scholarly journals Complimentary feeding practices in severe acute malnutrition children admitted in malnutrition treatment centre of RNT medical college

2017 ◽  
Vol 4 (3) ◽  
pp. 972
Author(s):  
Rupali Jain ◽  
Vivek Arora ◽  
Sandip Gediya
Keyword(s):  
Breast Feeding ◽  
Severe Acute Malnutrition ◽  
Goat Milk ◽  
Acute Malnutrition ◽  
Cow Milk ◽  
Feeding Practice ◽  
Nutritional Requirement ◽  
Age Group ◽  
Treatment Centre ◽  
Anthropometric Assessment

Background: To assess the complimentary feeding practice in Severe Acute Malnutrition (SAM) children aged between 6months to 5years.Methods: 110 SAM children admitted in Malnutrition Treatment Centre (MTC) of MBGH Hospital, Udaipur over a period of 3 months were taken in the study. Structured questionnaire including child’s personal data, socioeconomic status of the family, breast feeding and complementary feeding status were used. Clinical and anthropometric assessment of children was done.Results: Out of the 110 children included in the study, 58 (52.7%) were males and 52 (47.2%) were females. Mean age of children included was 16.8 ± 10.73 months. Maximum children were in the age group of 6-12months 60 (54.5%), followed by 13-24 months of age 38 (34.5%), followed by >2-5years of age 12 (10.9%). Thirty-four (30.9%) children were on exclusive breast feeding, with 30 (27.3%) in age group of 6-12 months and 4 (3.6%) in 12- 24 months. Breast feeding with complimentary feeding was practiced in 30 (27.3%) children of 6-12 months of age and 22 (20%) children of 13-24 months. Out of the 76 children on additional feed with or without breast feeds, 70 (92.1%) consumed milk- either goat milk, cow milk or buffalo milk.Conclusions: Anthropometric assessment revealed that maximum number of SAM children also had chronic malnutrition. Diet of SAM children mainly included milk and cereals. They did not obtain a balanced diet to meet their nutritional requirement. 

scholarly journals An experience of facility based management at one of the malnutrition treatment centre in district Baran of Rajasthan, India

2017 ◽  
Vol 4 (6) ◽  
pp. 2162
Author(s):  
Shakila Mulla ◽  
Pankaj Kumar Gupta
Keyword(s):  
Weight Gain ◽  
Length Of Stay ◽  
Performance Indicators ◽  
Death Rate ◽  
Severe Acute Malnutrition ◽  
Acute Malnutrition ◽  
Age Group ◽  
Treatment Centre

Background: To assess performance of one of the Malnutrition Treatment Centre (MTC) in district Baran of Rajasthan. India. Methods: An observational prospective study was conducted at MTC where 132 Severe Acute Malnutrition (SAM) children were recruited. Their socio-demographic details and anthropometric measurements were recorded. These SAM children were followed till the period of 4 follow-up visits to measure their weight. MTC performance indicators were assessed. Results: Majority of SAM children belong to age group less than 2 years, gender female, caste OBC (Other Backward Class), SC (Scheduled Caste) and ST (Scheduled Tribe). ASHAs (Accredited Social Health Activists) are playing key role in referring them to MTC. Death rate was 0%, cure (recovery) rate 42.4%, defaulter rate 25.8%, mean length of stay (days) at MTC was 8.04 and mean weight gain was 5.926 g/kg/day. Performance indicators are significantly affected by length of stay at MTC. Follow-up rate was poor with no significant weight gain observed after discharge. Conclusions: MTCs are effective in saving lives of SAM children but not in maintaining long term control on malnutrition. 

scholarly journals PATTERN OF CO-MORBIDITIES IN CHILDREN WITH SEVERE ACUTE MALNUTRITION ADMITTED IN MTC AT M.G. HOSPITAL BHILWARA, RAJASTHAN

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Sunil Kumar Dadhich ◽  
Kuldeep Singh Rajpoot
Keyword(s):  
Severe Acute Malnutrition ◽  
Acute Malnutrition ◽  
Severe Malnutrition ◽  
Age Group ◽  
Morbid Condition ◽  
Who Criteria ◽  
Co Morbidity ◽  
Treatment Centre ◽  
High Index Of Suspicion ◽  
Acute Severe Malnutrition

