Family Centered Developmental Intervention on Severely Acutely Malnourished Children
Severly Acutely Malnourished Children
About this trial
This is an interventional other trial for Severly Acutely Malnourished Children
Eligibility Criteria
SAM children who were admitted for medical treatment and nutritional rehabilitation after being confirmed by physicians to be severely acutely malnourished.
Inclusion criteria were:
- children between 6 to 60 months of age
- of Transition Phase i.e., Phase II (no medical complications) and, whose wasting was severe (weight for height or weight for length less than 70% of the median on National Centre for Health Statistics of USA; or
- with a low mid upper arm circumference (MUAC), i.e., less than 110 mm with a length greater than 65 cm; or,
- having bilateral pitting edema,
Exclusion criteria were:
SAM children
- who were completely deaf or blind,
- who had complications that hinder mobility for play,
- whose primary caregiver was not able to provide stimulation due to physical or mental disability,
- who were from far or inaccessible distance for follow-up
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Other
Other
SAM intervention group
SAM control Group
Children in the intervention group received routine medical treatment and nutritional rehabilitation services in hospital; their primary caregivers were given basic orientations on child care, feeding and nutrition. Children attended play-based stimulation sessions in which trained nurses demonstrated caregivers on how to stimulate the SAM child using play materials and facilities at playroom and playground of the hospital. After discharge from hospital, they were followed up at home and visited three times over a period of six months. During the visits, new play materials were provided and caregivers were shown how to use them to stimulate the SAM child.
The control children received routine medical treatment and nutritional rehabilitation services in hospital. Though they had access to playground facilities neither the control children nor their caregivers had access to the playroom materials and the basic orientation on child care, feeding and stimulation.