Title:
Comparing inpatient and outpatient treatment for acute malnutrition in infants under 6 months; a mixed method case study.
Authors:
Kieviet, Tabitha
Place:
Amsterdam, The Netherlands
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2016
PAGE:
vii, 42
Language:
En
Subject:
Maternal Health – Lessons Learned
Keywords:
SAM < 6 months, young infant malnutrition, treatment, outpatient, inpatient
Abstract:
Introduction: Treatment of acute malnutrition in infants under 6 months is a relevant topic regarding the global problem of maternal and child malnutrition. While treatment for older age groups has shifted more towards an outpatient, community based approach, young infants are mostly treated in hospital. This study compares an inpatient and outpatient treatment approach for malnourished infants under 6 months in two case clinics in urban Senegal. Methods: Patient populations of the nutrition programs of the two case clinics were described quantitatively, with the infants < 6 months with severe acute malnutrition analysed in detail. Interviews with health workers and focus group discussions with mothers were analysed qualitatively on key issues for a successful program. Results: In this study outpatient treatment shows similar success rates to inpatient. Treatment duration is longer outpatient, but with similar loss to follow up. Outpatient care is perceived as more accessible, given that there is a milk supplement available. When referral is adequate, basic medical care can be done outpatient and exclusive breastfeeding can be more easily promoted. Re-lactation can be better supervised inpatient and better care can be provided for severe underlying illnesses and psychosocial problems. The community plays a key role in treating malnourished young infants because of its influence on health seeking behaviour, breastfeeding practices and its contribution to treatment and prevention. Conclusion: Regarding the magnitude of the health problem of young infant malnutrition and the strong relationship with breastfeeding practices, an outpatient community-based treatment approach should be considered.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Department:
Health Unit
Country:
Senegal, Republic of
Region:
West Africa
Training:
Master of Public Health
Category:
research
Right:
© 2016 Kieviet
Document type:
Thesis/dissertation
File:
IV9ZHk0Ed9_20171120154417377.pdf