Role of integrated therapy and nutritional counselling in treating malnourished children in M-East ward Mumbai, India: A Longitudinal Study

Authors

  • Amit Kumar Nohwar Dr D Y Patil Medical College, Navi Mumbai https://orcid.org/0000-0003-3807-3478
  • Vaishali P Venu Doctors for You
  • Ravikant Singh Homi Bhabha Cancer Hospital & Research Centre, Muzaffarpur, Bihar

DOI:

https://doi.org/10.47203/IJCH.2021.v33i04.009

Keywords:

Ready to Use Therapeutic Food (RUTF), Malnourishment, Counselling, Slums, Mumbai

Abstract

Background: Under-nutrition is a big risk factor for increasing the morbidity and mortality burden in the society. Acute malnutrition contributes to almost 61% of diarrheal and 53% of pneumonia deaths. In urban slums like M-East ward, Mumbai, acute malnutrition prevalence ranges from 16% to 59.8%. Objectives: To assess the outcome of weight gain by providing nutritional supplements to the undernourished children along with nutritional counseling. Materials and Methods: RUTF (Ready-to-Use Therapeutic Food) and Hyderabad mix with nutritional counselling to parents of children were used to reduce the undernourishment among the under-five children in slums of this ward. Six hundred and fifty malnourished children and their caregivers were provided nutritional supplement and nutritional counselling over 6 months. Results: There was steady wight gain of enrolled children. Highest weight gain occurred over 13th week of the program. Conclusion: A minimum of thirteen weeks nutritional supplement program including fortnightly counselling is necessary and sufficient for converting undernourished children to normal.1

Downloads

Download data is not yet available.

References

Akombi BJ, Agho KE, Merom D, Renzaho AM, Hall JJ. Child malnutrition in sub-Saharan Africa: PLoS One. 2017;12(5):1–11.

Wanzira, H., Muyinda, R., Lochoro, P. et al. Quality of care for children with acute malnutrition at health center level in Uganda: a cross sectional study in West Nile region during the refugee crisis. BMC Health Serv Res 2018;18, 561. https://doi.org/10.1186/s12913-018-3366-5

Severe acute malnutrition | Nutrition | UNICEF [Internet]. [cited 2020 Mar 20]. Available from: https://www.unicef.org/nutrition/index_sam.html Accessed on 20/09/21.

Unicef. Global Overview Child Malnutrition Regional Trends. Unicef. 2016

Akombi BJ, Agho KE, Hall JJ, Wali N, Renzaho AMN, Merom D. Stunting, wasting and underweight in Sub-Saharan Africa: A systematic review, International Journal of Environmental Research and Public Health. 2017;14.

Biradar MK. Nutritional status of under five children in an urban slum. Int J Pharma Bio Sci. 2013;4(2):247–52.

Sheet SF. National Family Health Survey-4 (2015-16) Maharashtra factsheet. NFHS. 2015

Sheet DF, Nadu T. National Family Health Survey - 4 District Fact Sheet Thiruvallur Tamil Nadu. NFHS. 2015

Srivastava A, Mahmood SE, Srivastava PM, Shrotriya VP, Kumar B. Nutritional status of school-age children - A scenario of urban slums in India. Arch Public Heal. 2012;70(1):2–9.

About M-Ward Transformation Project [Internet]. Critical Edge Alliance. [cited 2020 Mar 21]. Available from: https://www.criticaledgealliance.com/about-uo52sAccessed on 20/09/21.

Field MSF, Gall L. A qualitative investigation of adherence to nutritional therapy in malnourished adult AIDS patients in Kenya. MSF F Res. 2019;

Statement J, Programme WF, Children UN. COMMUNITY-BASED MANAGEMENT OF SEVERE ACUTE MALNUTRITION. WHO. 2007

Ac U, Ns I. High Burden of Protein – Energy Malnutrition in Nigeria?: Beyond the Health Care Setting. Ann Med Health Sci Res. 2015;2(1):66–9.

Organisation WH, Fund UNC. WHO child growth standards and the identification of severe acute malnutrition in infants and children. 2009.

Bhandari N, Mohan SB, Bose A, Iyengar SD, Taneja S, Mazumder S, et al. Efficacy of three feeding regimens for home-based management of children with uncomplicated severe acute malnutrition?: a randomised trial in India. BMJ. 2016;1:e000144.

Burza S, Mahajan R, Marino E, Sunyoto T, Shandilya C, Tabrez M, et al. Community-based management of severe acute malnutrition in India?: new evidence from Bihar. Am J Clin Nutr. 2015;101:847–59.

Dube B, Rongsen T, Mazumder S, Taneja S, Rafiqui F, Bhandari N, et al. Comparison of ready-to-use therapeutic food with cereal legume-based Khichri among malnourished children. Indian Pediatr. 2009;46(5):383–8.

André Briend SC. Therapeutic Nutrition for Children with Severe Acute Malnutrition: Summary of African Experience. Indian Pediatr. 2010;47(10):655–9.

Nackers F, Broillet F, Djibo A, Gaboulaud V, Guerin PJ, Rusch B, et al. Effectiveness of ready-to-use therapeutic food compared to a corn / soy-blend-based pre-mix for the treatment of childhood moderate acute malnutrition in Niger. J Trop Pediatr. 2010;56(6):407–13.

Nair N, Tripathy P, Sachdev HS, Pradhan H, Bhattacharyya S, Gope R, et al. Articles Effect of participatory women’s groups and counselling through home visits on children’s linear growth in rural eastern India ( CARING trial ): a cluster-randomised controlled trial. Lancet Glob Heal. 2017;5(10):e1004–16.

Shah D, Hs S, Gera T, Lm D, Jp P. Fortification of staple foods with zinc for improving zinc status and other health outcomes in the general population (Review). Cochrane Database Syst Rev. 2016;(6).

Patel MP, Sandige HL, Ndekha MJ, Briend A. Supplemental Feeding with Ready-to-Use Therapeutic Food in Malawian Children at Risk of Malnutrition. J Heal Popul NUTR. 2005;23(4):351–7.

Kam S Van Der, Salse-ubach N, Roll S, Swarthout T. Effect of Short-Term Supplementation with Ready-to-Use Therapeutic Food or Micronutrients for Children after Illness for Prevention of Malnutrition?: A Randomised Controlled Trial in Nigeria. PLoS Med. 2016;1–26.

Downloads

Published

2021-12-31

How to Cite

1.
Nohwar AK, Venu VP, Singh R. Role of integrated therapy and nutritional counselling in treating malnourished children in M-East ward Mumbai, India: A Longitudinal Study. Indian J Community Health [Internet]. 2021 Dec. 31 [cited 2024 Apr. 19];33(4):592-6. Available from: https://www.iapsmupuk.org/journal/index.php/IJCH/article/view/2253

Issue

Section

Original Article