The prevalence of Severe
Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM) of under-five children,
in South Sudan is considerably high and is being aggravated by various internal
conflicts and food insecurity ravaging the country. The situation has attracted
the attention of various international organizations like World Food Programme (WFP),
United Nations Children Emergency Fund (UNICEF), and other international Non-governmental
Organizations (INGOs), for possible interventions. However, the success of the nutrition
therapy programme in reducing the prevalence of SAM and MAM among under-five children,
as implemented by these humanitarian organizations is hinged on many factors.
A retrospective cohort study
was conducted by collecting reported data from District Health Information Software
(DHIS) of SAM and MAM prevalence of under-five children across three years; 2015,
2006 and 2007 for three counties, and was analysed using SPSS. Findings revealed
significant differences in SAM and MAM within counties and among counties across
the three years. It was further revealed that there was rising prevalence of SAM
and MAM (poor impact) among the counties as the nutrition therapy programme progressed
across the three years in the three counties. It was suggested, among others, that
training and re-training of health and nutrition workers, timely availability of
food supplements, ensuring food security, unwavering adherence to the principle
of neutrality and impartiality on the part of INGOs and government, and conduct
of pre and post-intervention surveys for feedbacks, may serve as the panacea towards
the present unsatisfying state of the nutrition therapy programme in the war-torn
Lakes State of South Sudan.
Nutrition therapy, Prevalence, Malnutrition, SAM, MAM, and South Sudan.
.Abdalla MA, Saad A, Abdullahi HE, Abdul
Gader H (2009). Socio-economic aspects influencing food consumption patterns among
children under age of five in rural area of Sudan. Pak. J. Nutr. 8:653-659.
.Adair, L. S.,
Fall, C. H., Osmond, C., Stein, A. D., Martorell, R., Ramirez-Zea, M., Sachdev,
H. S., Dahly, D. L., Bas, I., Norris, S. A., Micklesfield, L., Hallal, P. &
Victora, C. G. (2013): Associations of linear growth and relative weight gain during
early life with adult health and human capital in countries of low and middle income:
findings from five birth cohort studies. Lancet, 382, 525-34.
.Agozie C Ubesie, N. S. ( 2012).
Malnutrition Admitted at the University of In Nigeria Teaching HOSPITAL, Enugu:
10years retrospective review. . NutritionJournal, 1.
.Ahmed, F. .. (2014). Effects
of malnutrition under five years of age and its complications. Carechallenge
.Ahmed, T., Auble, D., Berkley, J.A., Black, R., Ahern, P.P.,
Hossain, M., Hsieh, A., Ireen, S., Arabi, M., Gordon, J.I. (2014). An evolving perspective
about the origins of childhood undernutrition and nutritional interventions that
includes the gut microbiome. Annals of the New York Academy of Sciences. 1749-6632.
http: //dx.do i.org/10. 1111/nya s.12487
.Amy L. Rice, L. S. (2000). Malnutrition
asa aan underlying cause of childhood deaths associated with infectious diseases
in developing countries. Bulletin of the World Health Organisatioon.
.Ashworth, A.; Ferguson, E. (2009). “Dietary Counselling
in the Management of Moderate Malnourishment in Children.” Food and Nutrition
Bulletin.2009, 30(Suppl. 3): S405–S433Bachmann.
.Black RE, Allen LH, Bhutta ZA, Caulfield LE, Onis
M, Ezzati M, Mathers C, Rivera J (2008). Maternal and child under nutrition: global
and regional exposures and health consequences. Lancet 371:243-260.
& Robinson, W. C. (2013). Mortality among populations of southern and central
Somalia affected by severe food insecurity and famine during 2010-2012. Rome, Washington.
. De-Onis M, Blössner M, Borghi E, Morris R, Frongillo
E (2004a). Methodology for estimating regional and global trends of child malnutrition.
International Journal of Epidemiology (in press).
. Lehmann A.B. (1991). Nutrition in old age: an
update and questions for future research: part I. Reviews in Clinical Gerontology
. Mwanza, K.M, Okop J, Puoane T (2016): Evaluation
of outpatient therapeutic programme for management of severe acute malnutrition
in three districts of the eastern province, Zambia
. Neitzel J (2011). The targeted supplementary feeding
. Stephan LS, Lathum MC, Ohesen EA (2000). Global
malnutrition. Parasitology 121:55-22.
. UNICEF (2014). Chief of Strategic Communication,
UNICEF South Sudan. www.unicef.org
. UNICEF, WHO & World-Bank (2012). UNICEF-WHO-World
Bank Joint Child Malnutrition Estimates. (UNICEF, New York; WHO, Geneva; The world
Bank, Washington, DC).
. VOA (2016). Child malnutrition crisis deepens in South Sudan http://www.voanews.com/a/child-malnutrition-crisis-deepens-in-south-sudan/3451608.html
. WFP (2015). UNICEF And
WFP resolve to defeat malnutrition in South Sudan
. WHO (2000) World Health Organization, Dept of
Nutrition for Health and Development. Nutrition for health and development: A global
agenda for combating malnutrition. WHO
. WHO, (2003) “The Management of Nutrition in Major
. WHO 2013: Guideline update: Technical aspects
of the management of severe acute malnutrition in infants and children. Geneva:
World Health Organization; 2013.
. WHO and UNICEF. 2009. WHO child growth standards and the identification of severe acute malnutrition
in infants and children: A Joint Statement by the World Health Organization and
the United Nations Children’s Fund. Geneva: WHO.
. WHO, (2003) “The Management of Nutrition in Major
. WHO, WFP, UN/SCN, UNICEF. (2007). Community-Based
Management of Severe Acute Malnutrition. AJoint Statement by the World Health Organization,
the World Food Programme, the United Nations System Standing Committee on Nutrition
and the United Nations Children’s Fund (UNICEF). New York: UNICEF. May 2007.
. WHO. (2012). Technical Note: Supplementary
Foods for the Management of Moderate Acute Malnutrition in Infants and Children
6–59 Months of Age. Geneva: WHO.