC No space Children make the place dirty	Scheduling of play activities Task-shifting; assigning responsibility of play activities to caregivers Accessibility of play materials