Assessment of the Efficacy Therapeutic Milk in Prevention the Complications of Sever Acute Malnutrition in Children 6 - 59 Months at Therapeutic Feeding Center in Public Hospitals in Hodeida City—Yemen

Hanaa Abduh Heba Mohsen Ebrah,Nadia Abdlrahim Khogali Salih

doi:10.4236/fns.2021.121005

Abstract

Severe acute malnutrition with medical complications is one of the most common causes of morbidity and mortality among children under the age of 5 years. Which can be management by given Therapeutic milk, it is available only at inpatient center at hospitals. When staff and mother managed adequately, the therapeutic milk has highly effective in treating severe malnutrition and prevent any complications that can be developing. So, this study aims to Assess of the Efficacy of Therapeutic milk in Prevention Complications of Severe acute malnutrition 6 - 59 months at therapeutic feeding center. Descriptive, Cross-Sectional, Hospital-based study design was used to conduct the study. The study was carried out at Organization of AL Thora public Hospital at Hodeida city in Yemen. Total coverage 200 children 6 - 59 months of age have Sever Acute Malnutrition with complication which was 14 medical complications and admitted at Therapeutics Feeding Center. Three research tools which used for data collection. The structured face to face Interview questionnaire, anthropometric measurements, and the Structure Observation Check list. The results showed that, the obvious reduction of complication when the Comparison at admission, 1st week and 2nd week are (40.9% to 18% to 7.6%). There is highly statistically significant relationship between the therapeutic feeding which was given, resolution the complication at 1st week and 2nd week at p d to Outpatient therapeutic to complete nutritional program. The study concluded that the therapeutic milk which provides in Therapeutic Feeding Center only have highly effective in treating medical complication of sever acute malnutrition in children 6 - 59 months.

Highlights

The child with Sever Acute Malnutrition may have poor appetite and suffer presence of medical complications and children with it are at high risk of death as appear by clinical features of infection, metabolic disturbance, severe edema, hypothermia, vomiting, severe dehydration, severe anemia or a lack of appetite, requiring to admission to inpatient treatment which called Therapeutics Food Center (TFC) and require treatment of both the complication and their routine dietary and medicine section [1].The management of Sever wasting and Nutritional edema follows the same principles [2].In the process of treating, the focus of initial management is to prevent death while stabilizing the child
This study aims to Assess of the Efficacy of Therapeutic milk in Prevention Complications of Severe acute malnutrition 6 - 59 months at therapeutic feeding center
The study concluded that the therapeutic milk which provides in Therapeutic Feeding Center only have highly effective in treating medical complication of sever acute malnutrition in children 6 - 59 months

Summary

Introduction

The child with Sever Acute Malnutrition may have poor appetite and suffer presence of medical complications and children with it are at high risk of death as appear by clinical features of infection, metabolic disturbance, severe edema, hypothermia, vomiting, severe dehydration, severe anemia or a lack of appetite, requiring to admission to inpatient treatment which called Therapeutics Food Center (TFC) and require treatment of both the complication and their routine dietary and medicine section [1].The management of Sever wasting (marasmus) and Nutritional edema (kwashiorkor) follows the same principles [2].In the process of treating, the focus of initial management is to prevent death while stabilizing the child. Energy and protein content (75 kcal/100 ml and 0.9 g protein/100 ml respectively) and total feed volume are restricted to prevent heart failure, osmotic diarrhea and worsening of edema. It promotes recovery of normal metabolic function and nutrition-electrolytic balance [4], once medical problems and edema are resolving, blood sugars are stable and appetite has returned, the child is ready for the transition to the rehabilitation phase. The formula F-75 is gradually replaced with F-100 (100 kcal/100ml) is the milk-based diet recommended by WHO for the rehabilitation of children with SAM after stabilization in inpatient care, for children with SAM in transition or children who remain in inpatient care until full recovery [3]

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Discussion

Conclusion