Evaluation of Growth Progress among Malnourished Children Attending Village Child Nutrition Centre (VCNC) Under Mission Balam Sukham at Ahmedabad District, Gujarat

Bhavesh B. Prajapati, A. Shukla
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Abstract

Introduction: Government of Gujarat launched “Mission BalamSukham” in the year 2012 to combat the malnutrition with three tier approach. At village level Village Child Nutrition Center (VCNC) runs at Anganwadi centers where children with Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM) children aged 6 months to 6 years without any medical complications are enrolled for 30 days and provided with the nutrition supplements as per standard protocol including micronutrients. Objectives: To study the growth progress among malnourished children after one month of intervention at VCNC. Method: A cross sectional study was conducted over one year pe¬riod in selected VCNCs of Ahmedabad District. All the malnourished children admitted to these selected VCNCs during study period were included in the study. Data on weight status at admission and discharge, rate of weight gain, grade of malnutrition at entry and exit were collected from the records and analyzed using statistical software. Results: A total of 934 malnourished children were included in the study. A statistically significant difference was observed for weight at discharge (11.1 ± 2.07) and weight at admission (9.92 ± 1.77) for all the children. About 8.7 % children in urban and 16.5 % in rural area achieved the recommended weight gain of 5 grams/kg/day and the difference was statistically significant. In urban and rural area children who achieved the target (>15%) weight gain was 6.3% and 14.7%, respectively and this difference was statistically significant. Conclusion: In the current study, 7.3% children achieved the target (>15%) weight gain. Suggesting that VCNC supplementation for 1 month was not found adequate to give desired result.
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在古吉拉特邦艾哈迈达巴德地区Balam Sukham传教会主持下的乡村儿童营养中心(VCNC)就读的营养不良儿童的生长进展评估
导言:古吉拉特邦政府于2012年启动了“BalamSukham使命”,通过三层方法解决营养不良问题。在村一级,村儿童营养中心(VCNC)在Anganwadi中心运行,6个月至6岁的严重急性营养不良(SAM)和中度急性营养不良(MAM)儿童没有任何医疗并发症,登记30天,并根据标准方案提供营养补充剂,包括微量营养素。目的:研究营养不良儿童在VCNC干预一个月后的生长情况。方法:在艾哈迈达巴德地区选定的VCNCs中进行了为期一年的横断面研究。所有在研究期间进入这些选定的vcnc的营养不良儿童都被纳入研究。收集入院和出院时的体重状况、体重增加率、入院和出院时的营养不良程度等数据,并利用统计软件进行分析。结果:共有934名营养不良儿童被纳入研究。两组患儿出院时体重(11.1±2.07)与入院时体重(9.92±1.77)差异有统计学意义。8.7%的城市儿童和16.5%的农村儿童达到了推荐体重增加5 g/ kg/d,差异有统计学意义。在城市和农村地区,达到目标(>15%)的儿童体重增加分别为6.3%和14.7%,差异有统计学意义。结论:在本研究中,7.3%的儿童达到了体重增加的目标(bb0 - 15%)。提示补充1个月的VCNC不足以达到预期的效果。
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审稿时长
12 weeks
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