Outpatient treatment for severe acute malnutrition under 6 months: a descriptive case study from Senegal
Tabitha D. Van Immerzeel1,&, Maty D. Camara2
1Medico-Social Centre Keru Yakaar, Dakar, Senegal, 2Department of Nutrition and Alimentation, Ministry of Health, Senegal
Tabitha D. Van Immerzeel, Medico-Social Centre Keru Yakaar, Dakar, Senega
severe acute malnutrition (SAM) is equality prevalent in infants under 6 months as in older age groups but bears more risks. Treatment is mostly done inpatient, although the 2013 World Health Organization (WHO) revised guideline gives outpatient treatment for non-complicated cases as an option. In order to study outpatient treatment for SAM under 6 months, a case clinic in Senegal is retrospectively described.
data were collected in a large urban primary care service in Dakar, Senegal. This clinic uses an outpatient approach for non-complicated SAM in infants under 6 months. WHO admission and referral criteria are followed, cup and spoon feeding is used as supplementary feeding technique, with infant formula as a milk supplement. Data on patient characteristics and treatment outcomes were collected retrospectively on all infants under 6 months with SAM treated from 1st of January 2013 to the 1st of September 2015.
60 infants under 6 months with SAM were treated in the 32 month period. 38% of patients came from outside the health district. 35% had an acute illness at admission (mostly diarrhea or respiratory infection). Remarkable was the high percentage of twins or triplets (24%) as well as infants born with low birth weight (57%). Of 16% the mother was sick or had died. Underlying (congenital) illnesses were relatively frequent (16%), for which some followed specialized treatment simultaneously. The treatment duration was long with 49 days as a mean. 39 (65%) were treated with success, 4 were transferred. The high rate of infants on supplementary feeding at discharge (79%) was concerning.
outpatient treatment for infants with SAM under 6 months can be done successfully. Treatment should be adapted to meet the needs of this diverse patient group in order to make treatment duration shorter and supplementary feeding given appropriately.
Dates: 15 Dec 17 - 16 Dec 17
Venue: Hotel Ngor Diarama
Contact person: Dr. Laurent Hiffler (email@example.com)