AN EXPERIENCE OF FACILITY-BASED MANAGEMENT OF SEVERE ACUTE MALNUTRITION IN CHILDREN AGED BETWEEN 0-59 MONTHS ADOPTING THE WORLD HEALTH ORGANIZATION RECOMMENDATIONS AT NUTRITION REHABILITATION CENTRE, ANANTHAPURAMU
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 32
Abstract
BACKGROUND Severe Acute Malnutrition (SAM) increases significantly the risk of death in children under five years of age. It can be an indirect cause of child death by increasing the case fatality rate in children suffering from common illness such as diarrhoea, pneumonia. AIMS The aim of this study is to know the effectiveness of facility based management of children with Severe Acute Malnutrition at Nutrition Rehabilitation Centres (NRCs). SETTINGS AND DESIGN The study was done in the Department of Paediatrics, Government General Hospital at Ananthapuramu as a prospective observational study. METHODS AND MATERIALS A total of 195 patients were selected under Severe Acute Malnutrition as per WHO Child Growth Standards by observing for bilateral pitting oedema and/or MUAC <115 mm and/or Weight-for-height/length (Z-Score) below -3 SD and/or visible wasting before admission into NRCs. Statistical analysis was done using Graph pad software. OUTCOMES Death, Default, Discharge and Recovery Rates. RESULTS The mean age group of SAM children was 15.4 months; 81.5% of SAM children were presented with medical complications. Of the 195 subjects, 2 were referred. Out of 193 program exits, 5 (2.6%) children died, 35 (18.1%) children defaulted and 153 (79.3%) children were discharged. Out of the 153 discharged children, 103 (67.3%) attained target weight gain >_15% admission weight, while 50 (32.7%) did not attain target weight gain (non-recovered). CONCLUSION This study will help to improve the functional activities of NRCs. Conducting audits after such studies will aid in implementation of newer guidelines, which will enhance the functional outcome of NRCs. Such NRCs will greatly help to reduce the under-five child mortality rate.
Authors and Affiliations
Praveen Kumar N, Praveena
Keywords
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- DOI 10.14260/jemds/2016/411
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