Evaluation of the performance of a nutrition rehabilitation centre in a tertiary care hospital in Eastern India

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dc.contributor.authorPanda, Mayadharen_US
dc.contributor.authorNanda, Sikataen_US
dc.contributor.authorMurmu, Mangala Charanen_US
dc.contributor.authorGiri, Rama Chandraen_US
dc.contributor.authorDebi, Lila Lalantikaen_US
dc.date.accessioned2020-05-06T08:38:57Z
dc.date.available2020-05-06T08:38:57Z
dc.date.issued2019-04
dc.description.abstractBackground: Severe acute malnutrition (SAM) places extraordinary challenges in the way of survival, growth and development of the child under five years of age. Our aim was to evaluate the functioning and performance of facility based management of SAM children admitted in the nutrition rehabilitation centre (NRC) and to identify the existing bottlenecks in the NRC.Methods: Children above 1 month and less than 5 years of age with severe acute malnutrition were included during the study period. Demographic details of the SAM children, clinical features during admission were recorded. Anthropometric measurements like MUAC, weight, height/length and WHZ scores were taken at admission and compared with the findings at discharge. Statistical analysis: the data after collection, compilation was analysed by SPSS.Results: Majority 277 (78.47%) of them belonged to rural areas. 300 (85%) SAM children were referred by medical officers. Bilateral oedema was recorded in 12 (17.9%) admitted children during 2014-2015, 22 (17.9%) children in 2015-2016 and in 37 (22.7%) children during 2016-2017. There was significant improvement in the mean weight (kg) and mean MUAC (cm) at discharge was in comparison to the weight and MUAC of the children at admission and this difference in increase in the mean weight and MUAC were found to be statistically significant.Conclusions: Implementation of WHO feeding guidelines resulted in adequate weight gain of inpatient malnourished children, however the frontline workers in the community and health care providers of PHCs should be trained and given hands on training for early identification and referral of SAM casesen_US
dc.identifier.affiliationsDepartment of Community Medicine, S.C.B. Medical College, Cuttack, Odisha, Indiaen_US
dc.identifier.affiliationsDepartment of Community Medicine, S.C.B. Medical College, Cuttack, Odisha, Indiaen_US
dc.identifier.affiliationsDepartment of Community Medicine, S.C.B. Medical College, Cuttack, Odisha, Indiaen_US
dc.identifier.affiliationsDepartment of Community Medicine, S.C.B. Medical College, Cuttack, Odisha, Indiaen_US
dc.identifier.affiliationsNRC, SVPPGIP, Shishu Bhawan, Cuttack, Odisha, Indiaen_US
dc.identifier.citationPanda Mayadhar, Nanda Sikata, Murmu Mangala Charan, Giri Rama Chandra, Debi Lila Lalantika. Evaluation of the performance of a nutrition rehabilitation centre in a tertiary care hospital in Eastern India. International Journal of Community Medicine and Public Health. 2019 Apr; 6(4): 1728-1733en_US
dc.identifier.issn2394-6032
dc.identifier.issn2394-6040
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/201177
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber4en_US
dc.relation.volume6en_US
dc.source.urihttps://dx.doi.org/10.18203/2394-6040.ijcmph20191428en_US
dc.subjectSAMen_US
dc.subjectNutrition rehabilitation centreen_US
dc.titleEvaluation of the performance of a nutrition rehabilitation centre in a tertiary care hospital in Eastern Indiaen_US
dc.typeJournal Articleen_US
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