How healthy are children one year after discharge from nutritional rehabilitation centres?

Pavan Pandey1, Sneha Jain2, Arushi Sharma3

  • 11 Program Officer, Jhpiego India, Nehru Nagar (E) Bhilai, India.

Tropical Doctor
|July 18, 2018
PubMed

Insights

Children discharged from nutritional rehabilitation centres (NRCs) often remain malnourished long-term. This study highlights the need for continued follow-up to ensure full nutritional recovery in these vulnerable children.

Area of Science:

  • Pediatrics
  • Public Health
  • Nutrition Science

Background:

  • Nutritional rehabilitation centres (NRCs) aim to treat severe childhood malnutrition.
  • Long-term nutritional outcomes post-discharge from NRCs are not well-documented.

Purpose of the Study:

  • To assess the long-term nutritional status of children one year after discharge from NRCs.
  • To identify factors influencing nutritional recovery in this cohort.

Main Methods:

  • Retrospective cohort study of 514 children discharged from NRCs.
  • Nutritional status assessed one year post-discharge using weight-for-height Z-scores.
  • Collected data on household, maternal, and NRC-related variables.

Main Results:

  • One year after discharge, 33.4% of children had moderate malnutrition and 11.7% had severe malnutrition.
  • Mean weight-for-height Z-scores were -3.61 at admission, -1.90 at discharge, and -2.34 one year post-discharge.
  • Indicates a significant proportion did not achieve normal nutritional status.

Conclusions:

  • Children discharged from NRCs require sustained nutritional monitoring.
  • Continued follow-up is essential until children reach and maintain normal nutritional status.
  • Interventions should address long-term nutritional recovery beyond initial rehabilitation.

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