Children's Ward Research Articles

The application of emotional design in lighting for Chinese healthcare spaces

AbstractWith the development of time, people have more emotional needs for interior spaces. Interior lighting design is an extremely important part of interior design, especially in children's healthcare. In order to meet the needs of child patients and healthcare professionals for ward lighting, it is necessary to comply with various standards while also designing emotionally, emphasizing the positive effects of light on the psychology and health of the user. A literature research approach was used to combine the current status of interior lighting in healthcare spaces, culminating in the integration of the concept of emotional design into the lighting design of children's wards.

The Effect of Balloon Rocket Play Therapy on Anxiety in Preschool Children During Hospitalization

Preschool children aged 3-6 years are affected exposure environment new when treated At home Sick will result emergence feeling anxious and afraid. One of effort For reduce worried that is with give therapy play balloon rockets. Objective: This study was conducted using the T test which showed the effect of Rocket Balloon Play Therapy on Anxiety in Preschool Children Due to Hospitalization. The P value is <0.001 which means it is less than 0.05 (0.001 <0.05). Method: This study is a quasi-experimental study with a one group pretest-posttest design and uses a purposive sampling technique with a sample size of 20 children. Result: This study was conducted using the T test which showed the effect of Balloon Rocket Play Therapy on Anxiety in Preschool Children Due to Hospitalization. The P value is <0.001, which means it is less than 0.05 (0.001 <0.05). Conclusions: There is an effect of balloon rocket play therapy on preschool children's anxiety during hospitalization in the children's ward of UNS Sukoharjo Hospital.

A pre and post interventional audit of an 'apple juice on arrival' protocol to reduce excessive clear fluid fasting times in paediatric patients.

Many studies have reported prolonged fasting times in children, associated with negative metabolic and behavioural outcomes. We felt that although our paediatric preoperative clear fluid fasting guideline was only for 2 hours, prolonged fasting still occurred for some patients. We conducted an audit of paediatric fasting times, before and after introducing a new protocol of 'apple juice on arrival', in which, on arrival to the children's ward, all children received 3 ml/kg of apple juice. Data were collected prospectively from patients and their parents for two 4-week periods (before and after introduction of the protocol). Data included fasting time (solids and clear fluids), capillary blood glucose levels, knowledge of fasting requirements and sources of fasting information before surgery. Thirty-nine and 40 children, respectively, were included in each group before and after protocol introduction. Clear fluid fasting times reduced from an average of 9.9 hours pre-intervention to 3.5 hours post intervention (P < 0.01). In addition, mean preoperative blood sugar levels increased from 4.9 mmol/L (pre-intervention group) to 5.6 mmol/L in the post-intervention group (P < 0.001). The implementation of an apple juice on arrival protocol appeared to be an effective method to reduce clear fluid fasting times in children in our institution.

Molecular Epidemiology of Carbapenemase-Producing Pseudomonas aeruginosa: An Iranian Referral Hospital-Based Study.

In recent years, there has been a significant increase in infections caused by carbapenemase-producing strains, with carbapenem-resistant Pseudomonas aeruginosa (CRPA) emerging as a priority pathogen according to the World Health Organization. This study aimed to evaluate the molecular epidemiology of CRPA isolated from patients referred to Children's Medical Center in Tehran, Iran. P. aeruginosa isolates collected from different children's wards were screened for common carbapenem-resistant genes by polymerase chain reaction (PCR). Genetic relatedness between isolates was assessed by pulsed-field gel electrophoresis (PFGE). The study included 133 participants, with 50% being male, and revealed a median age of 2 years (interquartile range: 6 months to 6 years). Carbapenem resistance was detected in 15% of cases (n = 20), with CRPA isolates predominantly found in the emergency ward (60%). The median age of patients with CRPA was significantly higher than those with carbapenem-susceptible P. aeruginosa (6 years vs. 1 year). PCR analysis revealed metallo-β-lactamase production in 45% of CRPA isolates (n = 9), with blaNDM being the most prevalent gene. PFGE analysis of the CRPA isolates identified three clusters (Cluster I, II, and III). Cluster I, comprising 65% of all isolates (n = 13), was predominantly found in the emergency ward. Notably, blaNDM-producing strains were prevalent in the emergency ward. Our study highlights the significant prevalence of CRPA in the emergency ward of our hospital and underscores the importance of targeted surveillance and infection control measures to curb its spread within health care settings.

