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Volume 8 J Community Med Health Educ, an open access journal
ISSN: 2161-0711 Public Health 2018
February 26-28, 2018
PUBLIC HEALTH AND NUTRITION
3rd World Congress on
February 26-28, 2018 London, UK
AN ASSESSMENT OF THE COMMUNITY MANAGEMENT OF ACUTE MALNUTRITION
PROGRAMME IN THE UNICEF CAN CAMP CLINIC, MAIDUGURI, NIGERIA
Ahmed D Balamia, Muhammad Dungus b and Abubakar J Ardo c
aUniversiti Putra Malaysia, Malaysia
bThe University of Maiduguri, Nigeria
cModibbo Adama University of Technology, Nigeria
Statement of the Problem: Community Management of Acute Malnutrition (C-MAM) centres have been widely established
in north-eastern Nigeria following the alarming rate of malnutrition in the region, due to the Boko Haram crisis. Treatment is
provided on an out-patients basis to children with Severe Acute Malnutrition (SAM); the treatment course of which is designed
to last for 10 weeks. There have however been no studies to assess the effectiveness of this programme in terms of compliance,
and treatment outcomes.
Methodology & Theoretical Orientation: The study was conducted in the CAN camp clinic in Maiduguri, the Borno state
capital, which serves the inhabitants of the camp (most of whom are internally displaced persons Gwoza local government
area of Borno state), and people in the neighborhood. A total of 281 case notes of SAM patients were randomly selected from
the records and their data was extracted using a standardised pro forma. The data was then analysed using SPSS version
22 descriptively, and using survival analysis. Findings: Their ages ranged from 6 to 48 months with Median+IQR of 13+13
months. There were an equal number of males and females (39.9% each), though 20.3% had no gender reported on their case
notes. No death was recorded, and only 27.4% had gotten recovered and discharged, while 19.6% had defaulted. There was
also no difference by gender in their treatment outcome (χ2=5.96; df=2; p=0.051). There was also no difference between the
median ages of those who recovered, those who defaulted and those who were still on treatment (χ2=2.48; df=2; p=0.290). The
Kaplan-Meier survival curve is presented in Figure 1. The median age of recovery and discharge was 10 (9.92-10.08) weeks.
Conclusion & Significance: These findings point to the need to improve record keeping through trainings and supervision,
and also the need to improve compliance and retention rate to maximise recovery. There is also the need to conduct qualitative
studies to determine the associated factors and reasons for this high rate of default among the patients.
Biography
Ahmed Dahiru Balami is a medical doctor and currently a PhD student of Epidemiology and Biostatistics at the Universiti Putra Malaysia. He holds a Master of
Public Health. He presently works as a medical doctor with the Federal Government of Nigeria’s Health and Nutrition Emergency Response Project in Borno State.
He is a Fellow of the Royal Society for Public Health. He has also published several research papers in both local and international journals.
Ahmed D Balami et al., J Community Med Health Educ 2018, Vol 8
DOI: 10.4172/2161-0711-C1-033