Determinants of nutritional outcome among beneficiaries of Nutrition Rehabilitation Centre
DOI:
https://doi.org/10.47203/IJCH.2023.v35i04.010Keywords:
Nutrition Rehabilitation Centre, Evaluation, Nutritional Outcome, Severe Acute MalnutritionAbstract
Background: Under Mission Balam Sukham, children of 6 months to 5 years having severe acute malnutrition (SAM) along with complications are managed at Nutrition Rehabilitation Centre (NRC). They are admitted for 14 days with the provision of a nutritional diet and medicines. Objectives: To explore determinants of nutritional outcome of SAM children admitted at NRC Methods: A prospective cohort study was conducted comprising 63 children aged 6 months to 5 years having SAM along with complications admitted at NRC of New Civil Hospital, Surat (NCHS) for 10 months. Results: The majority of participants were boys (54%), 12-23 months of age (50.8%), and Grade III socioeconomic class (39.6%). The duration of stay ranged from 2-36 days. The average duration of stay was 12.78 + 6.49 days; 14.26 ± 5.99 days for boys and 11.10 + 6.73 for girls. 18.8% stayed at NRC for 14 days. The average weight gain was 5.46 g/kg/day. A significant improvement in weight was seen in boys (t=2.20, p<0.05), working mothers (t=2.44, p<0.01), exclusively breastfed children (t=3.62, p<0.01) of 6-11 months, full-term children of 12-23 months (t=4.0, p<0.05). The children of 12-23 months (t=2.90, p<0.01) and boys (t=2.15, p<0.05) showed significant improvement in underweight (WAZ). Wasting improved significantly in age below 36 months (p<0.05). 20.6% could achieve the target weight. Conclusion: NRC is an effective life-saving modality for malnutrition but its outcome is associated with factors like boys, exclusive breastfeeding, and full-term.
Downloads
References
Colecraft EK, Marquis GS, Bartolucci AA, Pulley L, Owusu WB, Maetz HM. A longitudinal assessment of the diet and growth of malnourished children participating in nutrition rehabilitation centres in Accra , Ghana. Public Health Nutr. 2003;7(4):487–94.
National Rural Health Mission Department of Health & Family Welfare Government of Gujarat. Guidelines for Management of Severe Acute Malnutrition ( SAM ) Children at Nutrition Rehabilitation Center. 2012.
Gupta R, Sharma B. Role of nutrition rehabilitation center and dietary practices of mother associated with malnutrition and anemia among children. Int J Med Sci Res Pract. 2015;2(2):94–8.
Neeraj Pal Singh, Ajit Singh Solanki PBK. EVALUATION OF THE EFFECTS OF MEASURES TAKEN FOR NUTRITION ON CHILDREN ADMITTED TO NUTRITION REHABILITATION CENTRE. Amity J Manag. 2020;VIII(1):29–33.
Patel D, Upadhyay N. Evaluation of anthropometric indicators in malnourished children at Nutritional Rehabilitation Center , Gujarat , India. Int J Contemp Pediatr. 2019;6(4):1410–3.
Joshi P, Yadav JN, Gautam R. Impact of Indigenously Prepared Therapeutic Food for Children with Acute Malnutrition at Nutritional Rehabilitation Center. Birat J Heal Sci. 2020;5(1):891–6.
Kalaiselvi Selvaraj, Tovia Stephen1 , S. Princy Priyadharshini2 , Nikita Radhakrishnan2 , Mohamed Ashic2 R team. Exploration of Dietary Diversity and its Associated Factors among Infant and Young Children in Rural Tamil Nadu – A Mixed?Method Study. Indian J Public Health. 2021;65:218–25.
Istiyaq Ahmad, Najam Khalique2, Salman Khalil, Urfi MM. Dietary diversity and stunting among infants and young children: A cross-sectional study in Aligarh. Indian J Community Med [Internet]. 2018;43:34–6.
