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Title: Assessment of Weight Gain of Children Admitted to Nutrition Rehabilitation Center
Authors: Thakur, Deepraj Singh
Keywords: School of Health Systems Studies
Parminder Gautam
Weight Gain - Nutrition Rehabilitation Center
Issue Date: 2017
Abstract: BACKGROUND Under nutrition is an important factor contributing to the death of young children. If a child is malnourished, the mortality risk associated with respiratory infections, diarrhea, malaria, measles, and other infectious diseases is increased. In Uttar Pradesh State (latest data available is from before bifurcation of the state) according to NHFS-3 National Family Health Survey (2005-2006) data 12.2% (3.22 lakh) of children in the state are suffering from Severe Acute Malnutrition (SAM). MATERIAL AND METHODS The present study was conducted from 15th of October 2016 to 15th April 2017. One hundred and eighty seven (187) children admitted at the NRC BHANGEL at Noida District were observed during the study period. Facilities at the NRC were assessed. Check list based on Operational Guidelines on Facility Based Management of Children with Severe Acute Malnutrition (Anon., n.d.) was used to assess the facilities at NRC. Observational notes and secondary data collected from NRC was used for the research study. Semi structured Interview Guide was used for the service providers and beneficiaries. RESULTS The infrastructure parameters and the human resources were found to be less than adequate but functional. The study included 187 children in the age group of 0-5 years. There were 79 boys and 108 girls, out of which the highest representation was from the age group of 1 to 12 months. A 38% of study population belonged to BC, ranking next is SC at 35%, OC at 24% and the lowest was SC at 3%. The average weight gain during the stay at the Center was 430 g. The median length of the stay at the Center was 11 days with 60% of patients leaving the facility prematurely (before 14 days). A 30% of the mothers of the children felt that infection was the cause while only 10% thought that inadequate diet was the cause of malnutrition. A 60% had no knowledge about cause of malnutrition. Mothers lacked adequate information on composition of therapeutic diets, although 85% learnt about time interval between feeds. CONCLUSION NRC provides a great platform for treating SAM children, but is not utilized by all intended population. There is lack of uptake of services due to low awareness in the community and poor service due to lack of timely release of funds. So, community awareness and participation has to be scaled up while management should act more responsibly in releasing the funds on time and with proper supervision.
Appears in Collections:Post Graduate Diploma in Healthcare Quality Management

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