Merlin-Jalozai Casedddd study Zakria.pptx

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1. Community Management of Acute Malnutrition Zikria’s Recovery Story from Jalozai IDP’s Camp

2. Patient information & Anthropometry Phase 5, Sector F , Block 3, Tent 42, HF, J3 Area and Address: Patient Name: Father’s Name: Age at Admission: Weight at Admission at OTP: MUAC: 08 months at admission 6.3 Kg 11.0 cm Zi kria Sawal Baz

3. Short History Severe Acute Malnutrition Category of Malnutrition History: Management strategy Zakria is the youngest and 7 th child of his parents. His father is mentally challenged and can’t work to earn for his family, therefore, the family is wholly solely dependent on the ration provided in general food distribution as their food source. Zikria , when admitted in OTP had fever, diarrhea, anemia and was severely malnourished but had good appetite. His MUAC at admission was 11cm. He was treated for diarrhea with Zinc and ORS and with Amoxicillin and syrup Paracetamol for temperature. His anemia was treated with Ferrous sulphate . His weight and height accounted for Zscore <-3SD at admission.

4. MUAC and appetite test pictures at J3 health facility , Jalozai 11.0cm MUAC Weight 6 .3 kg

5. Progress on follow ups in OTP WEIGHT: 6.3 Kg & MUAC: 11.0 cm 1 st Visit 2 nd Visit 3rd Visit 4 th Visit 5 th Visit 6 th Visit 7 th Visit 8 th Visit WEIGHT: 6.3 Kg & MUAC: 11.2 cm WEIGHT: 7.3 Kg & MUAC: 11.9 cm WEIGHT: 7.4 Kg & MUAC: 12.0 cm WEIGHT: 6.9Kg & MUAC: 11.7 cm WEIGHT: 6.6Kg & MUAC: 11.5 cm Zakria was discharged from OTP as cured on 13 th July and enrolled in SFP for further treatment on 20 th of July 2012. WEIGHT: 7.6 Kg & MUAC: 12.1 cm WEIGHT: 7.7 Kg & MUAC: 12.2 cm

6. Comparison at a Glance in OTP At admission During follow up z At discharge

7. Progress on follow in SFP WEIGHT: 7.7 Kg & MUAC: 12.2 cm 1 st Visit 2 nd Visit 3rd Visit 4 th Visit 5 th Visit WEIGHT: 8 Kg & MUAC: 12.4 cm WEIGHT: 8.8 Kg & MUAC: 13 cm WEIGHT: 8.2 Kg & MUAC: 12.6 cm WEIGHT: 8 .1Kg & MUAC: 12.5 cm Zikria was discharged as cured from SFP on 26 th September, 2012 .

8. Zikria SFP treatment in Pictures At admission During follow up At discharge

9. On admission, follow up visits and after Discharge her mother was counseled on Sustained Breastfeeding. Use of RUTF. Hygiene. Complementary feeding. Frequency, Appropriateness, Variety, Preparation. After discharge use of local available food and home made food Zikria with his family

10. Thanks