scholarly journals Severe Acute Malnutrition with Anemia and Vitamin Deficiency in Hospitalized Children: Two Centres Cross Sectional Study

2019 ◽  
Vol 6 (3) ◽  
pp. 141-144
Author(s):  
Sunil Kumar Rao ◽  
◽  
Dhilip Kumar ◽  
Rakesh Kumar ◽  
Abhishek Abhinay ◽  
...  
Keyword(s):  
Severe Acute Malnutrition ◽  
Cross Sectional Study ◽  
Vitamin Deficiency ◽  
Acute Malnutrition ◽  
Hospitalized Children ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Severe acute malnutrition and its associated factors among children under-five years: a facility-based cross-sectional study

2020 ◽  
Author(s):  
Umesh Ghimire ◽  
Binod Kumar Aryal ◽  
Ankush Kumar Gupta ◽  
Suman Sapkota Sapkota
Keyword(s):  
Odds Ratio ◽  
Food Access ◽  
Adjusted Odds Ratio ◽  
Severe Acute Malnutrition ◽  
Cross Sectional Study ◽  
Acute Malnutrition ◽  
Sectional Study ◽  
Cross Sectional ◽  
Household Food ◽  
Nutritional Status Of Children

Abstract Background: Despite consistent efforts to enhance child nutrition, poor nutritional status of children continues to be a major public health problem in Nepal. This study identified the predictors of severe acute malnutrition (SAM) among children aged 6-59 months in the two districts of Nepal. Methods: We used data from a cross-sectional study conducted among 6 to 59 months children admitted to the Outpatient Therapeutic Care Centres (OTCC). The nutritional status of children was assessed using mid-upper arm circumference (MUAC) measurement. To determine which variables predict the occurrence of SAM, adjusted odds ratio was computed using multivariate logistic regression and p-value <0.05 was considered as significant. Results: Out of 398 children, 5.8 percent were severely malnourished and the higher percentage of female children were malnourished. Multivariate analysis showed that severe acute malnutrition was significantly associated with family size (five or more members) (Adjusted Odds Ratio [AOR]: 3.96; 95% Confidence Interval [CI]: 1.23 - 12.71). Children from severely food insecure households (AOR: 4.04; 95% CI: 1.88-10.53) were four times more likely to be severely malnourished. Higher odds of SAM were found among younger age-group (AOR: 12.10; 95% CI: 2.06 - 71.09) children (0 - 12 vs. 24 - 59 months). . Conclusions: The findings of this study indicated that household size, household food access, and the child’s age were the major predictors of severe acute malnutrition. Engaging poor families in kitchen gardening to ensure household food access and nutritious diet to the children, along with health education and promotion to the mothers of young children are therefore recommended to reduce child undernutrition.

scholarly journals Developmental delay and its predictors among children under five years of age with uncomplicated severe acute malnutrition: a cross-sectional study in rural Pakistan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Javeria Saleem ◽  
Rubeena Zakar ◽  
Gul Mehar Javaid Bukhari ◽  
Aneela Fatima ◽  
Florian Fischer
Keyword(s):  
Developmental Delay ◽  
Rural Areas ◽  
Developmental Delays ◽  
Severe Acute Malnutrition ◽  
Cross Sectional Study ◽  
Acute Malnutrition ◽  
Adaptive Skills ◽  
Global Development ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background In developing countries, malnutrition in children and developmental delays are two major challenges for public health. To achieve the vision of the Sustainable Development Goals from the broader perspective of child health, early identification of developmental delays and timely intervention are crucial. The aim of this study is to assess the prevalence of suspected developmental delay and their predictors in children under the age of 5 years with uncomplicated severe acute malnutrition in rural areas of Pakistan. Methods A multicentre cross-sectional study was conducted among 185 children with uncomplicated severe acute malnutrition. We screened children aged 6–59 months for their nutritional status and clinical complications. Children fulfilling the inclusion criteria underwent the Denver Development Screening Tool II (DDST-II). The children’s global developmental profile was calculated according to the established protocols of DDST-II, which are based on four important domains of development: personal and social behaviour, language, gross motor adaptive skills and fine motor adaptive skills. A pretested questionnaire was used to collect data on socio-demographic and nutritional factors for assessing predictors of developmental delay, which were analysed using a multivariate logistic regression model. Results Out of 177 children with severe acute malnutrition, 69 (38.9%) had normal global development and 108 (61.1%) had delayed global development. Significant associations were found between global developmental delay and younger children (6–24 months vs. 25–59 months; AOR = 4.53, 95% CI: 1.56–13.10, p < 0.01), children who were not exclusively breastfed (AOR = 3.07, 95% CI: 1.24–7.56, p = 0.01), and a history of contact with a tuberculosis smear-positive adult (AOR = 2.67, 95% CI: 1.30–5.49, p < 0.01). Conclusion About two thirds of the study participants showed delayed or unstable global development. Thus, according to DDST-II-established protocols, there is a high prevalence of suspected developmental delay among children under the age of five years with uncomplicated severe acute malnutrition in rural areas of Pakistan. Children in their first 2 years of life were at particularly high risk due to insufficient breastfeeding. This emphasizes the need to provide adequate infrastructure and information to parents for the prevention of developmental delay in remote areas.

