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Community-based management of severe and moderate acute malnutrition during emergencies in Sri Lanka: challenges of

Renuka Jayatissa1, Aberra Bekele, A Kethiswaran

  • 1Ministry of Health, Colombo, Sri Lanka. renuka-jayatissa@ymail.com

Food and Nutrition Bulletin
|February 22, 2013
PubMed

Insights

Sri Lanka

Area of Science:

  • Public Health
  • Nutrition Science
  • Pediatrics

Background:

  • High rates of acute malnutrition in children under 5 documented in Sri Lanka.
  • Establishment of a Nutrition Rehabilitation Program in Jaffna District.

Purpose of the Study:

  • Assess community-based management of acute malnutrition in children under 5.
  • Identify operational challenges of the program.

Main Methods:

  • Phased district-wide implementation integrated into routine healthcare.
  • Categorization of children into severe acute malnutrition (SAM) and moderate acute malnutrition (MAM).
  • Provision of ready-to-use therapeutic food (RUTF) for SAM and high-energy biscuits (HEBs) for MAM, alongside supplementary foods.

Main Results:

  • Global acute malnutrition (GAM) prevalence reduced by 47% (18% to 9.6%).
  • Severe acute malnutrition (SAM) prevalence reduced by 80% (3.5% to 0.7%).
  • Anemia prevalence remained high at 34%, exceeding the national average.

Conclusions:

  • Targeted feeding programs with good coverage effectively reduce acute malnutrition rates.
  • Anemia control is a critical consideration in emergency nutrition interventions.
Abstract

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