Management Outcome of under-five year Children with acute and severe Malnutrition attending three Paediatric Hospitals in Khartoum State

Abstract

ABSTRACT Background: Malnutrition is globally the most important risk factor for diseases and death. It contributes to more than half of deaths in children worldwide. About 54% of deaths in developing countries were among malnourished children as 2001 report . Analysis of the outpatient case load in health facilities revealed that the majority of outpatient case load were among under-five children. The nutritional indicators are still poor; the SHHS shows that underweight prevalence is 31 % and stunting is 32.5 % and those who are wasted are 14.8% (-2 SD). Significant inequalities are evident between states, for instance the stunting prevalence ranges is 8.2% in Gezira State and 30.9% in Unity state (South Sudan). Objectives:The main objective of the study was to assess the management outcome of severe acute malnutrition in children under five years‘ children so as to provide policy makers with information enable them to decide properly for management of malnutrition. Methodology: The study was a descriptive cross sectional Hospital-based study conducted in 2012 at three pediatrics hospitals (Ahmed Gasim , Mohmed Alamin Hamid hospital and Dr/ Jafer Ibn oof specialized children hospital ) in Khartoum state –Sudan . Consecutive sample was used for selecting 210 participants. Standardized administered questionnaire, study subject Record and check list was used to collect data through asking, observing and reviewing medical child record. Data were analyzed using SPSS. Results: The results showed that most of the participants were in age group between one and two years and approximately of equal genders. The outcome of the data revealed that 80.5 % were cured while 19.5% died. Conclusion: The study found that the mortality rate from malnutrition was about one fifth of the malnourished children