Leadership in children and young people's nursing: an evolving journey.

Children and young people's (CYP) nursing leaders have experienced considerable challenges in the context of a complex health and social care system with rapidly changing organisational structures, including the establishment of integrated care systems in England on 1 July 2022. The CYP nursing lead at NHS England commissioned a review of CYP organisational structures in emerging integrated care systems across England. The review encompassed a vision for CYP services, leadership, governance structures and opportunities for progression. A proforma was used to collate data from CYP trusts, CYP standalone hospitals and children's wards in district general hospitals. Qualitative interviews were also undertaken with senior children's nurses. At the same time, the first author of this article interviewed senior children's nurses as part of a Florence Nightingale Foundation leadership scholarship. The aim was to explore how they navigated their leadership journey and understand what advice they may give to future leaders in CYP nursing. The findings in this article identify 'what good looks like' in terms of CYP nursing leadership. Six recommendations for future development and enhancement of CYP nursing leadership are outlined.

Pendampingan Pemberian Kompres Water Tepid Sponge pada Perawat dengan Kasus DHF di RS Permata Medika Semarang

Hyperthermia is a condition of failure to regulate body temperature (thermoregulation) due to the body's inability to release or remove heat or excessive heat production by the body with heat release at a normal rate. Determine nursing problems that arise in patients based on the results of the assessment, determine interventions, carry out implementation according to the plans that have been determined and evaluate the actions / implementations that have been carried out. In accordance with the problems experienced by these partners, efforts have been made, among others, by implementing the implementation of a water tepid sponge in pediatric patients who experience hyperthermia who are treated in the pediatric ward. The specific target of this PKM activity is to teach mothers of child patients who experience hyperthermia, but through education by nurses in the children's ward. water tepid sponge therapy can reduce milk quickly and prevent fever, especially in pediatric patients who experience hyperthermia at Permata Medika Hospital Semarang. Teach the nurse in the pediatric ward how to reduce fever by using a water tepis sponge and the nurse will later educate the parents of child patients with fever. The method used in this PKM activity is to apply the implementation of a water tepid sponge in pediatric patients who experience hyperthermia. Demonstration of water tepid sponge according to SOP. The result of this community service activity is that the level of knowledge of nurses and parents of patients who experience hyperthermia at Permata Medika Hospital in Semarang has increased after being given material on reducing fever management, besides that the patient is able to carry out a simulation on how to reduce fever with a water tepid sponge.

Factors affecting nurses' attitude toward withdrawal of life-sustaining treatment for children

PurposeThe purpose of study was to investigate factors affecting nurses' attitudes toward withdrawal of life-sustaining treatment in children. Design and methodsThis descriptive survey study included 167 nurses working at children's hospitals or children's wards. Data were collected through a structured self-administered survey in November 2022. Data were analyzed using descriptive analysis, t-test, ANOVA, the Dunnett's T3 test, Pearson's correlation coefficient, and multiple linear regression. ResultsAttitude toward withdrawal of life-sustaining treatment in children showed a significant positive correlation with knowledge of life-sustaining treatment decision-making (r = 0.38, p < .001) and meaning as a subcategory of moral sensitivity (r = 0.21, p 0.008). The factors affecting attitude toward withdrawal of life-sustaining treatment in children were knowledge of life-sustaining treatment decision-making (β =0.31, p < .001) and meaning (β = 0.18, p = .015). This model showed a 21.0% explanation of attitude toward withdrawal of life-sustaining treatment in children. ConclusionsDeveloping an effective educational program designed to improve nurses' knowledge and attitude toward life-sustaining treatment decision-making is necessary. Practice implicationsIt may have a positive influence on attitudes toward withdrawal of life-sustaining treatment in children by improving child nurses' knowledge about life-sustaining treatment decision-making and moral sensitivity.

