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Published on: September 20, 2019
Rehabilitation of grade III protein energy malnutrition on out patients basis
A Jamal1, A G Billoo, T Hussain
1Department of Paediatrics, Sindh Government Hospital, New Karachi.
Insights
Simple health education and growth monitoring effectively rehabilitated 89% of children with severe Protein Energy Malnutrition (PEM). This low-cost strategy shows promise for preventing and treating malnutrition in developing nations.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Malnutrition is a significant global contributor to illness and death.
- Protein Energy Malnutrition (PEM) particularly affects vulnerable populations, especially children.
- Effective, accessible interventions are crucial for combating PEM.
Purpose of the Study:
- To assess the efficacy of an outpatient rehabilitation program for severe PEM in urban children.
- To evaluate the impact of culturally adapted health education and growth monitoring.
- To determine the feasibility of this strategy in resource-limited settings.
Main Methods:
- Enrolled 135 children with Grade III PEM from a low-income urban area.
- Implemented an outpatient rehabilitation program focused on health education and growth monitoring.
- Utilized simple health messages tailored to local cultural practices and delivered in the native language.
Main Results:
- Achieved a satisfactory recovery rate of 89% among the enrolled children.
- The mean follow-up period was 3.2 months.
- Demonstrated the effectiveness of simple, culturally relevant health interventions.
Conclusions:
- Outpatient rehabilitation using health education and growth monitoring is a highly effective strategy for treating severe PEM.
- Culturally adapted, simple health messages are key to successful intervention.
- This approach offers a scalable and cost-effective solution for PEM prevention and treatment in developing countries.
Abstract:
Malnutrition is an important yet preventable and curable cause of morbidity and mortality. One hundred and thirty-five children suffering from grade III Protein Energy Malnutrition (PEM) from a poor urban population of Karachi city were enrolled for rehabilitation by health education and growth monitoring as out patient. Of these, 89% showed satisfactory recovery during a mean follow-up period of 3.2 months. Mainstay of this study was simple health messages adapted according to local cultural practices in native language. This simple strategy can go a long way in prevention and treatment of PEM in all the developing countries.
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