A Case Study on Severely Acute Malnourished (SAM) Patients in Lakshmipur General Hospital, Bangladesh
Asian Research Journal of Gynaecology and Obstetrics,
Background: Childhood malnutrition remains as one of the major health concerns in Bangladesh though the country has been a leading figure in tackling childhood malnutrition all over the world in the last couple of decades. Despite of unprecedented development, the childhood malnutrition in this country is very prevalent and severe stunting of 9% is among the major indicators which articulates the whole scenario. Therefore this case study attempted to find out the severity of severely acute malnourished (SAM) patients admitted to Lakshmipur Sadar Hospital, Bangladesh by considering their relationship with their socioeconomic, knowledge and facilities they could afford.
Methods: This was a case study of 7 SAM patients who admitted to this hospital during the period of April-June 2018. Data was analyzed in Emergency Nutritional Assessment (ENA) software to calculate and WHO reference was used to compare. A questionnaire was used to collect background information from caregivers.
Case Presentation: The age of the SAM patients were between 6-36 months while they were getting treated in hospital in acute and rehabilitation phase; 4 of them had pitting edema. All the patients were severely underweight (WAZ<-3sd), stunted (HAZ<-3sd) and 4 of them were severely wasted (WHZ<-3sd). All the patients had common symptoms of a SAM patient, the mother’s basic nutritional knowledge and socioeconomic conditions were found to be poor and therefore were having very limited opportunities of healthcare facilities.
Conclusion: Though more in-depth research is required to have any proper conclusion; however this case study does warrant a strong issue towards improvement of nutritional knowledge, socioeconomic conditions and healthcare access and utilization which in turns affect the nutritional status of the poor babies. Proper targeted and context specific intervention is, hence, necessary to improve the nutritional status of the severely malnourished children.
- Childhood malnutrition
- severely acute malnourished
How to Cite
Mena MB, Dedefo MG, Billoro BB. Treatment outcome of severe acute malnutrition and its determinants among pediatric patients in West Ethiopia. International journal of pediatrics; 2018.
Shams Z, Zachariah R, Enarson D, Satyanarayana S, Van den Bergh R, Ali E, et al. Severe malnutrition in children presenting to health facilities in an urban slum in Bangladesh. Public Health Action. 2012;2(4):107-11.
Das S, Gulshan J. Different forms of malnutrition among under five children in Bangladesh: a cross sectional study on prevalence and determinants. BMC Nutrition. 2017;3(1):1.
National Institute of Population Research and Training (NIPORT) aID, Bangladesh, and Rockville, Maryland, USA: NIPORT,and ICF. Bangladesh Demographic and Health Survey 2017-18: Key Indicators; 2019.
Kabir MR, Rahman M, Al Mamun MA, Islam H. Prevalence of malnutrition and associated factors affecting the nutritional status of Adivasi (tribal) children aged 24-59 months in Bangladesh. Asian Journal of Medical and Biological Research. 2018; 4(2):178-85.
Gragnolati M, Bredenkamp C, Shekar M, Das Gupta M, Lee Y-K. India's undernourished children: A call for reform and action: The World Bank; 2006.
Jamro B, Junejo AA, Lal S, Bouk GR, Jamro S. Risk factors for severe acute malnutrition in children under the age of five year in Sukkur. Pakistan Journal of Medical Research. 2012;51(4):111.
Ashworth A. Efficacy and effectiveness of community-based treatment of severe malnutrition. Food and nutrition bulletin. 2006;27(3_suppl3):S24-S48.
Black RE, Allen LH, Bhutta ZA, Caulfield LE, De Onis M, Ezzati M, et al. Maternal and child undernutrition: Global and regional exposures and health consequences. The Lancet. 2008; 371(9608):243-60.
Chowdhury MRK, Rahman MS, Khan MMH, Mondal MNI, Rahman MM, Billah B. Risk factors for child malnutrition in Bangladesh: A multilevel analysis of a nationwide population-based survey. The Journal of pediatrics. 2016;172:194-201, e1.
Puett C, Coates J, Alderman H, Sadler K. Quality of care for severe acute malnutrition delivered by community health workers in southern Bangladesh. Maternal & child nutrition. 2013;9(1):130-42.
Rayhan MI, Khan MSH. Factors causing malnutrition among under five children in Bangladesh. Pak J Nutr. 2006; 5(6):558-62.
Abstract View: 2438 times
PDF Download: 649 times