scholarly journals Common Mental Disorders in Mothers of Children Attending Out-patient Malnutrition Clinics in Rural North-western Nigeria: A Cross-sectional Study

2020 ◽  
Author(s):  
Aminu Taura Abdullahi ◽  
Zubaida Ladan Farouk ◽  
Abdulazeez Imam
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Common Mental Disorders ◽  
Severe Acute Malnutrition ◽  
Maternal Mental Health ◽  
Cross Sectional Study ◽  
Acute Malnutrition ◽  
Sectional Study ◽  
Cross Sectional ◽  
North Western

Abstract BackgroundChildren with uncomplicated severe acute malnutrition are managed routinely within out-patient malnutrition treatment programs. These programs do not offer maternal mental health support services, despite maternal mental health playing a significant role in the nutritional status of children. Additionally, the burden of maternal Common Mental Disorders (CMDs) is poorly described among mothers of children attending these programs. This study thus determined the burden and risk factors for maternal CMDs among children attending out-patient malnutrition clinics in rural North-western Nigeria.MethodsWe conducted a cross-sectional study among 204 mothers of children with severe acute malnutrition who attending eight out-patient malnutrition clinics in Jigawa, North-western Nigeria. We used the World Health Organization Self-Reporting Questionnaire-20 (WHO SRQ-20) screening tool, a recognised and validated proxy measure for CMDs to identify mothers with CMDs. The prevalence of maternal CMDs was determined by identifying the proportion of mothers with SRQ scores of ≥8. Risk factors for CMD were determined using multivariable logistic regression. ResultsMaternal CMD prevalence in children attending these facilities was high at 40.7%. Non-receipt of oral polio vaccine (OPV) (AOR 6.23, 95%CI 1.85 to 20.92) increased the odds for CMD. While spousal age above 40 (AOR 0.95, 95%CI 0.90 to 0.99) and long years spent married (AOR 0.92, 95%CI 0.85 to 0.98) decreased the odds for CMD. ConclusionsOur findings indicate maternal CMD burden is high in out-patient malnutrition clinics in North-western Nigeria. Maternal mental health services would need to be integrated into the community management of acute malnutrition programs to provide more holistic care, and possibly improve long-term outcomes after discharge from these programs

scholarly journals Social, dietary and clinical correlates of oedema in children with severe acute malnutrition: a cross-sectional study

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Maren Johanne Heilskov Rytter ◽  
Hanifa Namusoke ◽  
Esther Babirekere-Iriso ◽  
Pernille Kæstel ◽  
Tsinuel Girma ◽  
...  
Keyword(s):  
Severe Acute Malnutrition ◽  
Cross Sectional Study ◽  
Acute Malnutrition ◽  
Sectional Study ◽  
Cross Sectional ◽  
Clinical Correlates

Cure Rate and Associated Factors for Children with Severe Acute Malnutrition Under the Out Patient Therapeutic Care Programme in the Health Centres of Kabale District in Southwestern Uganda. A Cross Sectional Study.

