Hospital Management of Severely Malnourished Children: Comparison of Locally Adapted Protocol with WHO Protocol

bangladeshstudyMM Hossain, MQ Hassan, MH Rahman, A KABIR, AH Hannan AND AKMF Rahman

In Bangladesh, Treatment of severe malnutrition with locally adapted ICMH protocol using locally available foods is as efficacious as the WHO protocol.

This study compared the effectiveness of locally adapted Institute of Child and Mother Health (ICMH) protocol with the WHO protocol for the management of severely malnourished children in Bangladesh in a non-randomised clinical trial. In all, 60 severely malnourished children in a hospital were involved. The children were treated with either WHO protocol (Group I, n=30) or ICMH protocol (Group II, n=30).

The results showed that the mean (SD) weight related to gain in Group I and Group II was 11.2 (4.1) and 11.1 (3.9) g/kg/day, respectively. The weight gain was not related to the age group or type of malnutrition. The time taken for edema to subside (7.3 d vs 8 d) and for improvement of appetite (6.5 d to 7.3 d vs 6.7 d to 8.4 d) was similar between the groups. The target weight gain was achieved in 28.3 (11.5) days in Group I against 27.9 (6.2) days in Group II (P=0.88). The mortality rate was 6.7% in each group.

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2 thoughts on “Hospital Management of Severely Malnourished Children: Comparison of Locally Adapted Protocol with WHO Protocol

  1. Leo Pantu

    I am a pediatric clinical Officer and manage patients with sever malnutrition. I want to be a part of your forum to learn and provide better care for my patients in Papua New Guinea. I also want to do reseach on malnutrition.

    Thank you.

    1. reggie

      Thank you Leo Pantu for your interest in being part of this forum. The IMTF is made up of people with interest in the prevention and treatment of malnutrition, in all its forms, all over the world (Community of practice). We share our experience on our work and try to learn from each other regarding best practices. Do share any research work or your experiences from Papua Guinea from time-to-time and if you have questions, do not hesitate to ask. We have people in the community who would be able to provide answers.


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