Project Report from the year 2010 in the subject Nutritional Science, grade: 70.00, University of Ghana, Legon (Nutrition and Food Science Department, Faculty of Science), course: Dietary Management of Diseases, language: English, abstract: Severe acute malnutrition or severe wasting is defined as weight-for-length less than - 3 SD based on WHO standards. The condition is highly prevalent in populations living in the context of poverty with concurrent disease burdens. The worldwide prevalence of severe wasting in children below five years is estimated to be 35% and 2% in Ghana. Treatment of severe acute malnutrition is either facility- or hospital-based if there are complications and appetite is poor, or community-based in the absence of complications coupled with good appetite. In order to be abreast with the treatment of severe acute malnutrition, as part of the requirement in the masters program in nutrition at the University of Ghana, a marasmic case was identified at the Princess-Marie Louis Children's hospital in Accra-Ghana, and treatment monitored for two weeks. It was found that severely malnourished children have high risk of getting infections, as tuberculosis was diagnosed in the child by the second week. For success in the treatment of severe acute malnutrition, close medical attention is very imperative.

The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.

This manual provides expert practical guidelines for the management of severely malnourished children. Addressed to doctors and other senior health workers, the manual explains exactly what must be done to save lives, achieve successful management and rehabilitation, prevent relapse, and thus give these children the greatest chance of full recovery. Throughout, the importance of treating severe malnutrition as both a medical and a social disorder is repeatedly emphasized. As successful management does not require sophisticated facilities and equipment or highly qualified personnel, the manual also performs a persuasive function, encouraging health professionals to do all they can to save these children and meet their great need for care and affection. Recommended procedures draw on extensive practical experience as well as several recent therapeutic advances. These include improved solutions of oral rehydration salts for the treatment of dehydration, better understanding of the role of micronutrients in dietary management, and growing evidence that physical and psychological stimulation can help prevent long-term consequences of impaired growth and psychological development. Noting that the physiology of malnourished children is seriously abnormal, the manual gives particular attention to aspects of management - whether involving the interpretation of symptoms or the use of specific interventions - that differ considerably from standard procedures for well-nourished children. Details range from the reasons why IV infusion easily causes overhydration and heart failure, through a list of treatments that have no value and should never be used, to the simple reminder that underarm temperature is not a reliable guide to body temperature in a malnourished child during rewarming. Further practical guidance is provided in eight appendices, which use numerous tables, charts, sample recording forms, instructions for preparing feeds, and examples of easily constructed toys to help ensure that management is thorough, safe, and in line with the latest knowledge.

The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.

This book provides clear, concise and practical guidelines for treating severely malnourished children successfully, taking into account the limited resources of many hospitals and health units in developing countries, and consistent with other WHO publications. It aims to help improve the quality of inpatient care and so prevent unnecessary deaths, and hospitals which have used these guidelines have reported substantial reductions in mortality rates.

The stories in this book are diverse, spanning five decades and playing out in different arenas, from local to global. They take place in developing countries all over the world, and they involve many sectors and disciplines beyond nutrition itself, including health, agriculture, education, social protection, and water and sanitation. Most importantly, they paint a nuanced picture of success as a context-specific achievement that may, or may not, endure into the future.

New evidence this year corroborates the rise in world hunger observed in this report last year, sending a warning that more action is needed if we aspire to end world hunger and malnutrition in all its forms by 2030. Updated estimates show the number of people who suffer from hunger has been growing over the past three years, returning to prevailing levels from almost a decade ago. Although progress continues to be made in reducing child stunting, over 22 percent of children under five years of age are still affected. Other forms of malnutrition are also growing: adult obesity continues to increase in countries irrespective of their income levels, and many countries are coping with multiple forms of malnutrition at the same time – overweight and obesity, as well as anaemia in women, and child stunting and wasting.