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Published on: December 31, 2017
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.
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.
Abstract:
Nutritional rehabilitation centres (NRCs) have been established to ensure the nutritional recovery of severely malnourished children. The long-term nutritional outcomes in children discharged from NRCs have not been described. In this retrospective cohort study, the nutritional status of 514 children was assessed one year after discharge. Household and maternal data, as well as data regarding variables related to the children's stay at the NRC, were collected. A total of 33.4% had moderate malnutrition and 11.7% had severe malnutrition. The mean weight for height Z-score at admission, discharge and one year after discharge were -3.61, -1.90 and -2.34, respectively. Thus, long-term monitoring and follow-up of children discharged from NRCs till they achieve normal nutritional status is mandatory.
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