National Health Mission, State Health Society, Health & Family Welfare Department G of G. Mission Balam Sukham [Internet]. [cited 2023 Dec 12]. Available from: https://nhm.gujarat.gov.in/mission-balam-sukham.htm
Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-91
Open Data Kit. ODK,2023, https://opendatakit.org/ .Accessed 25 Dec. 2023
Meenakshi, Pradhan S K, Prasuna J G. A cross-sectional study of the association of postnatal growth and psychosocial development of the infants in an urban slum of Delhi. Indian J Community Med 2007;32:46-8
Sanghvi J, Mehta S, Kumar R. Predicators for Weight Gain in Children Treated for Severe Acute Malnutrition: A Prospective Study at Nutritional Rehabilitation Center. ISRN Pediatr. 2014;2014:1–5.
Taneja G, Dixit S, Khatri A, Raghunath D, Yesikar V, 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. 2014;37(2):107-15.
Hashmi G, Kumar S. Evaluation of the effects of nutrition intervention measures on admitted children in nutritional rehabilitation center, Gulbarga, India. Int J Community Med Public Heal. 2016;3(9):2550–4.
Udoh EE, Amodu OK. Complementary feeding practices among mothers and nutritional status of infants in Akpabuyo Area , Cross River State Nigeria. Springerplus. 2016;
Chandwani H, Prajapati A, Rana B, Sonaliya K. Assessment of infant and young child feeding practices with special emphasis on IYCF indicators in a field practice area of Rural Health Training Centre at Dabhoda, Gujarat, India. Int J Med Sci Public Health. 2015; 4(10): 1414-1419
Govender I, Rangiah S, Kaswa R, Nzaumvila D. Malnutrition in children under the age of 5 years in a primary health care setting. South African Fam Pract. 2021;63(1):1–6.
Siddiqui F, Salam RA, Lassi ZS, Das JK. The Intertwined Relationship Between Malnutrition and Poverty. Front Public Heal. 2020;8(August):1–5.
Tette EMA, Sifah EK, Nartey ET. Factors affecting malnutrition in children and the uptake of interventions to prevent the condition. BMC Pediatr [Internet]. 2015;15(1):1–11.
McKay FH, Sims A, van der Pligt P. Measuring Food Insecurity in India: A Systematic Review of the Current Evidence. Curr Nutr Rep [Internet]. 2023;12(2):358–67.
Indian Institute of Population Sciences. National Family Health Survey - 5 State Fact Sheet Gujarat. 2020;
Rawat R, Marskole P. a Study To Evaluate the Effect of Nutritional Intervention Measures on Children With Severe Acute Malnutrition Admitted in Nutrition Rehabilitation Center At Civil Hospital Bairagarh, Bhopal, Madhya Pradesh. J Evol Med Dent Sci. 2015;4(17):2937–42.
Shah RH, Javdekar BB, Rh S, Contemp IJ, May P. Management of children with severe acute malnutrition?: experience of nutrition rehabilitation centre at Baroda , Gujarat. 2014;1(1):3–6.
Ashwini Katole GN, , Anubhuti Kujur1 MK. Performance Appraisal of Nutritional Rehabilitation Centers in Central India: A Retrospective Facility?Based Descriptive Study. Indian J Community Med. 2022;47(2):272–6.
Forney KM, Polansky LS, Rebolledo PA, Huamani KF, Mues KE, Ramakrishnan U, et al. Evaluation of a residential nutrition rehabilitation center in rural Bolivia: Short-term effectiveness and follow-up results. Food Nutr Bull. 2014;35(2):211–20.
Mulla S, Gupta PK. An experience of facility based management at one of the malnutrition treatment centre in district Baran of Rajasthan, India. Int J Community Med Public Heal. 2017;4(6):2162-66.
Aguayo VM, Jacob S, Badgaiyan N, Chandra P, Kumar A, Singh K. Providing care for children with severe acute malnutrition in India: new evidence from Jharkhand. Public Health Nutr. 2014;17(1):206–11.
Downloads
Published
How to Cite
License
Copyright (c) 2023 Dhwani Chauhan, Naresh T Chauhan, Mohamed Anas Mohamed Faruk Patni, Pinakini Solanki
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
