Bijlsma M, McClean D
Mutare City Health Department, Zimbabwe.
Cent Afr J Med. 1997 Jan;43(1):16-20.
Assessment of a child supplementary feeding programme.
Mutare City Health Department has a long existing, ongoing supplementary feeding programme for undernourished children. We assessed the programme in Sakubva, Mutare's oldest, largest, poorest and most densely populated high density suburb. During the time of assessment, after the 1994/95 poor rainy season, levels of undernutrition were more that double the normal levels.
Analysis of clinic records. Results are illustrated with findings from students on attachment who studied underlying causes of undernutrition.
The supplementary feeding programme is a health service to underweight children who attend our clinics. Assessment of the programme was done on all children that regularly made use of this service between July 1995 and May 1996 in Sakubva (n = 190).
The child supplementary feeding programme does make an impact as 83% of the children attending regularly, improve. The impact of a child supplementary feeding programme in terms of growth development in undernourished children depends on the underlying chronic diseases that the children are presenting.
Referral of children that do not improve for check up and treatment is urgent and should be a routine procedure in Well Baby Clinics. In an environment of poverty and poor weaning practices, often aggravated by underlying illnesses, a child supplementary feeding programme can improve growth in undernourished children, within the limitations of its coverage.
评估一项儿童补充喂养计划。
穆塔雷市卫生部门长期实施一项针对营养不良儿童的持续补充喂养计划。我们在穆塔雷最古老、最大、最贫困且人口最密集的高密度郊区萨库布瓦对该计划进行了评估。在评估期间，1994/95年雨季不佳之后，营养不良水平比正常水平高出一倍多。
分析诊所记录。结果通过参与实习的学生对营养不良根本原因的研究结果进行说明。
补充喂养计划是一项针对到我们诊所就诊的体重不足儿童的卫生服务。对1995年7月至1996年5月期间在萨库布瓦定期使用这项服务的所有儿童（n = 190）进行了该计划的评估。
儿童补充喂养计划确实产生了影响，83% 定期参与的儿童情况得到改善。儿童补充喂养计划对营养不良儿童生长发育的影响取决于儿童所患的潜在慢性疾病。
对于情况未改善的儿童，紧急转诊进行检查和治疗，这应成为健康婴儿诊所的常规程序。在贫困和不良断奶习惯的环境中，往往因潜在疾病而加剧，儿童补充喂养计划在其覆盖范围内能够改善营养不良儿童的生长情况。
