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Trends of Community-based Management of Acute Malnutrition (CMAM) Performance in Nepal 2009-2014

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Last Modified
  • November 22, 2019
Creator
  • Kunwar, Manju
    • Gillings School of Global Public Health, Department of Maternal and Child Health
Abstract
  • Background: Nearly 1 million child deaths occur due to Severe Acute Malnutrition (SAM) annually in South Asia and Sub-Saharan Africa. Hence, CMAM Program in Nepal was started in 2009 to increase the access to treatment for acutely malnourished children 6-59 months of age by providing appropriate nutrition services in the communities residing in 11 districts. The current study aims to analyze the trends of CMAM Performance indicators (program admission, discharge categories, recovery and non-recovery) in 11 priority districts. Methods: Secondary quantitative data were analyzed to see the prevalence of SAM across 11 districts. District-wise and year-wise comparison of discharge categories and the average monthly trends in admission were also studied. Results: Out of a total 30,562 admissions in all 11 districts, the highest number of admissions was 6,451 in Kanchanpur district. Trend analysis showed that the highest number of admissions occurred during April after vitamin A campaign in March. All SPHERE Minimum Standards for CMAM program outcomes exceeded in all districts with overall recovery rate of 85.4%, death rate of 0.4% and default rate of 10%, with the exception of Dhanusha and Sarlahi districts. Conclusions: Despite differences in accessibility to health facilities and duration of the programs by district, the overall CMAM performance indicators were achieved beyond the target level set in the national guidelines for all districts. The high quality of services rendered by the health workers in Outpatient Therapeutic Program (OTP) centers and Stabilization Centers (SCs) in health posts have reduced the number of SAM cases in all 11 districts.
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Rights statement
  • In Copyright
Note
  • Paper type: Other
Advisor
  • Bloom, Shelah S.
Degree
  • Master of Public Health
Degree granting institution
  • University of North Carolina at Chapel Hill
Graduation year
  • 2016
Language
Deposit record
  • cb72f0be-e6ff-484a-bcaf-52dfe2726cd0
Date uploaded
  • April 7, 2016

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