OUTCOME OF MANAGEMENT OF SEVERE ACUTE MALNUTRITION CASES ADMITTED AT NUTRITIONAL REHABILITATION CENTER: A PROSPECTIVE OBSERVATIONAL STUDY FROM A TEACHING HOSPITAL FROM SOUTHEASTERN RAJASTHAN
DOI:
https://doi.org/10.22159/ajpcr.2023.v16i7.47623Keywords:
Severe Acute Malnutrition, Nutritional rehabilitation center, ManagementAbstract
Objective: This study was aimed to evaluate the effect of nutritional interventional measures on nutritional status of SAM children admitted in NRC in terms of increment in basic defining criteria of SAM.
Methods: 54 cases were included in the study. Baseline variables such as age and sex duration of stay; general physical examinations including status of edema and systemic examination were conducted, and the clinical signs of micronutrient deficiencies were assessed. Anthropometric parameters such as weight, height/length, and mid-upper arm circumference were recorded at admission and discharge.
Results: The mean weight of children at admission and discharge was 5.88±1.59 kg and 6.71±1.77 kg, respectively. Average weight gain was 0.84±0.42 kg (t = −0.784, p=0.437). An average rate of weight gain was 11.22±5.43 gm/kg/day. The Mean MUAC at admission was 10.62±1.21 cm, and mean MUAC on discharge was 11.49±1.24 cm. After intervention in hospital, about 65% of patients had <−2 Standard deviation (SD) of weight for height.
Conclusion: We concluded that NRCs are effective in the management of malnutrition.
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References
Levels and Trends in Child Mortality. Estimates Developed by the UN Interagency Group for Child Mortality Estimation [Report]; 2012. Available from: https://www.unicef.org/videoaudio/pdfs/unicef
WHO. Child and Adolescent Health and Development (CAH). Integrated Management of Neonatal and Childhood Illness. Physician Chart Booklet. Vol. 22. Geneva: WHO; 2002. Available from: https:// www.who.int/teams/maternal-newborn-child-adolescent-health-and-ageing/child-health/integrated-management-of-childhood-illness
International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-3), 2005-2006. Mumbai: International Institute for Population Sciences; 2007.
World Health Organization (WHO). Guidelines for the Inpatient Treatment of Severely Malnourished Children. Geneva: World Health Organization; 2003.
Indian Academy of Pediatrics (IAP). Indian Pediatr. IAP Guidelines 2006 for Hospital-Based Management of Severely Malnourished Children (Adapted from WHO Guidelines). Vol. 44. Mumbai: Indian Academy of Pediatrics; 2007. p. 443-61.
SPHERE Project Team. The SPHERE Humanitarian Charter and Minimum Standards in Disaster Response. 2nd ed. Geneva: SPHERE Project; 2003.
The Sphere Project. Humanitarian Charter and Minimum Standards in Humanitarian Response. 3rd ed. Geneva: Sphere Project Publications; 2011.
Ministry of Health and Family Welfare, Government of India. Operational Guidelines on Facility-Based Management of Children with Severe Acute Malnutrition. National Rural Health Mission. New Delhi, India: Ministry of Health and Family Welfare; 2011.
Aguayo VM, Jacob S, Badgaiyan N, Chandra P, Kumar A, Singh K. Providing care for children with severe acute malnutrition in India: New evidence from Jharkhand. Public Health Nutr 2014;17:206-11. doi: 10.1017/S1368980012004788, PMID 23137752
Collins S, Sadler K. Outpatient care for severely malnourished children in emergency relief programmes: A retrospective cohort study. Lancet 2002;360:1824-30. doi: 10.1016/S0140-6736(02)11770-3, PMID 12480359
Shams Z, Zachariah R, Enarson DA, Satyanarayana S, Van den Bergh R, Ali E, et al. Severe malnutrition in children presenting to health facilities in an urban slum in Bangladesh. Public Health Action 2012;2:107-11. doi: 10.5588/pha.12.0039, PMID 26392966
Chaudhuri SN. CINI’s approaches to intervention: An innovative strategy to combat malnutrition in India. Nutr Rev 2002;60:S102-8. doi: 10.1301/00296640260130830, PMID 12035846
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Copyright (c) 2023 Gopikishan Sharma Gopikishan, Dinesh kumar Meena , Nishant Aswani, Amar Pal Singh
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