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Effectiveness of NGO‐government partnership to prevent and treat child wasting in urban India.
- Source :
- Maternal & Child Nutrition; Jan2019 Supplement S1, Vol. 15, pN.PAG-N.PAG, 1p
- Publication Year :
- 2019
-
Abstract
- This study reviews the performance of a community‐based nutrition programme in preventing and treating wasting without complications among children under age three in urban informal settlements of India. Implemented by a non‐profit organization, with national (Integrated Child Development Services [ICDS]) and city‐level (Municipal Corporation of Greater Mumbai [MCGM]) government partners, the programme screened 7,759 children between May 2014 and April 2015. During this period, the programme admitted 705 moderately wasted and 189 severely wasted children into the treatment group and 6,820 not wasted children into the prevention group. Both prevention and treatment groups received growth monitoring, referrals to public health facilities, and home‐based counselling (if <6 months) by community health workers. Treatment groups received additional home‐based counselling and access to medical screenings. Severely wasted children also received access to ready‐to‐use therapeutic food. The study assessed default rates, wasting status, and average weight gain 3 months after admission. Factors associated with growth faltering in the prevention group were explored using logistic regression. Default rates for the severely wasted, moderately wasted, and prevention group were 12.7%, 20.4%, and 22.1%, respectively. Recovery rate was 42.4% for the severely wasted and 61.3% for the moderately wasted. For the moderately wasted, mean weight gain was 2.1 g/kg/day, 95% confidence interval (CI) [1.6, 2.6], and 4.5 g/kg/day for the severely wasted, 95% CI [3.1, 5.9]. Among prevention group children, 3.6% faltered into wasting—3.2% into moderate and 0.4% into severe. The paper gives insights into ways in which ICDS and MCGM can successfully integrate large‐scale community‐based acute malnutrition programming. [ABSTRACT FROM AUTHOR]
- Subjects :
- PREVENTION of malnutition
WASTING syndrome
GOVERNMENT agencies
ANTHROPOMETRY
CHILD nutrition
COMMUNITY health services
CONFIDENCE intervals
COOPERATIVENESS
METROPOLITAN areas
NONPROFIT organizations
TIME
MULTIPLE regression analysis
CONTENT mining
SMARTPHONES
EVALUATION of human services programs
DATA analysis software
DESCRIPTIVE statistics
ODDS ratio
CHILDREN
PREVENTION
Subjects
Details
- Language :
- English
- ISSN :
- 17408695
- Volume :
- 15
- Database :
- Complementary Index
- Journal :
- Maternal & Child Nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 134664888
- Full Text :
- https://doi.org/10.1111/mcn.12706