Assessment of community management program of acute malnutrition under five year in Alsuki locality, sinner state, Sudan

Abstract

This study is conducted in Al-Suki locality - Sinnar State - Sudan. its aim to evaluate the effectiveness of the community-based treatment program for acute malnutrition inchildren less than five years old in Al-Suki locality during March to October 2017. The case study methodology was used. A closed-question questionnaire was used to collect data on the demographic, social and economic characteristics of the family, the pediatric history, immunization coverage and anthropometric measurements health records and discussions with health staff, volunteers are discussed. A sample of (756) children was selected, representing 100% of the original community (353 males and 403) at a rate of females (47%) and (53%) respectively. (40%) of children were found with severe acute malnutrition and (60%) of children with moderate severe malnutrition in the period from March to October (2017). Most of the children were in the age group (13 - 18) months and (6 - 12) months, at (46.8%) and (38.2%) respectively.The survival rate in the program was 79.1% and the escape rate was 20.4%, 0.4 % of the children who did not respond to treatment and 0.1% death cases. The main causes of malnutrition proved to be the high incidence of diarrhea, respiratory infection and malaria (48%), (25.5%) and (25.8%) respectively, where the main health problems are admitted to hospital attributed to the low rate of absolute breastfeeding as it reached (11.1%) due to wrong eating habits. The education level of parents showed a low rate of education level of mothers and fathers as the illiteracy rate reached (6.5%) and Khalwa (28.4%), (8.4%) and Khalwa (40.6%) respectively, and that most of the families belonged to a lower level of income). Severe wasting, underweight and stunting reached (40.2%), (32.7%) and (42%), respectively, were found to be severe wasting, underweight and stunting (31.4%), (41.8%), (35.1%), respectively. (3SD->) The study recommended to increase the weekly and monthly educational courses, intensify home visits to know the methods of treatment and detect the causes of escape, absence and lack of access to the center, open new centers to ensure continuity of service..