The Pattern of Prevalence of Severe and Moderate Acute Malnutrition among Under-Five Children of Three Counties in a War-Torn Lakes State South Sudan
Abstract:
The prevalence of Severe
Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM) of under-five children,
in south Sudan is reportedly high and is being aggravated by various negatives factors.
The situation has attracted the attention of various international organizations
like World Food Programme (WFP), United Nations Children Emergency Fund (UNICEF),
and other International Non-governmental Organizations (INGOs), for possible interventions.
However, there are scarce study reports on the current prevalence pattern of SAM
and MAM among under-five children, as it may assist in the implementation of nutrition
therapy programme implemented by these humanitarian organizations.
A retrospective cohort
study was conducted by collecting thirty six (36) month reported data of SAM and
MAM of under-five children, from District Health Information Software (DHIS)-the
standard source of health information in south Sudan, across three years; 2014,
2015 and 2016 for three counties, and was analysed using SPSS. Findings revealed
statistical significant differences in SAM and MAM within each county and among
the three counties across the three years. The results further revealed that there
was rising median values of SAM and MAM among the counties across the three years.
It was suggested that adequate pre-intervention survey should be conducted, reducing
local government’s sentiments and infiltration during screening exercise for malnutrition
among under-five children, ensuring peace in south Sudan, and conduct of post-intervention
surveys for feed-backs, may serve as a clue towards implementing an effective and
efficient nutrition therapy programme in the war-torn Lakes State of south Sudan.
Keywords:
Prevalence pattern, Malnutrition, SAM, MAM.
References:
[1].
Abdalla MA, Saad A, Abdullahi HE, Abdul Gader
H (2009). Socio-economic aspects influencing food consumption patterns among children
under age of five in rural area of Sudan. Pak. J. Nutr. 8:653-659.
[2].
Adair, L. S., Fall, C. H., Osmond, C., Stein, A. D., Martorell,
R., Ramirez-Zea, M., Sachdev, H. S., Dahly, D. L., Bas, I., Norris, S. A., Micklesfield,
L., Hallal, P. &Victora, C. G. (2013): Associations of linear growth and relative
weight gain during early life with adult health and human capital in countries of
low and middle income: findings from five birth cohort studies. Lancet, 382,
525-34.
[3].
Agozie C Ubesie, N. S. (
2012). Malnutrition Admitted at the University of In Nigeria Teaching HOSPITAL,
Enugu: 10years retrospective review. . NutritionJournal, 1.
[4].
Ahmed, F. .. (2014). Effects
of malnutrition under five years of age and its complications. Carechallenge
.
[5]. Ahmed,
T., Auble, D., Berkley, J.A., Black, R., Ahern, P.P., Hossain, M., Hsieh, A., Ireen,
S., Arabi, M., Gordon, J.I. (2014). An evolving perspective about the origins of
childhood undernutrition and nutritional interventions that includes the gut microbiome.
Annals of the New York Academy of Sciences. 1749-6632. http: //dx.do i.org/10. 1111/nya
s.12487
[6].
Amy L. Rice, L. S. (2000).
Malnutrition as an underlying cause of childhood deaths associated with infectious
diseases in developing countries. Bulletin of the World Health Organisatioon.
[7].
Ashworth, A.; Ferguson, E. (2009). “Dietary
Counselling in the Management of Moderate Malnourishment in Children.” Food and
Nutrition Bulletin.2009, 30 (Suppl. 3):S405–S433Bachmann.
[8].
Black RE, Allen LH, Bhutta ZA, Caulfield
LE, Onis M, Ezzati M, Mathers C, Rivera J (2008). Maternal and child under nutrition:
global and regional exposures and health consequences. Lancet 371:243-260.
[9].
Checchi, F. & Robinson, W. C. (2013). Mortality among populations
of southern and central Somalia affected by severe food insecurity and famine during
2010-2012. Rome, Washington.
[10]. De-Onis
M, Blössner M, Borghi E, Morris R, Frongillo E (2004a). Methodology for estimating
regional and global trends of child malnutrition. International Journal of Epidemiology
(in press).
[11]. Lehmann
A.B. (1991). Nutrition in old age: an update and questions for future research:
part I. Reviews in Clinical Gerontology 1, 135-145.
[12]. Mwanza,
K.M, Okop J, Puoane T (2016): Evaluation of outpatient therapeutic programme for
management of severe acute malnutrition in three districts of the eastern province,
Zambia
[13]. Neitzel
J (2011). The targeted supplementary feeding programme
[14]. Stephan
LS, Lathum MC, Ohesen EA (2000).Global malnutrition. Parasitology 121:55-22.
[15]. UNICEF
(2014). Chief of Strategic Communication, UNICEF South Sudan. www.unicef.org
[16]. UNICEF,
WHO & World-Bank (2012).UNICEF-WHO-World Bank Joint Child Malnutrition Estimates.
(UNICEF, New York; WHO, Geneva; The world Bank, Washington, DC).
[17]. VOA (2016).
Child malnutrition crisis deepens in South
Sudan http://www.voanews.com/a/child-malnutrition-crisis-deepens-in-south-sudan/3451608.html.
[18]. WFP (2015).
UNICEF and WFP resolve to defeat malnutrition in South Sudan.
[19]. WHO (2000)
World Health Organization, Dept of Nutrition for Health and Development. Nutrition
for health and development: A global agenda for combating malnutrition. WHO.
[20]. WHO, (2003)
“The Management of Nutrition in Major Emergencies”.
[21]. WHO 2013:
Guideline update: Technical aspects of the management of severe acute malnutrition
in infants and children. Geneva: World Health Organization; 2013.
[22]. WHO and
UNICEF. 2009. WHO child growth standards
and the identification of severe acute malnutrition in infants and children: A
Joint Statement by the World Health Organization and the United Nations Children’s
Fund. Geneva: WHO.
[23]. WHO, (2003)
“The Management of Nutrition in Major Emergencies”
[24]. WHO, WFP,
UN/SCN, UNICEF. (2007). Community-Based Management of Severe Acute Malnutrition.
A Joint Statement by the World Health Organization, the World Food Programme, the
United Nations System Standing Committee on Nutrition and the United Nations Children’s
Fund (UNICEF). New York: UNICEF. May 2007.
[25]. WHO. (2012).
Technical Note: Supplementary Foods for the Management of Moderate Acute Malnutrition
in Infants and Children 6–59 Months of Age. Geneva: WHO.