Management of children with severe acute malnutrition: experience of Nutrition Rehabilitation Centers in Uttar Pradesh, India
Singh, K.; Badgaiyan, N.; Ranjan, A.; Dixit, H.O.; Kaushik, A.; Kushwaha, K.P.; Aguayo, V.M.
Indian Pediatrics 51(1): 21-25
2014
ISSN/ISBN: 0974-7559 PMID: 24277964 DOI: 10.1007/s13312-014-0328-9Document Number: 639505
To assess the effectiveness of facility-based care for children with severe acute malnutrition (SAM) in Nutrition Rehabilitation Centers (NRC). Review of data. 12 NRCs in Uttar Pradesh, India. Children admitted to NRCs (Jan 1, 2010 - Dec 31, 2011). Detection and treatment of SAM with locally-adapted protocols. Survival, default, discharge, and recovery rates. 54.6% of the total 1,229 children admitted were boys, 81.6% were in the age group 6-23 months old, 86% belonged to scheduled tribes, scheduled castes, or other backward castes, and 42% had edema or medical complications. Of the 1,181 program exits, 14 (1.2%) children died, 657 (47.2%) children defaulted, and 610 (51.7%) children were discharged The average (SD) weight gain was 12.1 (7.3)g/kg body weight/day and the average (SD) length of stay was 13.2 (5.6) days. 206 (46.8%) children were discharged after recovery (weight gain >15%) while 324 (53.2%) were discharged, non-recovered (weight gain <15%). NRCs provide life-saving care for children with SAM; however, the protocols and therapeutic foods currently used need to be improved to ensure the full recovery of all children admitted.
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