QI Story: Eradicating Malnutrition of Children Under 5 Years in Musanda, Mumias West Sub-County, Kakamega County

Conference Theme :Optimizing Health Outcomes Through Evidence Based Care

Conference Sub Theme :Pediatrics And Child Health

Author; Susan Karusa Kisanya

Malnutrition, involving deficiencies or excesses in nutrient intake and an imbalance of essential nutrients, has emerged as a critical global health challenge. This issue disproportionately affects children, with approximately 20 million children under the age of 5 experiencing severe malnutrition annually. In Musanda, 73 cases of malnutrition have been identified, encompassing 18 cases of Severe Acute Malnutrition (SAM) and 55 cases of Moderate Acute Malnutrition (MAM) out of the 174 cases screened. The primary objectives of the initiative are to combat malnutrition by leveraging locally available foods. To achieve this, community outreaches and open nutrition days were conducted, screening all children under the age of 5. Children identified with yellow (MAM) and red (SAM) Mid-Upper Arm Circumference (MUAC) readings underwent further attention. Community Health Promoters (CHPs) attached to Musanda Dispensary were trained on Balanced Food and Care for Infants (BFCI) and Positive Deviance Hearth (PD HEARTH). Subsequently, active mother-to-mother

support groups were formed in each of the 40 villages, engaging in hearth sessions within the community. Continuous monthly follow-ups for malnourished children were implemented at the facility.

The strategy further involves the formation of a multisectoral nutrition committee at the subcounty level. Additionally, efforts to establish kitchen gardens, employing various methods such as vertical bags and conical structures, were initiated at the facility and are planned for expansion to households.

This comprehensive approach integrates community engagement, education, and sustainable interventions to address malnutrition, emphasizing the utilization of locally available resources.

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