Health Condition 1: E43- Unspecified severe protein-caloriemalnutrition
Conditions
Interventions
Intervention1: Locally produced energy dense food: Telangana: Balamrutam+ under ICDS provision (composition- whole wheat, Bengal gram, roasted groundnut, Jaggery, vegetable oil and added vitamin & min
Sponsors
Prof Praveen Kumar
UNICEF
Eligibility
Inclusion criteria
Inclusion criteria: (i) Children aged 6-59 months fulfilling anthropometric as SAM as WHZ less than -3SD and (ii) No medical complications and (iii) Passed the appetite test and (iv) Families are not planning to migrate out of the study area during the treatment period. Note: However, if an enrolled child develops medical complication during the course of their treatment under the CSAM programme they will be referred to inpatient care and continue to be monitored in the study. Additional Inclusion criteria for sub-set for body composition (a) Informed consent will be taken from parents of the children for assessing body composition parameters before enrollement. (b) Enrollment weight greater than 5kg
Exclusion criteria
Exclusion criteria: (i) Children with SAM identified with complications (including all grades of edema) during screening will be referred to the nearest nutrition rehabilitation centres (NRCs) for management. (ii) Children with presence of emergency signs, edema, high fever, cough with fast breathing (iii) Secondary SAM cases like neurological diseases such as cerebral palsy, TB, HIV congenital heart defects, congenital structural defects , cleft palate will be excluded (iv) Children referred from NRC in CMAM Programme with partial recovery (v) Defaulters from other programmes / FSAM programmes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recovery of enrolled uncomplicated Severe Acute Malnourished childrenTimepoint: At enrollment and after 12 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Body composition parameters fat mass by skinfold thickness and fat free mass, body water by BIATimepoint: At enrollment and after 12 weeks;Defaulting, death, length of stay, average weekly weight gain and height gainTimepoint: After 12 weeks of enrollment;Relapse and mortality ratesTimepoint: Six months after exit from the programme | — |
Countries
India
Contacts
Public ContactProf Praveen Kumar
Kalawati Saran Children Hospital
Outcome results
None listed