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A Follow-up Experience of 6 months after Treatment of Children with Severe Acute Malnutrition in Dhaka, Bangladesh

Ashraf, Hasan ; Alam, Nur H. ; Chisti, Mohammod J. ; Mahmud, Sayeda R. ; Hossain, Md. I. ; Ahmed, Tahmeed ; Salam, M. A. ; Gyr, N.

In: Journal of Tropical Pediatrics, 2012, vol. 58, no. 4, p. 253-257

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    Title
    • A Follow-up Experience of 6 months after Treatment of Children with Severe Acute Malnutrition in Dhaka, Bangladesh
    Author
    • Ashraf, Hasan. International Centre for Diarrhoeal Disease Research (ICDDR), Clinical Sciences Division, Bangladesh
    • Alam, Nur H.. International Centre for Diarrhoeal Disease Research (ICDDR), Clinical Sciences Division, Bangladesh
    • Chisti, Mohammod J.. International Centre for Diarrhoeal Disease Research (ICDDR), Clinical Sciences Division, Bangladesh
    • Mahmud, Sayeda R.. International Centre for Diarrhoeal Disease Research (ICDDR), Clinical Sciences Division, Bangladesh
    • Hossain, Md. I.. International Centre for Diarrhoeal Disease Research (ICDDR), Clinical Sciences Division, Bangladesh
    • Ahmed, Tahmeed. International Centre for Diarrhoeal Disease Research (ICDDR), Clinical Sciences Division, Bangladesh
    • Salam, M. A.. International Centre for Diarrhoeal Disease Research (ICDDR), Clinical Sciences Division, Bangladesh
    • Gyr, N.. University of Basel, Switzerland
    Document Type
    • Postprint
    Language
    • English
    Published in
    • Journal of Tropical Pediatrics, 2012, vol. 58, no. 4, p. 253-257. Oxford University Press
    Other Version
    OAI-PMH Identifier
    • oai:doc.rero.ch:293937
    Summary
    Aim: As there is lack of information about what happens to children after recovery from severe acute malnutrition (SAM), we report their relapse, morbidity, mortality and referral during follow-up period. Methods: From February 2001 to November 2003, 180 children completing acute and nutrition rehabilitation (NR) phases of protocolized management were advised for 6-months follow-up. The mean (SD) age was 12 (5) months, 55% were infants, 53% were male and 68% were breast-fed. Results: The follow-up compliance rate dropped from 91% at first to 49% at tenth visit. The common morbidities following discharge included fever (26%), cough (24%) and diarrhoea (20%). Successful follow-up done in 124 children [68.9% (95% CI 61.8-75.2%)], partial follow-up in 45 [25% (95% CI 19.2-31.8%)], relapse in 32 [17.8% (95% CI 12.9-24%)] and 5 [2.8% (95% CI 1.2-6.3%)] died. Conclusion: Our findings highlight need for follow-up as part of overall management of SAM and recommend an effective community follow-up