2021 ◽  
Author(s):  
VINCENT SSEKAJJA ◽  
HENRY WAMANI ◽  
FREDDY KITUTU ◽  
ABEL ATUKWASE
Keyword(s):  
Response Rate ◽  
Severe Acute Malnutrition ◽  
Cross Sectional Study ◽  
Acute Malnutrition ◽  
Sectional Study ◽  
Cure Rate ◽  
Cross Sectional ◽  
Health Centres ◽  
Default Rate ◽  
Kabale District

Abstract BACKGROUND Severe Acute Malnutrition (SAM) is one of the leading causes of morbidity and mortality among children under the age of five. Globally, SAM affects 19 million children with sub-Saharan Africa being the most affected. In Uganda, Global acute malnutrition (GAM) affects 4% and SAM 1% children. Kabale district in South Western Uganda, located in Kigezi sub-region, has been reported to have a GAM prevalence of 3.8 % and SAM of 2.9% among children below five years. To ensure timely detection and management of SAM, the government of Uganda in collaboration with development partners introduced Out Patient Therapeutic Care (OTC) program in all health centre level III and IV in Kabale district. However, there is limited information about the Cure rate of children and associated factors under the OTC program in Kabale district. This study was therefore designed to assess the Cure rate and factors affecting it. METHODS: A retrospective cross-sectional study was carried out on records of children under five years of age (n=637), presenting with SAM and enrolled on OTC program in the health centres of Kabale district between 2013 and 2015. Data were collected from the nutrition registration logbook using a structured check list and cleaned using Microsoft Excel. Data were then exported into STATA 12 for analysis. Univariate and Bivariate analysis together with logistic regression were run to generate frequencies and factors associated with the recovery of children from SAM. RESULTS: The Cure rate was 36.3% (n=231 cases) with a median Recovery time of 21 days. The Default rate was 58.6% (n=373 cases) while the Non-response rate was 0.6% (n=4 cases). Bivariate and multivariate analyses revealed that source where the child was coming from at admission Adjusted Odds Ratio (AOR = 0.1, 95% CI 0.0, 0.7, p = 0.012), Weight at admission (AOR = 0.5, 95% CI 0.0, 0.9, p = 0.014) and Number of visits to the program (AOR = 14.9, 95% CI 9.3, 24.2, p = 0.040) were the major factors influencing the recovery of severely Malnourished children admitted in OTC programme in health centres in Kabale district.CONCLUSION: Overall the Cure rate and Default rate for the children under the OTC programme in Kabale district were found to be very unacceptable according to both the national and international standards. However, Death rate and Non-response rate were within the acceptable levels. To improve the Cure rates of children with SAM under the OTC programme in Kabale district, there is need for interventions aimed at encouraging caretakers to pay special attention to the number of visits to the programme.

scholarly journals Correlates of Gut Function in Children Hospitalized for Severe Acute Malnutrition, a Cross-sectional Study in Uganda

2019 ◽  
Vol 69 (3) ◽  
pp. 292-298
Author(s):  
Betty Lanyero ◽  
Benedikte Grenov ◽  
Nicolette N. Barungi ◽  
Hanifa Namusoke ◽  
Kim F. Michaelsen ◽  
...  
Keyword(s):  
Severe Acute Malnutrition ◽  
Cross Sectional Study ◽  
Acute Malnutrition ◽  
Sectional Study ◽  
Cross Sectional ◽  
Gut Function

scholarly journals Common mental disorders in mothers of children attending out-patient malnutrition clinics in rural North-western Nigeria: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Aminu T. Abdullahi ◽  
Zubaida L. Farouk ◽  
Abdulazeez Imam
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Common Mental Disorders ◽  
Severe Acute Malnutrition ◽  
Maternal Mental Health ◽  
Cross Sectional Study ◽  
Acute Malnutrition ◽  
Sectional Study ◽  
Cross Sectional ◽  
North Western

