Prasad V, Sinha D, Sridhar S
Public Health Resource Network, Shapur Jat, New Delhi, India.
Indian Pediatr. 2012 Mar;49(3):181-5. doi: 10.1007/s13312-012-0053-1.
There has been a welcome interest in the issue of malnutrition by policy makers as well as technical experts in the recent years. The current public health systems for management of malnutrition, the ICDS and NRHM, have attempted to evolve approaches to the management of severe malnutrition. This paper makes a fresh analysis of data from well-accepted existing sources, indicating that 36-44% of all children with Severe Acute Malnutrition (SAM) are likely to be missed by current criteria of screening and referral; simultaneously, a large proportion of children selected for referral to Nutritional rehabilitation centres are likely not to have SAM. The paper also highlights other areas of inconsistencies between the ICDS and the NRHM in the continuum of care required for the prevention and proper management of severe malnutrition. Thus, the paper identifies areas that need further exploration to achieve a seamless and effective program for tackling severe malnutrition.
近年来，政策制定者以及技术专家对营养不良问题给予了令人欣慰的关注。当前用于管理营养不良的公共卫生系统，即综合儿童发展服务计划（ICDS）和国家农村卫生使命（NRHM），已尝试制定严重营养不良的管理方法。本文对来自公认现有来源的数据进行了新的分析，表明按照现行筛查和转诊标准，所有重度急性营养不良（SAM）儿童中可能有36% - 44%会被漏诊；与此同时，被转诊至营养康复中心的儿童中很大一部分可能并非患有SAM。本文还强调了在严重营养不良的预防和妥善管理所需的连续护理方面，ICDS和NRHM之间存在的其他不一致领域。因此，本文确定了需要进一步探索的领域，以实现一个无缝且有效的应对严重营养不良的项目。