Development of a deep learning model that predicts critical events of pediatric patients admitted to general wards

Early detection of deteriorating patients is important to prevent life-threatening events and improve clinical outcomes. Efforts have been made to detect or prevent major events such as cardiopulmonary resuscitation, but previously developed tools are often complicated and time-consuming, rendering them impractical. To overcome this problem, we designed this study to create a deep learning prediction model that predicts critical events with simplified variables. This retrospective observational study included patients under the age of 18 who were admitted to the general ward of a tertiary children’s hospital between 2020 and 2022. A critical event was defined as cardiopulmonary resuscitation, unplanned transfer to the intensive care unit, or mortality. The vital signs measured during hospitalization, their measurement intervals, sex, and age were used to train a critical event prediction model. Age-specific z-scores were used to normalize the variability of the normal range by age. The entire dataset was classified into a training dataset and a test dataset at an 8:2 ratio, and model learning and testing were performed on each dataset. The predictive performance of the developed model showed excellent results, with an area under the receiver operating characteristics curve of 0.986 and an area under the precision-recall curve of 0.896. We developed a deep learning model with outstanding predictive power using simplified variables to effectively predict critical events while reducing the workload of medical staff. Nevertheless, because this was a single-center trial, no external validation was carried out, prompting further investigation.

Evaluation of sleep habits and sleep architecture in children referred to the sleep ward of Qazvin children's hospital, Qazvin, Iran during 2016-2022

Evaluation of sleep habits and sleep architecture in children referred to the sleep ward of Qazvin children's hospital, Qazvin, Iran during 2016-2022

Survey and clinical considerations of gender identity in lower primary school children.

Gender consciousness directly affects the development of gender identity, which is a continuous and lifelong process. Meanwhile, hospitalization is a part of many children's lives and has an impact on their gender development. To investigate the current situation of gender identity in lower primary school children by conducting a survey of 202 hospitalized children in the lower grades and to provide a theoretical basis and foundation for the cultivation of gender identity and medical treatment of children based on the results. This study aims to inspire clinical medical staff to scientifically and reasonably arrange hospital wards for lower primary school children and pay attention to gender protection during the medical treatment process and to help children shape a unified and clear gender identity, which will enable them to better integrate into society and promote their personality development. The gender consciousness scale for elementary and middle school students was used for the survey. Gender identity was already present in lower primary school children. The children's gender roles and gender equality consciousness were strong, exceeding the critical value, but their gender characteristics, gender identity, and gender ideal consciousness were weak. Children aged 6 had the weakest gender identity, and girls had significantly stronger gender identity than boys. Gender identity is already present in lower primary school children, providing a basis and inspiration for the cultivation of gender identity and medical treatment of lower primary school children. Clinical medical staff should be aware of and understand these results and should scientifically and reasonably arrange hospital wards for lower primary school children.

Adolescent health care and perceptions in a provincial hospital in Papua New Guinea.

Adolescents make up an estimated 22 % of the 11.8 million population of Papua New Guinea (PNG), yet, as in many low and middle income countries, there are limited specific services for adolescents, who in traditional health service design fall between paediatric and adult patients. With more survivors of chronic illnesses, including tuberculosis and HIV, congenital and acquired heart disease, epilepsy and cerebral palsy, diabetes, cancer and other chronic conditions, there are gaps in the care of such young people, and in their eventual transition to adult services. Moreover, traditional health service design rarely addresses many adolescent health concerns- mental health, self-esteem, substance use, and adolescent-friendly sexual and reproductive health. This study, amongst a cohort cared for in a provincial hospital in Milne Bay Province, Papua New Guinea, aimed to explore the perceptions of adolescents on the health care they receive, and their views on their health priorities. A qualitative study was carried out from April to August 2022, amongst adolescents (persons aged 10-19 years) attending or admitted to Alotau Provincial Hospital. Data were collected via semi-structured wide-ranging interviews, and contextual data obtained from their medical charts. Thematic data analysis was done. Fifty-four adolescents were interviewed. Adolescents were generally content with the care they received, although many raised concerns regarding feeling out of place in a ward with older adults or infants, and staff attitudes towards them including not directly communicating. Forty four adolescents preferred an adolescent-friendly setting, as opposed to the adult or children's wards, stating that it would allow for positive peer-interaction, improve their experience in the hospital, and improve the quality of health care received. Many adolescents with chronic illnesses had concerns regarding loneliness and isolation, and uncertainty of their future. Pregnant adolescents highlighted the lack of education on sexual and reproductive health, and experiences of gender-based violence. This study shows that adolescents can perceive the need for adolescent-friendly health services and advocate for improvement in the quality of health care they receive, and the breadth of adolescent health care concerns.

