[Assessment of the intervention in a therapeutic feeding center for children in Nicaragua]. / Evaluación de la intervención terapéutica realizada en un centro de recuperación nutricional infantil de Nicaragua.

ABSTRACT

INTRODUCTION: Child malnutrition carries a high morbimortality worldwide. Therapeutic feeding centers are essential in the treatment of malnourished children. OBJECTIVE: To evaluate the effectiveness of the therapeutic intervention in under-5 undernourished children in a Therapeutic Feeding Center. METHODS: A retrospective descriptive research was made through the revision of the clinical histories of children under 5 years that entered the Nutritional Recovery Center for Children in Matagalpa, Nicaragua, from January 2006 to July 2010. RESULTS: Median age at admission was 17.2 months (p2510.7-p7527.2) and median stay in the center was 92 days (p2561.5-p75134.5). Prevalence of patients with severe acute malnutrition was 45%, moderate acute malnutrition 24% and risk for malnutrition 31%. At discharge 86% of patients were properly nourished. Median weight gain percentage after the first month in the center was 15% (p2512.6-p7517.4). Median weight gain was 3.7 g/kg/day (p252.6-p755.4), being higher in children under 6 months (4.6 g/kg/day; p254.3-p757.5). Cured rate in the center was 87.5%, being the death rate 0% and the abandonment rate 9%. DISCUSSION: The center evaluated works adequately, and fulfills the internationally recommended quality indicators. However, recommended average stay of 1-2 months and average weight gain of 8 g/kg/day are far of being fulfilled. Therefore, the Nutritional Recovery Center performs an effective intervention, but it's not efficient enough.