Background: A round the globe nearly 20 million children below the age of five, having Severe Acute Malnutrition (SAM) and contributing to one million deaths every year in this age group. To study the pattern of co-morbidities in children having Severe Acute Malnutrition in MTC attached to a teaching hospital. Methods: This prospective study was carried out in the MTC attached to Department of Pediatrics, M.G. Hospital Bhilwara, Rajasthan. All children between One to sixty months of age with severe acute malnutrition (SAM) admitted in the Malnutrition Treatment Centre were included. WHO criteria were followed for diagnosis and need for admissions in children suffering from severe acute malnutrition. Results: Out of 200 children having SAM 55.00% children were having one co-morbidity, 27.00% were having two co-morbidity and 10.00% were having more than two co-morbidty. Conclusions: It is imperative to suspect and anticipate co-morbid condition in these children. High index of suspicion for these co-morbidities is the key to reduce mortality and better outcome in children having acute severe malnutrition. Keywords: sever acute malnutrition (SAM), malnutrition treatment corner (MTC), co-morbidity

scholarly journals Study of social and demographic determinants of severe acute malnutrition in children aged 6-59 months in a tertiary care centre of Odisha, India

2018 ◽  
Vol 6 (1) ◽  
pp. 46
Author(s):  
Pravati Jena ◽  
Soumini Rath ◽  
Manas Kumar Nayak ◽  
Diptirekha Satapathy
Keyword(s):  
Low Socioeconomic Status ◽  
Rural Areas ◽  
Health Care Services ◽  
Severe Acute Malnutrition ◽  
Tertiary Care ◽  
Acute Malnutrition ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Study Population

Background: The objective is to study the various social and demographic determinants of severe acute malnutrition in children aged 6 months to 59 months in a tertiary care centre of Odisha, India.Methods: This is a hospital based prospective observational study done in a tertiary care centre of Odisha during the period of Nov 2015 to Oct 2017 in which all children with severe acute malnutrition as per WHO criteria in the age group 6 months to 59 months were enrolled and their socioeconomic and demographic details were evaluated.Results: Present study revealed a prevalence of severe acute malnutrition as 2.8%. Males (54.2%) were more affected than females (45.8%). Most common age group affected was 6-12 months (37.4%). Most of the children were from low socioeconomic status (96.4%) and from rural areas (84.8%).63.7% of the study population were unimmunised. Only 12.6% of the participants were exclusively  breast fed.100% of the children in the study population received top feeding with cow’s milk.Conclusions: The prevalence of malnutrition is high in Odisha but most of the causative factors are preventable. Adequate education regarding exclusive breastfeeding, complementary feeding, immunisation, promotion of proper referral and health care services can help to improve nutritional status in the state of Odisha.

scholarly journals STUDY OF NUTRITIONALAND IMMUNIZATION STATUS IN CHILDREN 6 MONTHS TO 3 YEARS ATTENDING IMMUNIZATION CLINIC, UHTC, IGIMS, PATNA.

2020 ◽  
pp. 1-3
Author(s):  
Abha Kumari ◽  
Sanjay Kumar Choudhary* ◽  
Sanjay Kumar
Keyword(s):  
Breast Feeding ◽  
Low Socioeconomic Status ◽  
Severe Acute Malnutrition ◽  
Acute Malnutrition ◽  
Great Effort ◽  
Exclusive Breast Feeding ◽  
Number Of Children ◽  
Immunization Status ◽  
Good Nutrition ◽  
Moderate Acute Malnutrition

Background: In the rst three years of life, good nutrition plays an important role in forming a good foundation that has impact on child's future physical and mental development. In this study we are focussing on the nutritional and immunization status in children 6months to 3 years attending immunization clinic,UHTC,IGIMS,PATNA with special emphasis to identify moderate acute malnutrition (MAM) and severe acute malnutrition (SAM) cases. Methods : It is an observational study carried out immunization clinic at UHTC,I.G.I.M.S. Patna included 400 cases age between 6 months to 3 years This study was conducted from January 2019 to June 2019 in immunization clinic UHTC, IGIMS Patna. Results:Incidence of SAM and MAM is 7.5% and 30.75 % respectively. Female predominance was seen in SAM and MAM i.e. 53.4% and 54.6% respectively. Signicant association of under-nutrition was found with LBW (p<0.05), not giving exclusive breast feeding up to 6 months of life (p<0.05) and, Low socioeconomic status (p<0.001). Higher numbers of females were unvaccinated. Conclusions: Despite our great effort for improving maternal and child health, signicant number of children are malnourished and unimmunized. So, for their better health we need to start from birth, institutional delivery, exclusive breast feeding, immunization, and timely introduction of complementary feeds, marriages at appropriate age, proper antenatal visits and birth spacing.

scholarly journals Screening for Hypothyroidism in children with severe acute malnutrition at Nutrition Rehabilitation Center, Children’s Hospital and Institute of Child Health Multan.