Abstract Background Children with uncomplicated severe acute malnutrition are managed routinely within out-patient malnutrition treatment programs. These programs do not offer maternal mental health support services, despite maternal mental health playing a significant role in the nutritional status of children. Additionally, the burden of maternal Common Mental Disorders (CMDs) is poorly described among mothers of children attending these programs. This study thus determined the burden and risk factors for maternal CMDs among children attending out-patient malnutrition clinics in rural North-western Nigeria. Methods We conducted a cross-sectional study among 204 mothers of children with severe acute malnutrition who attending eight out-patient malnutrition clinics in Jigawa, North-western Nigeria. We used the World Health Organization Self-Reporting Questionnaire-20 (WHO SRQ-20) screening tool, a recognised and validated proxy measure for CMDs to identify mothers with CMDs. The prevalence of maternal CMDs was determined by identifying the proportion of mothers with SRQ scores of ≥8. Risk factors for CMD were determined using multivariable logistic regression. Results Maternal CMD prevalence in children attending these facilities was high at 40.7%. Non-receipt of oral polio vaccine (OPV) (AOR 6.23, 95%CI 1.85 to 20.92) increased the odds for CMD. While spousal age above 40 (AOR 0.95, 95%CI 0.90 to 0.99) and long years spent married (AOR 0.92, 95%CI 0.85 to 0.98) decreased the odds for CMD. Conclusions Our findings indicate maternal CMD burden is high in out-patient malnutrition clinics in North-western Nigeria. Maternal mental health services would need to be integrated into the community management of acute malnutrition programs to provide more holistic care, and possibly improve long-term outcomes after discharge from these programs.

scholarly journals Severe Acute Malnutrition and Feeding Practice of Children Aged 6-59 Months in Pastoral Community, Afar, Ethiopia: Descriptive Cross-Sectional Study

2020 ◽  
Vol 9 (4) ◽  
pp. 156-163
Author(s):  
Getahun Fentaw Mulaw ◽  
Bizunesh Fantahun Kase ◽  
Adebabay Dessie Manchilo ◽  
Bereket Lopiso Lombebo ◽  
Begna Melkamu Tollosa
Keyword(s):  
Public Health ◽  
Severe Acute Malnutrition ◽  
Cross Sectional Study ◽  
Bottle Feeding ◽  
Health Interventions ◽  
Acute Malnutrition ◽  
Feeding Practice ◽  
Sectional Study ◽  
Public Health Interventions ◽  
Cross Sectional

Background: Severe acute malnutrition remains one of the most common causes of morbidity and mortality among children in developing countries, including Ethiopia. Knowing the local burden of SAM has huge importance for public health interventions. Therefore this study aimed to assess the level of severe acute malnutrition and feeding practice of children aged 6–59 months in Abaa’la district, Afar, Northeast, Ethiopia. Methods: Community-based descriptive cross-sectional study was conducted on 422 mother-child pairs of children aged 6–59 months. Kebeles were selected randomly after stratifying the district in to urban and rural, and study participants were selected using a cluster sampling technique. Data were collected using an interviewer-administered questionnaire, and child nutritional status was measured using WHO Mid upper arm circumference measuring tape. Data were entered into Epi data version 3.1 and exported to SPSS version 22 for analysis. The result was presented using Descriptive statistics. Results: The prevalence of severe acute malnutrition (SAM) was found to be 4.3% (95% CI, 2.3-6.1%) and that of moderate acute malnutrition (MAM) was 21.1 %. Almost all (98.8%) of children were ever breastfed. Prelacteal feeding and bottle feeding was practiced by 31% and 33.9% of children, respectively. Only 68.5% of children were feed colostrum. Around 45.5% of children were exclusively breastfed for the first six months, and 70.4% of children wean breastfeeding before the age of two years. Conclusion: The prevalence of severe acute malnutrition in the study area was lower than the regional figures, but still, it is a public health priority. There are improper child care and feeding practices. Therefore, public health interventions that can improve those practices should be strengthened.

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