IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-9-4-24879 Original Research Paper Management of malnourished children (1-5years) with home-based and facility based intervention on nutritional status of malnourished Children: A comparative study Kaur Dr. Suresh Kumar Dr. April 2020 9 4 01 02 ABSTRACT

Children are the delicate flowers who wilt away before they bloom due to the life threatening diseases. These diseases are responsible for mortality of under five children for which malnutrition is the major cause. The literature reveals that malnutrition can be managed by different strategies. Hence the present study was undertaken with an objective to identify 1–5 years children with malnutrition, to assess the feeding practices of children, to develop, implement and compare the effectiveness of protocols for home–based and facility based intervention to combat malnutrition in Dhanas, UT Chandigarh. Ethical approval was obtained from Institute Ethics Committee, PGIMER, Chandigarh and permission was taken from Director of Social Welfare Department and written informed consent was obtained from mothers. Dhanas was divided in two areas and by lottery method the area was randomized for Home Based and Facility Based Intervention. Purposive sampling technique was used to select samples and list of malnourished children was taken from Anganwadi centers. Total 152 children were enrolled (75 in facility based and 77 in home based intervention). Data was collected in 3 phases in August–November 2017 (pre– assessment, intervention phase and Evaluation phase). Pre assessment of feeding practices was done by using interview schedule and nutritional status was assessed by using weight for age chart in both groups. In intervention phase health teaching was given one to one in their own home settings in HBI group, Demonstration on cooking of nutritious food was given and booklet was given for dietary references. In FBI group intervention was given to a group of 3–4 mothers at Anganwadi centre near their houses. They were given health teaching, demonstration on cooking of nutritious food and booklet for dietary references. Mothers were asked to maintain diary of food given to children throughout the day in both groups. Five follow–ups were done in both group for reinforcement and to assess feeding practices. Diary was checked during each follow–up. Anthropometric measurement of malnourished children was done at the end of each month. The results showed that there was significant improvement in the nutritional status (weight) of malnourished children in both the groups. Improvement in relation to anthropometric parameters (weight, height, MUAC) was more in HBI group and improvement related to feeding practices and using anganwadi services was more in FBI group. Hence both the strategies are equally effective to combat malnutrition. The protocol to combat malnutrition can be used by nurses and other health professionals working in community.