i ASSESSMENT OF PERFORMANCE OF COMMUNITY MANAGEMENT OF ACUTE MALNUTRITION IN BATSARI LOCAL GOVERNMENT AREA OF KATSINA STATE, NIGERIA.
i ASSESSMENT OF PERFORMANCE OF COMMUNITY MANAGEMENT OF ACUTE MALNUTRITION IN BATSARI LOCAL GOVERNMENT AREA OF KATSINA STATE, NIGERIA.
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Date
2015-09
Authors
BELLO, Usman
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Abstract
Community Management of Acute Malnutrition (CMAM) is a community-based integrated approach to management of acute malnutrition. Retrospective and on the spot (present) assessment of performance of community management of acute malnutrition program was carried out in two Outpatient Therapeutic Programme (OTP) centers at Wagini and Batsari communities of Batsari local government area of Katsina state with the aim of assessing the performance of the programme in the locality. Access, coverage and other performance indicators of CMAM programme, biochemical and haematological parameters of 435 children with Severe Acute Malnutrition (SAM) and relapse rate among SAM children were among the indices assessed using standard methods. For the retrospective study, data already available at the OTP centers were collected and used while for the present study, severe acute malnourished children admitted into the OTP were monitored for 8 week period within which their anthropometric and biochemical data were collected. All the indices measured for the assessment of coverage: Point (95.66%), treatment (87.70%) and period (96.26%) were significantly (p<0.05) higher than the 50% (rural coverage) and 70% urban coverage stipulated by the SPHERE standard and there was no significant difference (p>0.05) in the coverage data between the retrospective study and present study. The performance indices: cure rate (93.19%), death rate (5.65%), default rate (13.27%) and non-recovery rate (3%) are classified as good performance when compared with SPHERE standard. There were also no significant differences (p> 0.05) among the performance indices in the retrospective and present study. There was also a notable steady improvement in the growth performance and recovery indices (MidUpper Arm Circumference Weight forheight and Oedema) among the SAM children admitted to the OTP Centers for the 8 week period. Similarly, significant (p<0.05) improvements were recorded in the biochemical and haematological indices determined (Packedcellvolume, Haemoglobin concentrations, Serum albumin and glucose concentrations) in both study groups at the point of discharge and the average relapse rates determined for SAM children at both OTP centers was 10%. From these results, the CMAM programme in Batsari LGA of Katsina State is running well in alleviating the SAM burden in the coverage area
Description
A THESIS SUBMITTED TO THE SCHOOL OF POSTGRADUATE STUDIES, AHMADU BELLO UNIVERSITY, ZARIA IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE AWARD OF A MASTER DEGREE IN NUTRITION. DEPARTMENT OF BIOCHEMISTRY FACULTY OF SCIENCE AHMADU BELLO UNIVERSITY, ZARIA NIGERIA
Keywords
ASSESSMENT,, PERFORMANCE,, COMMUNITY MANAGEMENT,, ACUTE MALNUTRITION,, BATSARI LOCAL GOVERNMENT AREA,, KATSINA STATE,, NIGERIA