paediatric Nutrition in kapkatet district hospital

TITLE: PEDIATRIC NUTRITION STATUS AND RETENTION AMONG HIV INFECTED CHILDREN AT KAPKATET SUB COUNTY, KERICHO COUNTY.

Author(s): Sambu¹, Wesley Bor², Argwings Miruka², Appolonia Aoko², Jonah, maswai²

Affiliation: 1. Kapkatet Sub County Referral Hospital 2. KEMRI/Walter Reed Project, Kericho

Correspondence Email: [email protected]: Contact: 0725 782700

OUTLINE

Background Objectives Methodology Findings Conclusion Recommendations

BACKGROUND

Pediatric adherence to antiretroviral therapy (ART) is not well studied in resource-limited settings Vreeman et al., (2008).

Baets De et al.,( 2007) reporting that more than 90% of pediatric HIV infection occurs in sub-Saharan Africa and 75% of these children currently die before their fifth birthday because of HIV infection and malnutrition.

PAEDS HIV infection DEATH due to HIV & MALNUTRITION0%

20%

40%

60%

80%

100%

90%75%

SSA

SSA

OBJECTIVES

To determine nutritional status of children attending pediatric HIV clinic at Kapkatet Sub County Hospital.

To establish retention rate among the children attending pediatric clinic at Kapkatet sub county Hospital

Methods

Retrospective review of pediatric (0-14 years) data was done from the patients’ medical records and the nutrition Daily activity register (DAR) from 2010 to 2014.

Nutrition assessment reported in the data was analysed. MUAC was assessed in 2014 and compared to MUAC assessed before the initiation of pediatric clinic in 2010 and 2011 respectively.

METHODS CONT…..

Paediatric clinic days were established in 2014 with nutritious snacks provided during the clinic days.

Retreat during school holidays were conducted with children given opportunity to play with care givers and clinic staff.

Nutrition counseling was done to care givers in every clinic with focus on feeding according to developmental milestones.

Findings

2010 2011 2012 2013 20140

50

100

150

200

250

300

350

249269

294310

325

ACTIVE PEDIATRIC CLIENTS

Series1

YEARS

NU

MB

ER

Findings cont……

In 2010 and 2011, malnutrition rate was 39.5% while in 2014 the rate of malnutrition was 8%

2010/2011 20140.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

40%

8%

MALNUTRITION

Conclusion

2010 2011 2012 2013 201477.5

78.0

78.5

79.0

79.5

80.0

80.5

81.0

81.5

80.1

78.9

80.180.3

81.0

Pediatric Retention rate

Series1

years

perc

en

tag

e

CONCLUSION

Structured nutrition counseling and education delivered to children and their care givers during the clinic health talks and counseling sessions in the clinic are critical in addressing mitigating against malnutrition and also in preventive nutrition intervention.

Provision of nutritious snacks during the pediatric clinic motivates the children during pediatric clinic.

Structured pediatric clinic assist in improving children follow up and retention rate.

Recommendations

There is need to continuously support health facilities to sustain friendly pediatric clinic for HIV positive clients.

This enhances the optimal services to children and their care gives and also helps in promoting children retention in the clinic.

THANK YOU