Healthcare-associated infections among neonates and children in Pakistan: findings and the implications from a point prevalence survey

Health-care associated infections (HAIs) increase morbidity, mortality and costs. The overall prevalence of HAIs is greater in low and middle income countries due to poor resources and infrastructure, with the incidence of HAIs greater among neonates and children. There is a need to understand the current situation in Pakistan including key drivers to improve future care. Point prevalence survey (PPS) of HAIs in the children wards of 19 public sector secondary and tertiary care hospitals of Pakistan and associated key drivers. 1147 children were included in the PPS. 35.7% were neonates with 32.8% aged >1 to 5 years. 35.2% were admitted in the ICU. Peripheral, central venous and urinary catheters were present in 48%, 2.9% and 5.6% of the patients respectively. 161 HAIs from various pathogens were observed in 153 cases, giving a prevalence of 13.3%. The majority of HAIs were caused by S. aureus (31.7%) followed by K. pneumoniae (22.9%) and E. coli (17.4%). Blood stream infections were identified in 42 cases followed by lower respiratory tract infections in 35. Increased length of hospital stays and being admitted to the ICU, "rapidly fatal" patients under the McCabe and Jackson criteria, central and peripheral catheterization, and invasive mechanical ventilation were associated with higher HAIs (p < 0.001). 99.7% HAIs patients fully recovered and were discharged from the hospital. There is a high prevalence of HAIs among neonates and children admitted to health facilities in Pakistan. Infection prevention and control measures should be implemented to help prevent future HAIs.

Epidemiological and clinical aspects of congenital heart disease in Fallujah Maternity and Children Hospital, Iraq

Objective: This study aimed to analyze the descriptive characteristics of children diagnosed with Congenital Heart Disease (CHD) at Fallujah Maternity and Children Hospital (FMCH).&#x0D; Methods: The prospective study included 1,025 pediatric patients born between 1st December 2018 and 30th September 2022, admitted to the newborns and children's wards, and diagnosed with CHD. Data were collected through interviews with patients' guardians using a registration and questionnaire form, capturing variables related to the child (e.g., name, sex, birth weight, type of CHD) and the mother (e.g., age, occupation, consanguinity, previous CHD births, chronic diseases during pregnancy). Residence (rural or urban) was also recorded.&#x0D; Results: Among the CHD cases, Atrial Septal Defect (ASD) was the most common (72%), followed by Ventricular Septal Defect (VSD) (25%) and Patent Ductus Arteriosus (PDA) (21%). Most diagnoses occurred in children aged 1-28 days. The male-to-female ratio was 1.2:1, and 0.2% had an ambiguous gender. About 58% of children weighed ≥ 2.5kg at birth, and 20% had a family history of CHDs.&#x0D; Conclusion: The increasing prevalence of congenital heart diseases in Fallujah requires preventive strategies targeting modifiable risk factors, better monitoring of high-risk pregnancies, and increased awareness of genetic counseling for families with congenital anomalies. The cardiology department should receive more attention and resources to improve diagnostic and therapeutic capabilities. Further research is needed to understand the reasons behind the recent rise in CHD cases in newborns.

