Abstract
In Jharkhand, Malnutrition Treatment Centres (MTCs) have been established to provide care to children with severe acute malnutrition (SAM). The study examined the effects of facility- and community based care provided as part the MTC program on children with severe acute malnutrition. A cohort of 150 children were enrolled and interviewed by trained investigators at admission, discharge, and after two months on the completion of the community-based phase of the MTC program. Trained investigators collected data on diet, morbidity, anthropometry, and utilization of health and nutrition services. We found no deaths among children attending the MTC program. Recovery was poor, and the majority of children demonstrated poor weight gain, with severe wasting and underweight reported in 52 and 83% of the children respectively at the completion of the community-based phase of the MTC program. The average weight gain in the MTC facility (3.8 ± 5.9 g/kg body weight/d) and after discharge (0.6 ± 2.1 g/kg body weight/d) was below recommended standards. 67% of the children consumed food that met less than 50% of the recommended energy and protein requirement. Children experienced high number of illness episodes after discharge: 68% children h...Continue Reading
References
Dec 1, 1976·Archives of Disease in Childhood·O G Brooke, E F Wheeler
Jan 1, 1991·Social Science & Medicine·N M Gerein, D A Ross
Jul 1, 1995·The American Journal of Clinical Nutrition·K H BrownJ S Stern
Aug 7, 1993·Lancet·S M GeorgeE A Frongillo
May 16, 1998·The American Journal of Clinical Nutrition·S KhanumS R Huttly
Nov 2, 2006·Food and Nutrition Bulletin·Ann Ashworth
Nov 2, 2006·Food and Nutrition Bulletin·Steve CollinsAnne Walsh
May 3, 2007·PLoS Medicine·Ulrich E Schaible, Stefan H E Kaufmann
Jun 24, 2008·The Journal of Nutrition·Kuntal K SahaKathleen M Rasmussen
Dec 4, 2010·Acta Paediatrica·Wendy Brodribb
Oct 13, 2011·Nutrition Journal·Abel H IrenaVeronica Mulenga
Aug 24, 2012·Food and Nutrition Bulletin·Usha RamakrishnanJohn B Mason
Nov 10, 2012·Public Health Nutrition·Víctor M AguayoKaranveer Singh
Sep 4, 2013·Indian Pediatrics·Rakesh KumarS Bijesh
Sep 27, 2013·The American Journal of Clinical Nutrition·Víctor M AguayoKaranveer Singh
Nov 28, 2013·Indian Pediatrics·K SinghV M Aguayo
Apr 4, 2015·The American Journal of Clinical Nutrition·Sakib BurzaKripa Nath Mishra
May 6, 2015·Archives of public health = Archives belges de santé publique·Tendai MunthaliCharles Michelo
May 29, 2015·Public Health Nutrition·Chloe Puett, Saul Guerrero
Jun 6, 2015·BMC Public Health·Priya VartKashif Shafique
Nov 14, 2015·Public Health Nutrition·Aatekah OwaisAryeh D Stein
Oct 4, 2016·PloS One·Magali LeyvrazGrant J Aaron
Jul 13, 2017·Indian Pediatrics·Harshpal Singh SachdevUmesh Kapil