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Community based nutritional rehabilitation of severely malnourished children
Durre Seemi Akram1, Fehmina Arif, Durre Shahwar Khan
1Department of Paediatrics, DUHS and Civil Hospital, Karachi.
Insights
Home-based treatment effectively improved nutrition in severely malnourished children using locally available foods. This approach offers a successful strategy for community-based child nutrition rehabilitation.
Area of Science:
- Community Health
- Pediatric Nutrition
- Global Health
Background:
- Malnutrition in children under five remains a significant global health challenge.
- Effective and accessible treatment strategies are crucial for improving child survival and development.
- Home-based interventions can overcome barriers to clinic-based care in resource-limited settings.
Purpose of the Study:
- To assess the efficacy of home-based treatment for severely malnourished children.
- To evaluate the use of high-density diet (HDD) with locally available foods.
- To improve nutritional status in a community setting.
Main Methods:
- A prospective cohort study was conducted in a squatter settlement.
- Children under five years with weight-for-height <-3SD were included.
- Daily monitoring of weight, HDD consumption, and complications was performed.
Main Results:
- 24 severely malnourished children participated.
- Over 90% achieved median weight-for-height by 5 months.
- Significant nutritional improvement was observed within 3-5 months.
Conclusions:
- Home-based treatment using locally sourced foods is effective for rehabilitating malnourished children.
- This intervention demonstrates successful community-based nutritional rehabilitation.
- Accessible dietary interventions can significantly improve child nutrition outcomes.
Objective:
To improve nutrition of malnourished children in the community, using home based treatment.
Methods:
A prospective cohort study was conducted in a squatter settlement of Karachi (Khuda Ki Basti). The study was conducted from August 2006 to March 2007. All children <5 years who were <-3sd weight for height were included as per WHO guidelines. After initial screening for complications, the children were provided with high density diet (HDD). Daily weight, amount of HDD consumed and complications were recorded.
Results:
A total of 24 children were included in the study. Eleven children (45.8%) reached - 1SD at the end of 3 months while 10 patients (41.6%) took 4 months. Twenty two patients (91.6%) were at the median weight for height by the end of 5 months.
Conclusion:
Home based treatment with locally available foods can be used successfully to rehabilitate severely malnourished children.
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