Quality Assessment of Management of Severe Acute Malnutrition with Complications at the URENI of Kati Reference Health Center 2022

Abstract

Introduction: Child malnutrition is a major public health problem in low- and middle-income countries. Mali, like its Sahelian neighbors, is structurally exposed to food and nutrition crises, aggravated by the security crisis.

Methodology: We conducted a cross-sectional, descriptive study from January 01 to December 31, 2022 at the URENI of the Kati referral health center. Data were analyzed using SPSS version 25.0 software.

Results: Ninety-four children aged 0-59 months participated in this study. The 6-11 months age group was the most affected by malnutrition with 37.2%. Females were the most dominant sex. Marasmus was the clinical form most frequently encountered in these children, with 69.1%. Diluted F-75 and F100 milk were the nutritional inputs used in phase I of treatment, while Plumpy nut and F100 milk were used in phase II. Amoxicillin was the most widely used antibiotic. Malaria was the pathology most associated with severe acute malnutrition. Diarrhea due to dehydration was the main cause of death among children, accounting for 53.2%.

Conclusion: The results obtained in relation to the management of severely malnourished children with complications hospitalized at the URENI of the CSRef of Kati are satisfactory according to the standards of the National Protocol for the management of acute malnutrition in Mali.