Paediatric family activation rapid response (FARR) in tertiary healthcare organisations: Protocol for an online, multi-lingual, application (app) intervention development study

IntroductionAt least 85% of unplanned admissions to critical care wards for children and young people (CYP) are associated with clinical deterioration. CYP and their families play an integral role in the recognition of deterioration. The Paediatric Critical Care Outreach Team (PCCOT) supports the reduction of avoidable harm through earlier recognition and treatment of the deteriorating child, acting as a welcome conduit between the multiprofessional teams, helping ensure that CYP gets the right care, at the right time and in the right place. This positions PCCOT well to respond to families who call for help as part of family activation.AimThis protocol details the methods and process of developing a family activation rapid response online application.MethodsThis is a single-centre, sequential, multiple methods study design. Firstly, a systematic review of the international literature on rapid response interventions in paediatric family activation was conducted. Findings from the review aimed to inform the content for next stages; interviews/ focus groups and experience-based co-design (EBCD) workshops. Participants: parents / caregivers whose children have been discharged or admitted to an acute care hospital and healthcare professionals who care for paediatric patients (CYP). During interviews and workshops participants’ opinion, views and input will be sort on designing a family activation rapid response online-app, detailing content, aesthetics, broad functionality and multi-lingual aspects. Further areas of discussions include; who will use the app, access, appropriate language and terminology for use.A suitable app development company will be identified and will be part of the stakeholders present at workshops. Data obtained will be used to develop a multi-lingual paediatric family activation rapid response web based application prototype.Ethics and disseminationFull ethical approval was received from the Wales Research Ethics Committee 2.Cardiff; REC reference: 22/WA/0174. The findings will be made available to all stakeholders.

Design of Intelligent Pediatric Nursing Management Platform from the Perspective of Big Data

With the popularization of network technology, the management mode of pediatric nurses has also changed. Because the traditional pediatric nursing work is restricted by the traditional mode, it not only affects the service quality of children's outpatient departments and wards, but also has a negative impact on the psychological and physical health of patients. Therefore, the development of an intelligent pediatric nursing management platform is a prerequisite for the realization of the whole process management of children. Pediatric nursing management is a comprehensive service platform, which is fundamental and public welfare, and is of great significance to achieve high-quality nursing services. Based on relevant experience, this paper designed and implemented an intelligent pediatric nursing management platform, which has certain practical value and can provide decision-making basis for clinical work.

Medical clowns in Coronavirus wards: A milestone in further integration into Israeli hospitals

BackgroundDuring Covid-19, medical clowns disappeared from hospitals worldwide, ending their in-person visits. However, Israeli ‘Dream Doctors’ continued in children's wards and gained entrance to the Coronavirus wards. MethodsUsing qualitative data from interviews and digital ethnography, the involvement of medical clowns in Coronavirus wards and their challenges were studied. ResultsMedical clowns integrated mandatory protective gear and adapted their art: altering outfits, body language and interactivity. Spreading laughter and joy improved wards' ambience by uplifting patients', families' and staff's mood. Staff joined the clowns and loosened up in front of them. Reported need for this interaction was great and the clowns' intervention was crucial, leading to a successful trial in general wards, funded by one hospital. ConclusionsAdditional working hours and direct payment increased medical clowning's integration in Israeli hospitals. Entering the general wards evolved from the clowns' involvement in the Coronavirus wards.

Research translation to improve carer smoking cessation support in a paediatric ward of a regional hospital in the Northern Territory.

Health professionals have described barriers to providing carer smoking cessation support in children's wards. This article reports the findings of a research translation process that explored opportunities and developed pathways for change. A facilitated discussion workshop and scheduled stakeholder meetings were used to evaluate research evidence and translate it to an evidence-informed organisational change process, with actions for implementation. Workshop and meeting participants were senior health staff with either a pharmacist, personnel with expertise in alcohol and other drugs, medical or nursing backgrounds, and who held senior managerial roles who worked in a hospital in the Northern Territory. A qualitative approach was used. The data from the workshop were transcribed and analysed using thematic analysis. The first author took notes for meetings that were not recorded and analysed these alongside the transcripts. The process was able to initiate change to overcome barriers to providing carer smoking cessation support. All participants agreed to prioritise and make carer smoking cessation everybody's responsibility and supported a systematic approach, including provision of nicotine replacement therapy, new record-keeping systems, and training to address staff knowledge deficits and skills gaps. This movement to solution-focused change continued after the workshop. With some preparation, a research translation workshop and meetings with selected leaders can initiate organisational change in similar settings and is consistent with theories of planned change. SO WHAT?: This article describes the use of a process to support health promotion through new policies and practices following research which identified barriers in a hospital ward.

