Nursed back to health
The NRHs are located in 12 districts throughout the country. The total capacity of 12 NRHs is 143 beds. With an average of 30 children staying days and a ninety percent occupancy target, these NRHs have a capacity to serve 1570 malnourished children per year. NYF is currently managing 7 NRHs with 84 beds capacity. Four new NRHs are underway in Baglung, Dang, Butwal and Dailekh.
Two week long intensive training sessions for the staff of NRH-Bharatpur (recently established on April 27) was conducted by the experts from Kathmandu NRH. All the NRHs are operated in the same model of the Kathmandu NRH and hence, Kathmandu NRH has been acting as a resource and training center for the outlying NRHs. An orientation was also organized in Bharatpur in which representatives from District Health Office, local health posts, doctors, nurses, and other medical personals were invited. The purpose was to expand network and disseminate information about the NRH and its working modality amongst the associated people and institutions.
Nutritional Outreach Camp
NRH Kathmandu conducted two Nutritional Outreach Camps in these 6 months: 609 children were screened out of which 432 (71%) were found to be in normal health condition and 29% were malnourished. Education on nutrition and health was provided to the mothers/guardians of the children, especially those with malnutrition. The severely malnourished children were referred to the NRH for further treatment.
Within the 7 NRHs under NYF, 490 children, 278 boys and 212 girls, were admitted and provided nutritional care. Among them 88% (431) belonged to age-group under 5.
Likewise, 519 children (277) male and (242 female) were discharged: 387were discharged officially after they reached normal weight, 81 were discharged on request, and 38 were referred to the hospital and 13 left against medical advice.
460 care takers were trained about food, nutrition, health hygiene, and sanitation through demonstrations and practical sessions.
939 follow-ups were carried out and most of the children’s health conditions were found to be satisfactory. Few children were still malnourished due to poor economic condition and/or chronic medical complications. 12 death cases were also reported in this period which is quite high as compared to other times.
NRH Kathmandu provides vaccination to those children who did not have chance to receive necessary vaccines prior to their arrival at NRH. During this quarter, 14 children were administered TT, 23 were administered MMR and 30 children received vaccine against Meningitis.
In coordination with the hospital and District Public Health office, NRH-Surkhet has started to provide immunization services to the children of Surkhet and adjoining districts. The addition of this facility has made it easier for the people to know about our facilities when they bring their children for vaccination and we have been able to identify and treat more children as a result.
For those parents who were unable to stay at the NRHs, counseling was provided on feeding appropriate balanced diet to recover the weight of the child. These counseling sessions have proved to be quiet effective as majority of the guardians reported good improvement in their children.
In case of the 5 NRHs which are handed over: 282 children were admitted and 275 mothers/caretakers were educated in nutrition and health in these 6 months.
Dietician Training for Health Professionals
The highly positive outcome from the previous Diet Management Training (especially for staff from zonal hospitals) encouraged us to give continuity to this project and hence, a 2nd training was conducted (September 23 - October 2, 2012), this time aiming to build the capacity of the district hospitals.
The core components of the training were:
- Basic knowledge of nutrition
- Diet management for specific age groups and physical status
- Diet management targeted at patients with specific diseases
- Management of acute and chronic malnutrition
After the completion of the 10 days training (1st phase), the trainees went back to their workplaces. The Manager of the Kathmandu NRH and the Nutrition Coordinator for Nepal Youth Foundation (NYF) then carried out follow up of the participants in their respective workplaces. The follow up showed that the participants were effectively implementing the training content in their workplaces (hospitals and NRHs) through sharing of the training content with the hospital management team and the staff, displaying posters and other information on diet and diseases in hospitals, diet counseling for patients, menu preparation for patients and improving the management of the hospital kitchen.