Outcome Evaluation of Community Management of Severe Acute Malnutrition in Some Selected Outpatient Therapeutic Programme Centres of Katsina State, Nigeria
DOI:
https://doi.org/10.56919/usci.1122.029Abstract
Severe acute malnutrition remains a major public health problem, especially in developing countries. In this study, a retrospective and on-site assessment of the effectiveness of the community management of acute malnutrition (CMAM) program in four (4) Outpatient Therapeutic Programme (OTP) centres of Katsina and Daura Local Government Areas of Katsina State was carried out from January 2021 to December 2021. Assessment of CMAM performance indicators, anthropometric indices, oedema, the biochemical and haematological status of children with severe acute malnutrition (SAM) and a follow-up assessment of probable relapse 8 weeks after discharge was carried out. The result indicated that both the treatment (87.90% and 94.44% at Katsina and Daura OTPs respectively) and geographical coverage (20.00% at both Katsina and Daura OTPs) in the present study were higher than the values for the retrospective study. Outcome measures of CMAM in the Katsina OTPs showed a cure rate of 95.0% and 97.3% in the retrospective and current studies, respectively. While in Daura OTPs, the cure rates were 86.8% and 93.52% respectively for the retrospective and the present study. Result for the growth performance and recovery indices have shown higher percentages in normal range values for mid upper arm circumference, weight for height and Oedema among the SAM children at the point of discharge over the values at the admission. In fact, all the children that presented with oedema in both OTPs at admission did not have oedema at the point of discharge. In addition, there was a significant improvement in biochemical and hematologic indices in SAM children at discharge compared to the values at admission (p < 0.05). Findings of the study have indicated a good performance of CMAM program in OTP centers of Katsina and Daura Local Government Areas of Katsina State as prescribed by the SPHERE standard.
References
Abdullahi, H., Sallau, A. B., Owolabi, A. O., Alhassan, U., Abubakar, Y. S., Saliu, M. A., Hassan, S. M., Muazu, J. Y., Khadijah, A., Safinat, L. A., Bako, E., Aisha, M. A., Jajere, U. M. and Zailani, H. (2021). Performance of Community Management of Acute Malnutrition of Under-five Children Involved in Outpatient Therapeutic Programme- Case Study of PHC Baban Dodo Zaria LGA, Kaduna State. FUDMA Journal of Sciences (FJS) Vol. 5 No. 4, December, 2021, pp 1 - 11. [Crossref]
https://doi.org/10.33003/fjs-2021-0504-733
Bello Usman, Sani Aliyu, O.A. Owolabi and A.B. Sallau (2017). Assessment of Performance on Community Management of Acute Malnutrition in Wagini OTP Center, Batsari Local Government Area of Katsina State. UMYU Journal of Microbiology Research (UJMR), UJMR, Volume 2 Number 2 December, 2017.
CMAM, Forum, Technical Brief (2012), Assessments of Coverage of Community Based Management of Acute Malnutrition Ppl-24.
CMAM (2012) Comprehensive set of tools, articles and presentations based on a recent coverage workshop. http://www.validinternational.org /coverage/resourcekit.zip
CMAM FORUM, (2012). CMAM Forum Update. Field Exchange 43 Gov Exp CMAM Scale Up. Jan 7; 64. https://www.ennonline.net/attachments/1616/FEX-43.pdf
FANTA (2008). Training guide for CMAM National Center for Health and statistics reference values.12-16.
Ghana Health Service, (2013). SLEAC/ SQUEAT Coverage Report. Ashaiman Municipal Assembly. SLEAC/SQUEAT coverage survey report.
Pourhoseingholi MA, Vahedi M, Rahimzadeh M. (2013). Sample size calculation in medical studies. Gastroenterology and Hepatology From Bed to Bench;6(1):14-17).
Rebecca J. Stratton, Annemarie Hackston, David Longmore, Rod Dixon, Sarah Price, Mike Stroud, Claire King and Marinos Elia (2004). Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the 'malnutrition universal screening tool' ('MUST') for adults. British Journal of Nutrition, 92, 799-808. [Crossref] https://doi.org/10.1079/BJN20041258
Se-Eun Park, Sungtae Kim, Cyprian Ouma, Mesfin Loha, Thomas F Wierzba and Nam Seon Beck (2012). Community Management of Acute Malnutrition in theDeveloping World. Pediatric Gastroenterology, Hepatology & Nutrition. 15(4):210-219. [Crossref]
https://doi.org/10.5223/pghn.2012.15.4.210
Tuffrey Veronica, Cora Mezger, Simeon Nanama, Assaye Bulti, Gloria Olisenekwu, Charles Umar,Emma Jones and Esther Namukasa (2021). Assessment of monitoring systems in the management of severe acute malnutrition in northern Nigeria. BMC Nutrition (2021) 7:2. [Crossref] https://doi.org/10.1186/s40795-020-00405-z
UNICEF, (2013). Evaluation of Community Management of Acute Malnutrition (CMAM): Global Synthesis Report. Accesssed from https://www.unicef.org/media/96981/file/Statement-WHO-WFP-SCN-and-UNICEF-on-Community-Based-Management-of-SAM.pdf
WHO, (2021). Malnutrition. Accessed, 23 Oct. 22 from https://www.who.int/news-room/fact-sheets/detail/malnutrition.
WHO, (2022). Nutrition. Accessed 5th Nov, 2022 from https://apps.who.int/nutrition/topics/severe_malnutrition/en/index.html
Yakasai Kabiru Mustafa, Yunusa Umar Muazu, Mohammed Tahiru Bolori, Ahmad Isah Muhammad, Barde Aminu and Yunusa Isa (2017). Community Management of Acute Malnutrition in Katsina State, Nigeria: A Report from 2010 To 2013. Mediterranean Journal of Basic and Applied Sciences (MJBAS) Volume 1, Issue 1, Pages 155-163.
Young, D.S (2001). Effect of disease on Clinical laboratory Test. 4th edition, AACC: 15-18
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