HEALTH PROFILE OF CHILDREN ADMITTED TO NUTRITION REHABILITATION CENTRE(NRC) IN A TERTIARY CARE HOSPITAL

Supakar Sanjeev; Mishra Kaushik; Panda Swarupa; Satapathy Sanjaya Kumar

Volume : IX, Issue : IX, September - 2019

HEALTH PROFILE OF CHILDREN ADMITTED TO NUTRITION REHABILITATION CENTRE(NRC) IN A TERTIARY CARE HOSPITAL

Supakar Sanjeev, Mishra Kaushik, Panda Swarupa, Satapathy Sanjaya Kumar

Abstract :

Malnutrition has been acknowledged as a major public health challenge across the globe affecting individual of all age groups. However, the maximum unt of the problem is seen to be on the growing children. Malnutrition which often refers to under nutrition in our context, is a consequence of several key social & economic factors such as lack of awareness & education, inadequate health care services, poor health seeking behaviour & faulty cultural practices. Many programmes are in place to combat under nutrition of which Nutrition Rehabilitation Centre(NRC)is one of the important facility based intervention programme. In the present study an attempt has been made to assess the health profile of children admitted to NRC in a tertiary care hospital. Objective:1. To study the hospital based prevalence of SAM children, 2. To study the morbidity profile of children admitted to NRC and 3. To identify gaps if any and suggest remedial measures. Material & Methodology:–This was a Record based retrospective study at NRC, SLNMCH, Koraput undertaken during the period 01.04.2019 to 30.06.2019.Data for the Reference period 01.04.2016 to 31.03.2019 were collected from the NRC database with the help of a Pre–designed schedule. The data thus collected were analyzed by SPSS Version 21. Results:– Out of 622 study subjects,322(52%) were male child and 300(48%) were female child. The range of age was less than one month to 59 months. The mean age of attendees was 14.93± 11.05 months. Maximum, that is,65.3% study subjects were ST. Common reasons for admission to NRC were cough 112(18%),Loss of appetite(16.6%),fever(12,7%),severe anaemia(7.4%),Diarrhoea(4.8%),Any other(6.8%) and If parents unable to care(5.9%). Out of 520 study subjects 436(83.8%)were SAM children having MUAC <11.5 cm. Out of 622 study subjects, data on z score both at the time of admission & discharge was available in case of 600 study subjects. At the time of admission out of 600 study subjects, 29(4.8%) had Z score between ≤–1 to≥ 2; 96(16%) had Z score between ≤–2 to≥ 3; 300(50%) had Z score between ≤–3 to ≥ 4 and 175(29.2%) had Z score between≤–4 to ≥ 5. . Maximum, that is 215(34.5%) were referred from RBSK followed by 202(32.4%) by MOs, 76(12.2%) by ASHA, 67(10.7%) by AWW & lastly 62(10.2%) from other sources. Nearly 99 % of NRC attendees were from Koraput. Conclusion: Among admitted children male and female ratio were almost same. The mean age of attendees was 14.93 months. Most of them(65.3%) belong to schedule tribe. Children admitted to NRC were referred mostly from RBSK(37.6%) and Medical officers(36.17%).Reasons for admission among inmates were commonly due to cough related problems(18%),loss of appetite(16.6%) and fever(12.7%).Most of the referral i.e 614(98.8%) were from different block of Koraput district.