2021 ◽  
Vol 29 (01) ◽  
pp. 116-120
Author(s):  
Saadia Khan ◽  
Waqas Imran Khan ◽  
Ayesha Fayyaz ◽  
Ibad Ali ◽  
Asad Abbas ◽  
...  
Keyword(s):  
Child Health ◽  
Severe Acute Malnutrition ◽  
Acute Malnutrition ◽  
Total Serum ◽  
Age Group ◽  
Rehabilitation Center ◽  
Mean Values ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Nutrition Rehabilitation

Objective: To determine the percentage of Hypothyroidism in children with severe acute malnutrition. Study Design: Cross Sectional study. Setting: Nutrition Rehabilitation Center, Children’s Hospital and Institute of Child Health Multan. Period: January 2019 to December 2019. Material & Methods: A total of 255 malnourished patients (as per inclusion criteria) were included in current study. A written Performa was designed to collect history, anthropometric measurements and systemic examination. Taking aseptic measures venous blood was sent for baseline tests as well as for T3, T4 and TSH, total serum protein albumin and total ferritin levels to hospital laboratory. Correlation between serum thyroid concentrations and total protein, albumin, hemoglobin and serum ferritin were estimated by using t-test and p-vlaue less than 0.05 was considered as significant. Total collected data was entered and analyzed in SPSS version 21.0. Results: A total of 255 malnourished children were included in this study. Majority of studied subjects were male (52.5%) with 83.92%, 3-5 years of age. Amongst the 255 children mean values of T3 in MAM and SAM patients were 105.4 ng/dl and 89.7 ng/dl respectively. There was a statistically significant (p <0.001) association between decreased T3 and type of malnutrition. Similarly, mean values of T4 in MAM and SAM patients were 6.3 ug/dl and 5.7 ug/dl respectively that was statistically significant (p <0.05). Lower values of T4 were higher among SAM children in 1 to 3 years age group compared to respective MAM children with p value .0.05 and high T4 value in 3-5 years age group of MAM children were both statistically insignificant. Higher mean Values of TSH was found in SAM compared to MAM children both age groups. Conclusion: Severe acute malnutrition (SAM) is associated with reduction in T3 and T4 levels and higher levels of TSH in SAM children as compared to MAM. The altered thyroid hormone status in children with PEM is perhaps a protective phenomenon to limit protein catabolism and lower energy requirements.

scholarly journals Determinants of Severe Acute Malnutrition Among Under 5 Children in Satar Community of Jhapa, Nepal

2020 ◽  
Author(s):  
Kajol Dahal ◽  
Deepak Kumar Yadav ◽  
Dharanidhar Baral ◽  
Birendra Kumar Yadav
Keyword(s):  
Logistic Regression ◽  
Food Insecurity ◽  
Breast Feeding ◽  
Severe Acute Malnutrition ◽  
Economic Status ◽  
Acute Malnutrition ◽  
Anthropometric Measurement ◽  
Household Food Insecurity ◽  
Household Food ◽  
Marginalized Community

Abstract Background: Severe acute malnutrition is the most extreme and visible form of undernutrition plagued by chronic poverty, household food insecurity, lack of education. One of the indigenous and marginalized community of Nepal, Satar/Santhal has often been neglected and is devoid of good education and are economically deprived. This predisposes under 5 children of Satar into malnutrition. The study aims to assess determinants of SAM among children under 5 years of age in Satar community of Jhapa district, Nepal. Material & Methods: A community based matched case control study was carried from September 2019 to February 2020 among under five children of Satar community residing in Jhapa district. Multistage random sampling technique was used to select 50 cases and 100 controls in the ratio of 1:2. Information was collected through personal interview with the parents and anthropometric measurement of the children was measured. Bivariate and multivariate conditional logistic regression analysis was to explore the determinants of severe acute malnutrition. Results: A total of 664 children between the age group of 6 – 59 months were screened for SAM. The prevalence of SAM was found 7.53%. Factors like, low economic status, birth interval less than 2 years, frequency of breast feeding <8 times/day and household food insecurity were found to be significant determinants of SAM. Multivariate logistic regression documented low economic status (AOR: 11.14, 95% CI 1.42 to 87.46); and frequency of breast feeding <8 times/day (AOR: 2.09, 95% CI 1.00 to 4.37) as determinants of SAM. Conclusion: Low economic status and frequency of breast feeding less than 8times/day were major determinants of SAM among children under 5yrs of age. Ending malnutrition will require greater efforts and integrated approaches to eradicate extreme poverty. Multi-sector approaches have been conducting for SAM in Nepal but there are no specific approaches for marginalized community.

