Comparative study of ambulatory and home nutritional recovery of mild and moderate malnourished children under five years of age.
A comparative study of ambulatory and home nutritional recovery.
Keywords:
Malnutrition, recovery strategies, outpatient, homeAbstract
With the objective of evaluating the effects of two nutritional recovery strategies in malnourished children in the community, we compare the strategy "PIENU" (Protection of Infants at Nutritional Risk): GP (Group P) carried out in the health system; from early detection of malnutrition, monitoring of nutritional recovery in health centers, which was organized with: flowchart, "appointment box" home search in case of absence of control, provision of food plus micronutrients. And another strategy "CUCHARA DE AMOR": GC (Group C) of direct action at home (Spoon: provision of utensils A: Food (Home diet plus micronutrients) M: Adapted furniture, O: Organization of the home; weekly reconsultations). Information education communication (IEC) for both groups. Admission criteria: Children between 6 months and five years of age, diagnosed with mild (≤1DE) /moderate (≤2DE)/severe (≤3DE) malnutrition for weight/height indicator, without complications, no serious infections, no disabling pathologies; prior parental consent. Out of 5000 children 176 children entered the study randomly, 30 children out of 1000 children formed the CG, 146 out of 4000 children the GP; children were followed up for three months. Growth recovery, prevalence of infections was similar for both groups plus harmony, growth rate (P/T), psychomotor development and living conditions were significantly improved in the CG (p<0.01); we conclude that children treated at home have better recovery.
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