Severe acute malnutrition in Asia
This article was published in Food and Nutrition Bulletin [© 2014 United Nations University Press] and the definite version is available at: http://journals.sagepub.com/doi/abs/10.1177/15648265140352S103
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© 2014 United Nations University Press
2017
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| オンライン･アクセス: | http://hdl.handle.net/10361/7634 |
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10361-76342018-03-27T05:17:58Z Severe acute malnutrition in Asia Ahmed, Tahmeed Hossain, Muttaquina Mahfuz, Mustafa Choudhury, Nuzhat Hossain, Mir Mobarak Bhandari, Nita Lin, Maung Maung Joshi, Prakash Chandra Angdembe, Mirak Raj Wickramasinghe, V. Pujitha Hossain, S. M. Moazzem Shahjahan, Mohammad Irianto, Sugeng Eko Soofi, Sajid Bhutta, Zulfiqar James P Grant School of Public Health, BRAC University Severe acute malnutrition Intervention programs Health systems Asia This article was published in Food and Nutrition Bulletin [© 2014 United Nations University Press] and the definite version is available at: http://journals.sagepub.com/doi/abs/10.1177/15648265140352S103 Severe acute malnutrition (SAM) is a common condition that kills children and intellectually maims those who survive. Close to 20 million children under the age of 5 years suffer from SAM globally, and about 1 million of them die each year. Much of this burden takes place in Asia. Six countries in Asia together have more than 12 million children suffering from SAM: 0.6 million in Afghanistan, 0.6 million in Bangladesh, 8.0 million in India, 1.2 million in Indonesia, 1.4 million in Pakistan, and 0.6 million in Yemen. This article is based on a review of SAM burden and intervention programs in Asian countries where, despite the huge numbers of children suffering from the condition, the coverage of interventions is either absent on a national scale or poor. Countries in Asia have to recognize SAM as a major problem and mobilize internal resources for its management. Screening of children in the community for SAM and appropriate referral and back referral require good health systems. Improving grassroots services will not only contribute to improving management of SAM, it will also improve infant and young child feeding and nutrition in general. Ready-to-use therapeutic food (RUTF), the key to home management of SAM without complications, is still not endorsed by many countries because of its unavailability in the countries and its cost. It should preferably be produced locally from locally available food ingredients. Countries in Asia that do not have the capacity to produce RUTF from locally available food ingredients can benefit from other countries in the region that can produce it. Health facilities in all high-burden countries should be staffed and equipped to treat children with SAM. A continuous cascade of training of health staff on management of SAM can offset the damage that results from staff attrition or transfers. The basic nutrition interventions, which include breastfeeding, appropriate complementary feeding, micronutrient supplementation, and management of acute malnutrition, should be scaled up in Asian countries that are plagued with the burden of malnutrition. Published 2017-01-23T04:06:18Z 2017-01-23T04:06:18Z 2014-06-01 Article Ahmed, T., Hossain, M., Mahfuz, M., Choudhury, N., Hossain, M. M., Bhandari, N., . . . Bhutta, Z. (2014). Severe acute malnutrition in asia. Food and Nutrition Bulletin, 35, S14-S26 03795721 http://hdl.handle.net/10361/7634 en http://journals.sagepub.com/doi/abs/10.1177/15648265140352S103 © 2014 United Nations University Press |
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Brac University |
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Institutional Repository |
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English |
| topic |
Severe acute malnutrition Intervention programs Health systems Asia |
| spellingShingle |
Severe acute malnutrition Intervention programs Health systems Asia Ahmed, Tahmeed Hossain, Muttaquina Mahfuz, Mustafa Choudhury, Nuzhat Hossain, Mir Mobarak Bhandari, Nita Lin, Maung Maung Joshi, Prakash Chandra Angdembe, Mirak Raj Wickramasinghe, V. Pujitha Hossain, S. M. Moazzem Shahjahan, Mohammad Irianto, Sugeng Eko Soofi, Sajid Bhutta, Zulfiqar Severe acute malnutrition in Asia |
| description |
This article was published in Food and Nutrition Bulletin [© 2014 United Nations University Press] and the definite version is available at: http://journals.sagepub.com/doi/abs/10.1177/15648265140352S103 |
| author2 |
James P Grant School of Public Health, BRAC University |
| author_facet |
James P Grant School of Public Health, BRAC University Ahmed, Tahmeed Hossain, Muttaquina Mahfuz, Mustafa Choudhury, Nuzhat Hossain, Mir Mobarak Bhandari, Nita Lin, Maung Maung Joshi, Prakash Chandra Angdembe, Mirak Raj Wickramasinghe, V. Pujitha Hossain, S. M. Moazzem Shahjahan, Mohammad Irianto, Sugeng Eko Soofi, Sajid Bhutta, Zulfiqar |
| format |
Article |
| author |
Ahmed, Tahmeed Hossain, Muttaquina Mahfuz, Mustafa Choudhury, Nuzhat Hossain, Mir Mobarak Bhandari, Nita Lin, Maung Maung Joshi, Prakash Chandra Angdembe, Mirak Raj Wickramasinghe, V. Pujitha Hossain, S. M. Moazzem Shahjahan, Mohammad Irianto, Sugeng Eko Soofi, Sajid Bhutta, Zulfiqar |
| author_sort |
Ahmed, Tahmeed |
| title |
Severe acute malnutrition in Asia |
| title_short |
Severe acute malnutrition in Asia |
| title_full |
Severe acute malnutrition in Asia |
| title_fullStr |
Severe acute malnutrition in Asia |
| title_full_unstemmed |
Severe acute malnutrition in Asia |
| title_sort |
severe acute malnutrition in asia |
| publisher |
© 2014 United Nations University Press |
| publishDate |
2017 |
| url |
http://hdl.handle.net/10361/7634 |
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