scholarly journals Demographic and clinical profile of children with severe acute malnutrition: an experience from nutritional rehabilitation centre in South Kashmir

2021 ◽  
Vol 8 (8) ◽  
pp. 1418
Author(s):  
Bilal Ahmad Najar ◽  
Mohd Ashraf Bhat ◽  
Zul Eidain Rather ◽  
Mushtaq Ahmad Sheikh
Keyword(s):  
Low Socioeconomic Status ◽  
Severe Acute Malnutrition ◽  
Acute Malnutrition ◽  
Cow Milk ◽  
Rehabilitation Centre ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Metabolic Complication ◽  
Epidemiological Profile ◽  
Tract Infections

Background: Malnutrition is significant contributor of childhood morbidity and mortality in developing countries. More than 1/3rd of world’s severely malnourished children live in India. The aim was to evaluate the clinical-epidemiological profile and co-morbidities of SAM (severe acute malnutrition) children and to recognize socio-demographic risk factors of SAM children.Methods: It was a prospective hospital based case study. The prospective hospital based study was conducted from September 2018 to February 2020 and included children less than 5 years admitted to an paediatrics ward and satisfying the WHO definition of SAM. Data were entered in Microsoft excel sheet and SPSS software version 16 for windows was used for analysis.Results: 112 patients were taken for study. Mean age of admitted children were 16±3 months. Male:female ratio was 1:1.22. SAM is more common in nuclear families (N=67, 59.83%), illiterate mothers (N=72, 62.48%), children with high birth order more than 3 (N=42, 37%) and low socioeconomically status Kuppaswamy IV (N=72, 64.28%).The most common associated infections were acute gastroenteritis (82.14) and respiratory tract infections (54.20%). Hypoglycaemia (14.28) was the most common metabolic complication. The most commonly used supplementary food used was over diluted cow milk (43.67%).Conclusions: The problem of SAM is multifactorial (rural background, low socioeconomic status, maternal illiteracy, incomplete immunization). The findings of this study confirm the association of severe acute malnutrition with appropriate infant and young child feeding practices. NRCS provide life-saving care for children.

scholarly journals Assessment of Feeding Practice among Mothers Attending the Immunisation Clinic of UCMS Hospital, Nepal: A Cross-Sectional Study

2021 ◽  
Vol 9 (02) ◽  
pp. 14-18
Author(s):  
Binod Kumar Gupta ◽  
Raju Kafle ◽  
Nagendra Chaudhary
Keyword(s):  
Breast Feeding ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Feeding Practice ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Place Of Delivery ◽  
Pediatric Ward ◽  
Night Feeding

INTRODUCTION: Practice of exclusive breast feeding has dramatically reduced infant mortality in developing countries due to reduction in diarrhea and infectious diseases. We conducted a study to assess the feeding practices among mothers with children less than 12 months of age attending the immunization clinic of UCMS hospital, Nepal. MATERIAL AND METHODS: A hospital based cross sectional study was carried out in the immunization clinic of Pediatric ward of UCMS, Nepal for a period of four months. Mothers of child of 0-12 months were included in the study. Sample size was 372 which was based on the number of mothers visited Pediatric ward for immunization of their child of age group 0-12 months during the duration of the study. Mothers were interviewed by using a pre-validated structured questionnaire. Data was analyzed by using SPSS version-20 software and presented by descriptive statistics as frequency and percentages. RESULTS: Most of the children were above six months, 56.5% were of 7-12 months of age group. Exclusive breastfeeding was done in 48.4% children for first six months. Maximum population preferred hospital as their mode of delivery. 93.5% mothers opted for hospital as their place of delivery. 23.4% mothers were illiterate. Night feeding was practiced by 96.2% mothers. CONCLUSION: Breast feeding awareness must be spread among mothers by workshops and health education programs.

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