An experience of facility based management at one of the malnutrition treatment centre in district Baran of Rajasthan, India

Authors

  • Shakila Mulla Department of Community Medicine, Jhalawar Medical College, Jhalawar, Rajasthan, India
  • Pankaj Kumar Gupta Department of Community Medicine, Jhalawar Medical College, Jhalawar, Rajasthan, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20172195

Keywords:

Malnutrition treatment centre, Severe acute malnutrition, Weight gain, Mid upper arm circumference

Abstract

Background: To assess performance of one of the Malnutrition Treatment Centre (MTC) in district Baran of Rajasthan. India.

Methods: An observational prospective study was conducted at MTC where 132 Severe Acute Malnutrition (SAM) children were recruited. Their socio-demographic details and anthropometric measurements were recorded. These SAM children were followed till the period of 4 follow-up visits to measure their weight. MTC performance indicators were assessed.

Results: Majority of SAM children belong to age group less than 2 years, gender female, caste OBC (Other Backward Class), SC (Scheduled Caste) and ST (Scheduled Tribe). ASHAs (Accredited Social Health Activists) are playing key role in referring them to MTC. Death rate was 0%, cure (recovery) rate 42.4%, defaulter rate 25.8%, mean length of stay (days) at MTC was 8.04 and mean weight gain was 5.926 g/kg/day. Performance indicators are significantly affected by length of stay at MTC. Follow-up rate was poor with no significant weight gain observed after discharge.

Conclusions: MTCs are effective in saving lives of SAM children but not in maintaining long term control on malnutrition. 

Author Biographies

Shakila Mulla, Department of Community Medicine, Jhalawar Medical College, Jhalawar, Rajasthan, India

Associate Professor, Community Medicine

Pankaj Kumar Gupta, Department of Community Medicine, Jhalawar Medical College, Jhalawar, Rajasthan, India

Professor, Department of Community Medicine

References

UNICEF Data: Monitoring the situation of children and women, June 2016. Available at: http://data.unicef.org/nutrition/malnutrition.html. Accessed on 12 May 2017.

India Fact sheet NFHS-4; 2015-16. Ministry of Health and Family Welfare, Government of India. Available at: http://rchiips.org/NFHS/pdf/NFHS4/ India.pdf. Accessed on 12 May 2017.

National Health Mission. Medical, Health & Family Welfare department, Government of Rajasthan. Document on ‘Poshan’. Available at: http://nrhmrajasthan.nic.in/poshan.asp. Accessed on 12 May 2017.

Operational Guidelines for Facility based management of Children with Severe Acute Malnutrition (SAM), Ministry of Health and Family welfare, Government of India, 2011.

Working of Malnutrition treatment centers, an assessment of Malnutrition treatment centers in Rajasthan: A Sport assessment study, New Delhi, India; 2013.

Taneja G, Dixit S, Khatri AK, Yesikar V, Raghunath D, Chourasiya S. A study to evaluate the effect of nutritional intervention measures on admitted children in selected nutrition rehabilitation centers of Indore and Ujjain divisions of the state of Madhya Pradesh (India). Indian J Community Med. 2012;37:107-15.

Bucens IK, Maclennan C. Survey of childhood malnutrition at Dili National Hospital, East Timor. J Paediatr Child Health. 2006;42:28–32.

Maurya M, Singh DK, Rai R, Mishra PC, Shrivastava A. An experience of facility based management of severe acute malnutrition in children aged between 6-59 months adopting the World Health Organization recommendations. Indian Pediatr. 2014;51:481-3.

Shah RH, Javdekar BB. Management of children with severe acute malnutrition: experience of nutrition rehabilitation centre at Baroda, Gujarat. Int J Contemp Pediatr. 2014;1:3-6.

Nagar RP, Nagar T, Gupta BD. Treatment outcome in patients with severe acute malnutrition managed with protocolised care at malnutrition treatment corner in Rajasthan, India: a prospective observational study (quasi-experimental). Int J Res Med Sci. 2016;4(1):238-45.

Downloads

Published

2017-05-22

How to Cite

Mulla, S., & Gupta, P. K. (2017). An experience of facility based management at one of the malnutrition treatment centre in district Baran of Rajasthan, India. International Journal Of Community Medicine And Public Health, 4(6), 2162–2166. https://doi.org/10.18203/2394-6040.ijcmph20172195

Issue

Section

Original Research Articles