tailieunhanh - COMMUNITY-BASED MANAGEMENT OF SEVERE ACUTE MALNUTRITION

Global GDP growth is projected to fall from the 5% achieved in the pre-recession year of 2007 and the stimulus-laden year of 2010 to a projected 3% in 2012. There is simply less growth to go around today. That means organizations have to be better than ever just to be as successful as they once were. We see some evidence of how this is impacting projects from our own Economic Pulse Survey. Results from the most recent survey show that both the percent of project cancellations as well as the percent of professional development cancellations held at relatively high levels. | COMMUNITY-BASED MANAGEMENT OF SEVERE ACUTE MALNUTRITION A Joint Statement by the World Health Organization the World Food Programme the United Nations System Standing Committee on Nutrition and the United Nations Children s Fund Severe acute malnutrition remains a major killer of children under five years of age. Until recently treatment has been restricted to facility-based approaches greatly limiting its coverage and impact. New evidence suggests however that large numbers of children with severe acute malnutrition can be treated in their communities without being admitted to a health facility or a therapeutic feeding centre. The community-based approach involves timely detection of severe acute malnutrition in the community and provision of treatment for those without medical complications with ready-to-use therapeutic foods or other nutrient-dense foods at home. If properly combined with a facility-based approach for those malnourished children with medical complications and implemented on a large scale community-based management of severe acute malnutrition could prevent the deaths of hundreds of thousands of children. Nearly 20 million children under five suffer from severe acute malnutrition Severe acute malnutrition is defined by a very low weight for height below -3 z scores1 of the median WHO growth standards by visible severe wasting or by the presence of nutritional oedema. In children aged 6-59 months an arm circumference less than 110 mm is also indicative of severe acute malnutrition. Globally it is estimated that there are nearly 20 million children who are severely acutely Most of them live in south Asia and in sub-Saharan Africa. Severe acute malnutrition contributes to 1 million child deaths every year Using existing studies of case fatality rates in several countries WHO has extrapolated mortality rates of children suffering from severe acute malnutrition. The mortality rates listed in the table at right reflect a 5-20 times .

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