Falling between two stools: Operational inconsistencies between ICDS and NRHM in the management of severe malnutrition

被引：18

作者：

V. Prasad

D. Sinha

S. Sridhar

机构：

[1] Public Health Resource Network, Shapur Jat, New Delhi 110 049

[2] Independent Public Health Researcher, New Delhi

[3] Pediatrician and Consultant Public Health, New Delhi

来源：

Indian Pediatrics | 2012年 / 49卷 / 3期

关键词：

INDIAN Pediatric; Severe Malnutrition; Severe Acute Malnutrition; National Rural Health Mission; Community Base Management;

D O I：

10.1007/s13312-012-0053-1

中图分类号：

学科分类号：

摘要：

There has been a welcome interest in the issue of malnutrition by policy makers as well as technical experts in the recent years. The current public health systems for management of malnutrition, the ICDS and NRHM, have attempted to evolve approaches to the management of severe malnutrition. This paper makes a fresh analysis of data from well-accepted existing sources, indicating that 36- 44% of all children with Severe Acute Malnutrition (SAM) are likely to be missed by current criteria of screening and referral; simultaneously, a large proportion of children selected for referral to Nutritional rehabilitation centres are likely not to have SAM. The paper also highlights other areas of inconsistencies between the ICDS and the NRHM in the continuum of care required for the prevention and proper management of severe malnutrition. Thus, the paper identifies areas that need further exploration to achieve a seamless and effective program for tackling severe malnutrition.

引用

页码：181 / 185

页数：4

共 14 条

[1]

WHO child growth standards and the identification of severe acute malnutrition in infants and children, A Joint Statement, (2009)

[2]

Severe Acute Malnutrition

[3]

Annual Report 2010-11. Department of Health and Family Welfare, Ministry of Health and Family Welfare, (2011)

[4]

Bhatnagar S., Lodha R., Choudhury P., Sachdev H.P.S., Shah N., Narayan S., Et al., IAP Guidelines on hospital based management of severely malnourished children, Indian Pediatr, 44, pp. 443-461, (2007)

[5]

World H.O., Management of Severe Malnutrition: A Manual for Physicians and Other Senior Health Workers, (1999)

[6]

Guidelines for the Inpatient Treatment of Severely Malnourished Children, (2003)

[7]

Bengoa J.M., Nutritional rehabilitation, Nutrition in Preventive Medicine, (1976)

[8]

Collins S., Dent N., Binns P., Bahwere P., Sadler K., Hallam A., The management of severe acute malnutrition in children, Lancet, 368, pp. 1992-2000, (2006)

[9]

How should India approach the management of severe acute malnutrition? A Position Paper, Social Medicine, 4, pp. 40-44, (2009)

[10]

Community-based Management of Severe Acute Malnutrition: A Joint Statement

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