Title: Paediatrics review. Management of severe malnutrition -- time for a change?

POPLINE Document Number: 168861

Author(s):

Alhaji M
Allen S

Source citation:

Africa Health, 2002 May;24(4):21-3.

Abstract:

According to the WHO, Protein Energy Malnutrition (PEM) affects every fourth child worldwide: 150 million (26.7%) are underweight while 182 million (32.5%) are stunted. WHO's guidelines for the management of severe malnutrition form part of the Integrated Management of Childhood Illness initiative and are well known. However, two commentaries on the implementation of the guidelines in Africa highlight several problems. Manary doubts whether widespread use would dramatically reduce case fatality rates, and Briend stressed the need to simplify the protocol for easier and reliable implementation. Both commentators agree that careful implementation of the WHO guidelines will reduce mortality. It is also clear that the condition is difficult to manage especially as the diagnosis of some of the severe complications is complex. Although the guidelines for the management of severe malnutrition are promoted as not difficult, their implementation is beyond the resources of many health institutions in Africa. New approaches to the management of severe malnutrition during famine may offer some useful insights for the endemic situation. Community-based management may also result in improved coverage and socioeconomic and educational benefits.

Keywords:

WHO
UN
International Agencies
Organizations