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Efficacy of Micronutrient Fortified Supplementary Foods (Ready to Cook and Ready to Eat) and Take-Home Ration (THR) in children with Moderate Acute Malnutrition (MAM) using Community Based Approach
Abstract
Full Text
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Volume
17
, Issue
1
January-March 2020
Pages: 1-7
ARTICLE HISTORY
Received 10 December 2019
Accepted 22 January 2020
DOI:
https://doi.org/10.7199/ped.oncall.2020.19
CITE THIS ARTICLE
Ramchandran P, Patel N, Swaminathan H, Jadhav A, Shinde P, Karnik P, Parthasarathy D, Shah N G. Efficacy of Micronutrient Fortified Supplementary Foods (Ready to Cook and Ready to Eat) and Take-Home Ration (THR) in children with Moderate Acute Malnutrition (MAM) using Community Based Approach. Pediatr Oncall J. 2020;17: 1-7. doi: 10.7199/ped.oncall.2020.19
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ORIGINAL ARTICLE
Efficacy of Micronutrient Fortified Supplementary Foods (Ready to Cook and Ready to Eat) and Take-Home Ration (THR) in children with Moderate Acute Malnutrition (MAM) using Community Based Approach
Pushkala Ramchandran
1
, Nikita Patel
1
, Harini Swaminathan
1
, Alka Jadhav
2
, Priyanka Shinde
2
, Prachi Karnik
2
, D Parthasarathy
3
, Narendra G Shah
3
.
1
Centre for Technology Alternatives for Rural Areas, IIT Bombay, India,
2
Department of Paediatrics, LTMGH, Sion, Mumbai, India,
3
Humanities and Social Sciences, IIT Bombay, India.
Show affiliations
Abstract
Aim:
To compare the efficacy of formulated fortified supplementary foods: ready-to-cook (RTC) and ready-to-eat (RTE) with government take home ration (THR) in children with moderate acute malnutrition (MAM).
Methods and Materials:
This randomised controlled trial (RCT) was conducted in Anganwadis of Dharavi, Mumbai, India. The Anganwadis were clustered and assigned under treatment (children received RTC or RTE) and control groups (children who consumed THR). MAM children were divided into two groups, i.e. 6-24 and 25-60 months of age. Of 5,667 children screened, 324 were enrolled. Younger children received 250-300 kcal and 10-12 g proteins per day and the older children received 450-500 kcal and 12-15 g proteins per day. Intervention was carried out for 3 months with a follow up of 3 months. Weight, height and Mid Upper Arm Circumference (MUAC) were monitored.
Results:
In treatment group, weight gain was 0.75 g/kg/d whereas in control group it was 0.52 g/kg/d at the end of 3 months (p=0.01). With micronutrient fortified foods in combination with nutrition counseling, 39.2% of children with MAM recovered.
Conclusion:
The weight gain was higher in the treatment group who consumed the micronutrient fortified foods compared to the control group children who consumed THR.
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