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Nutrition Interventions currently being done in Kabale Regional Referral hospital to address malnutrition

  1. Maternal nutrition counseling is being provided to all the mothers in PNC, Maternity and ANC in a bid to address the nutrition status of the mother to ensure that the cycle of malnourished mothers is not passed on to the new born children. This also helps the mother to be aware of the importance of having good nutrition to be able to feed the baby and also for the mother to stay very healthy during pregnancy and lactation
  2. Infant and young child feeding counseling is also done and this helps to ensure that during the first 1000 days the baby is fed according to the recommended IYCF guidelines to avoid malnutrition in children
  3. Growth monitoring and promotion is also done at the YCC clinic to ensure that children are achieving the proper growth milestones at the right time and those whose children growth are faltering are counseled
  4. Nutrition assessment counseling and support has been integrated into health service delivery where all the patients coming to the health facility are assessed using various methods like the MUAC, Z scores, BMI to be able to identify those that are malnourished, once they are identified they are offered counseling to prevent them from relapsing and those that are severely malnourished are then offered support by giving them nutrition therapeutic feeds
  5. Vitamin A supplementation is also done routinely and during child days plus for the children who come to the health facility and during the community immunization outreaches
  6. Folic acid supplementation is also done routinely during ANC to prevent folic acid deficiencies like spina bifida
  7. Iron supplementation is done for women in ANC to ensure that mothers and their children do not suffer from anemia
  8. Management of malnourished patients identified through assessment in the various contact points are also managed at the health facility through both the outpatient and Inpatient therapeutic care using the integrated management of acute malnutrition guidelines
  9. CMES on the importance of nutrition and wash are also done in the various departments
  10. The demonstration garden has also been set up and its role is to be able to teach mothers how they can prevent malnutrition and micro nutrient deficiencies through food diversification
  11. Cooking food demonstrations are also done in the hospital and they aim here is to teach mothers how to prepare nutrient dense complementary foods for their children
  12. Radio talk shows are also conducted with the support of the community department to sensitize the communities
  13. Health education sessions are also held in various departments in a bid to educate mothers on the importance of good nutrition during the first 1000 days
  14. Support supervision for health workers and trainings are done on various nutrition issues to ensure that they can, counsel, manage, support and refer malnourished patients who need care

Challenges faced in the hospital

  • The nutrition interventions in the community have been limited to the radio talk shows and sensitization health workers to manage malnutrition but more sustainable interventions to address malnutrition in the community will be required.
  • Some children do relapse after treatment of malnutrition and need to be sensitized on how to continue good nutrition in the community and linked to food security community groups
  • Breast feeding corners have not yet been established in the hospital