Parental satisfaction with infusion carrier in child care

Family-centered care is the best method of child care, and the involvement of parents in child care brings positive results for both children and parents. During treatment, the child is carried by the caregivers/parents for various purposes, and holding the child while receiving the infusion is not easy. This study aims to evaluate the trial of the infusion carrier device in the Children's Ward. This type of research is a pre-experimental study with a post-test-only design. The study was conducted in the children's ward of Tugurejo Hospital, Central Java Province, Indonesia. Sixty children were sampled in the survey. Assessment of innovation products and parental satisfaction using a questionnaire. Data processing using SPSS with descriptive and Spearman's rho correlation test. The creation of innovative products from an infusion carrier combines a carrying device and an infusion carrier. The results show that from 6 aspects of parents' assessment of the infusion carrier tools measured on a scale of 1-5 (strongly disagree to agree strongly) obtained the average product characteristics (3.79), suitability (3.94), design (4.14), durability (4.17), shape (4.26) and performance (4.50). In addition, parents' satisfaction after using these innovative products from the dimensions of willingness to recommend (4.3), willingness to re-use (3.99), and conformity with expectations (3.37). There is a relationship between product innovation and parental satisfaction, indicating positive values of p&lt;0.001 with a correlation coefficient of 0.630. Infusion carrier innovation is positively accepted and increases parental satisfaction.

Caveats of mental healthcare act-2017: Recommendation for amendments.

Dear Sir, The rights-based framework in the current Mental Healthcare Act 2017 (MHA-2017) has received a wider acceptance in the minds of policymakers, patients, caregivers, judicial officers, and mental health professionals.[1,2] However, there appears to be a huge gap between acceptance in our minds and implementation at the ground level. Theoretical knowledge of MHA-2017 and the inability to translate it into practice in most of the general hospitals in the country due to systemic issues has created a dilemma in the minds of psychiatry residents. Therefore, it is necessary to have periodic sensitization programs for psychiatry trainees as well as psychiatrists to learn about changing scenarios in mental health legislation in the past five years.[3] The only discipline of Medicine that carries special significance beyond ethical practice involving beneficence, autonomy, non-maleficence, and justice is psychiatry. This practice and the respect for the rights of a person to bring about optimum mental health outcomes have been legally guided. Forensic psychiatry has started to evolve as a subspecialty of psychiatry.[4] However, are psychiatrists in the country confident in dealing with legal issues evolving in the aftermath of MHA-2017 and imparting this practice to postgraduate trainees? Is clinical practice synchronizing with the legal framework? Are we dealing with the paradox of MHA-2017? Are budding psychiatrists across the country in dilemma with regard to MHA-2017? The response of different states is varied in terms of readiness of infrastructure, the constitution of the State Mental Health Authority (SMHA), the functioning of Mental Health Review Boards (MHRB), and overall dismal application of MHA-2017. Are there hasty translations of Western World rules on the infertile grounds of India? More than four years after passing the act, the current level of functional implementation does not appear to be a healthy indicator for the growth of mental health services in the country. This could provoke lawmakers to bring out the amendments to MHA-2017 to best suit the mental health services and practices of the country. In the absence of functional MHRBs, the practical caveats that may require amendments may include providing electroconvulsive therapy (ECT) to children and use of hospital beds for day-care procedures in psychiatry that include but are not limited to the somatic therapies in psychiatry such as administration of electroconvulsive therapy and repetitive transcranial magnetic stimulation (rTMS). It also includes short-term observation for a few hours in a general hospital following administration of long-acting injectables (LAI) antipsychotics and assessment for the appearance of acute side effects such as post-injection delirium sedation syndrome, and acute dystonia and oculogyric crisis. The other concerns requiring immediate attention for the functioning of MHRB include notifying advance directives, continuing admission under special circumstances, and provision of separate wards for children and women under psychiatry in a general hospital. These amendments could also add the role of MHRBs for adolescents involved in juvenile delinquency, child custody, termination of parental rights, and other related issues.[5] The protection of the rights of a person with mental illness should not be viewed as safeguarding oneself from the practice of psychiatry in the absence of full-fledged implementation of MHA-2017. This could be important for making a provision for the psychiatrist witnessing nonsexual or sexual boundary violation to notify the MHRB in advance, a point not placed in MHA-2017. The spirit of the MHA-2017 also does not clarify the role of the Consultation Liaison Psychiatrist and its effective practice in different departments under general hospital units. Further, the role of the psychiatrist in cases requiring cognizance of other specified acts such as the Prevention of Child Sexual Offense (POCSO) Act, Narcotics and Psychoactive Substances (NDPS) Act, The Rights of Persons with Disabilities (RPwD) Act, Right To Information (RTI) Act, etc. should also be viewed in parallel with MHA-2017. Authors emphasize the opportunity of teaching programs to highlight the gaps in training and implementation of MHA-2017.[6] The absence of functional implementation of MHA-2017 requires the churning of thoughts of stakeholders to amend a few provisions such as the formation of the transitional local hospital review board till formal MHRBs are functional.[7] This letter encourages clinicians and researchers to assess the compliance status of Indian states with MHA-2017 and to provide feasible solutions through systematic scientific research. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.

