A supplementary Feeding Programme for the Management of Severe and Moderate Malnutrition Outside Hospital

Gueri, M; Andrews, Nicholas; K, Fox; Jutsum, P; D, St Hill

doi:10.1093/tropej/31.2.101

Cited by 12 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…(2021) The state of Madhya Pradesh has at present 1.3 million severe malnourished children(1) with 175 operational NRCs. Available guidelines state establishing 20 bedded NRCs at district level and 10 at block level.…”

Section: Discussionmentioning

confidence: 99%

A study to evaluate the effect of nutritional intervention measures on admitted children in selected nutrition rehabilitation centers of Indore and Ujjain divisions of the state of Madhya Pradesh (India)

Taneja

Dixit

Khatri

et al. 2012

Indian J Community Med

View full text Add to dashboard Cite

Background:The state of Madhya Pradesh has 1.3 million severely malnourished children. Nutrition rehabilitation centers (NRCs) were started in the state to control severe malnutrition and decrease the prevalence of severe malnourished children to less than 1% among children aged 1–5 years.Materials and Methods:The present study was conducted from November 2008 to October 2009; 100 children admitted to seven different NRCs in Indore and Ujjain divisions of Madhya Pradesh were observed during their stay at NRCs and the follow-up period to analyze the effect of interventional measures on select anthropometric indicators. Mothers of the children were interviewed on health issues and therapeutic feeding practices at the NRCs using a predesigned and pretested interview schedule.Results:The study group consisted of 48 boys and 52 girls; 60% were between 13 and 36 months of age. 93 children were analyzed for anthropometric indicators following a dropout rate of 7%. A statistically significant difference was obtained between the weight of children at admission and discharge (t=14.552, P<0.001); difference of mid upper arm circumference (MUAC) at admission and discharge was statistically significant (t=9.548, P<0.001). The average weight gain during the stay at the centers was 9.25 ± 5.89 g/kg/day. Though the number of severe malnourished children decreased from 85 to 43 following the stay at NRCs (χ2 = 44.195, P<0.001); 48.78% of the children lost weight within 15 days of discharge from the NRCs. Dropout rates of 9.89%, 23.07%, 42.65%, and 61.76% for the study group were obtained during the follow-up period of 6 months for the four follow-up visits conducted 15 days, 1, 3, and 6 months after discharge. The mothers of the children lacked adequate information on health issues and composition and preparation of therapeutic diets at the centers.Conclusion:The NRCs were effective in improving the condition of admitted children, but the effects were not sustained following discharge due to high drop-out rate and lack of adequate parental awareness. There is an urgent need to link these centers with community-based models for follow-up and improve health education measures to maintain the gains achieved.

show abstract

Section: Discussionmentioning

confidence: 99%

A study to evaluate the effect of nutritional intervention measures on admitted children in selected nutrition rehabilitation centers of Indore and Ujjain divisions of the state of Madhya Pradesh (India)

Taneja

Dixit

Khatri

et al. 2012

Indian J Community Med

View full text Add to dashboard Cite

show abstract

“…The proportion of children who left the facility without approval was 10%. Table 4 summarizes 16 reports of home-based rehabilitation [28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46], with one study reported as two separate papers for HIV-negative and HIV-positive children [42,43]. Domiciliary rehabilitation has been the "growth area" as regards recent publications, and seven homefeeding trials of RUTF in sub-Saharan Africa have been reported.…”

Section: Primary Health Clinicsmentioning

confidence: 99%

Efficacy and Effectiveness of Community-Based Treatment of Severe Malnutrition

Ashworth¹

2006

Food Nutr Bull

131

126

View full text Add to dashboard Cite

show abstract

“…A vast majority (over 90%) of SAM is located in South and Southeast Asia and sub-Saharan Africa [ 11 ] and is a common indication for hospital admission and treatment among pediatric patients. Limited inpatient capacity, and inadequate trained staff available in hospitals to treat the large numbers requiring care, has long been known to limit impact and programme coverage [ 12 , 13 ]. Lately, community-based therapeutic care programme treating most cases of SAM solely as outpatients have dramatically reduced case fatality rate, particularly in Bangladesh, South Sudan, Angola, Ethiopia, and Malawi [ 14 – 16 ].…”

Section: Introductionmentioning

confidence: 99%

Predictors of mortality among under-five children with severe acute malnutrition, Northwest Ethiopia: an institution based retrospective cohort study

et al. 2018

View full text Add to dashboard Cite

BackgroundGlobally, approximately 19 million children under 5 years are suffering from Severe Acute Malnutrition (SAM). It is a major cause of morbidity and mortality in low-income countries including Ethiopia. However, little is known regarding predictors of mortality among these children in Ethiopia. The current study aimed to assess the potential predictors of mortality among under-five children with SAM admitted to a stabilization center.MethodA retrospective cohort study was conducted in 527 under-five children who were admitted for SAM at the University of Gondar comprehensive specialized hospital from 2014 to 2016. Data were collected from a randomly selected chart after getting ethical clearance. Data were cleaned, coded and entered to Epi-info (version 7) and analyzed using STATA (version14). The outcome was computed by using tables and graphs. A multivariable cox proportional hazards model was fitted to identify predictors of mortality.ResultOverall, the median follow-up period was 10 days with interquartile range (Q1, Q3: 8, 17). At the end of the follow-up, the mortality rate was 66(12.52%). Anemia (AHR(Adjusted Hazard Ratio): 2.3, 95% CI: 1.2, 4.5), Shock (AHR: 7.9, 95% CI: 3.7, 16.7), no intake of antibiotics (AHR: 2.3 95% CI: 1.2, 4.4), IV-Fluid (AHR: 3.2, 95% CI: 1.7, 5.8), no intake of F75 (AHR: 6.6,95% CI: 2.9, 14.7) and no intake of F100 (AHR: 3, 95% CI: 1.6, 5.4) were independent predictors of mortality.ConclusionThe survival status of under-five children with SAM was lower than the national standard protocol. Altered general conditions such as shock, anemia, not adhering to medical and nutritional therapies were identified as predictors of mortality among SAM children. Health education on early medical seeking behavior and adherence on the routine regimens may improve this gap in child survival.Electronic supplementary materialThe online version of this article (10.1186/s13690-018-0309-x) contains supplementary material, which is available to authorized users.

show abstract

A supplementary Feeding Programme for the Management of Severe and Moderate Malnutrition Outside Hospital

Cited by 12 publications

References 0 publications

A study to evaluate the effect of nutritional intervention measures on admitted children in selected nutrition rehabilitation centers of Indore and Ujjain divisions of the state of Madhya Pradesh (India)

A study to evaluate the effect of nutritional intervention measures on admitted children in selected nutrition rehabilitation centers of Indore and Ujjain divisions of the state of Madhya Pradesh (India)

Efficacy and Effectiveness of Community-Based Treatment of Severe Malnutrition

Predictors of mortality among under-five children with severe acute malnutrition, Northwest Ethiopia: an institution based retrospective cohort study

Contact Info

Product

Resources

About