Nutritional Status of Child of Well-Nourished Mother Vs Malnourished Mother

Background: The nutritional status of children is a good predictor of the community's overall nutritional profile. The nutritional requirements of women before conception, during pregnancy, and during breastfeeding are referred to as maternal nutrition. Globally, 165 million children under the five years are malnourished. It accounts for at least half of all the childhood deaths worldwide. Objective: To find the nutritional status of child of well-nourished mother vs. malnourished mothers Methodology: This comparative1observational study was conducted at Pediatrics Department, Masood Hospital &amp; The Children Complex, Rahim Yar Khan. The study included 294 mothers of children aged 6 to 59 months who were both well-nourished and malnourished. Both mothers of children who were well-nourished when they were admitted to the ward and mothers of children who were malnourished when they were admitted to the NSC were included. Mothers' Body Mass Index (BMI) was assessed, and children's MUAC was obtained. The information was gathered using a designed questionnaire that asked about the mother's age, BMI, the children's age and gender, MUAC.Data was entered in SPSS V 25. Result: Total 294 children were included. Among1them 158(53.7%) mothers malnourished children &amp; 136(46.3%) mothers of well-nourished children. The mean age of children was 2.50 + 0.98. There were 129(43.9%) male children and 165(56.1%) female children. Out of malnourished children, there were 31(19.6%) mildly undеr-wеіght, 9(5.7%) moderately undеr wеіght &amp; 3(1.9%) were severely underweight. Furthermore, 134 mothers1of well-nоurіshеd children, 55(40.4%) mildly1undеrwеіght, 40(30.9%) moderately1undеrwеіght &amp; 27(19.9%) were severely1underweight. There were 145 mothers had normal Hb and 149 mother’s anemic. Practical Implication: The purpose of this research was to determine if there is a correlation between children malnutrition and the health of their mothers. The findings of this study may aid in bringing the attention of the entire family, and notably the mothers, to the treatment of children suffering from severe acute malnutrition. Children can be protected from developing malnutrition through early diagnosis and treatment. Conclusion: Findings of our study showed that many children having history of mother malnutrition were undernourished. Study concluded that malnutrition was not problem of only mothers; it was also a big problem for children as well as whole family. In addition to caring for the malnourished child who has been admitted, the underlying causes of malnutrition must be identified and addressed if the problem is to be resolved for the entire family. Keywords: Body Mass Index, Nutritional Assessment, Malnutrition, Well-nourished