Severe malnutrition is a major contributing factor in the deaths of 1.5 million children every year. The World Health Organization has said that, if its treatment guidelines are followed, the death rate in children admitted to hospital can be kept as low as 5%, but it is more common for 20% or over to die. In an article in PLoS Medicine, Professor Geert Tom Heikens, Professor of Paediatrics in Blantyre, Malawi discusses whether the problem is that the guidelines are not followed properly or whether some malnourished children need additional treatment. He identified a research paper from Kenya, recently published in PLoS Medicine as having made an important step towards answering this question. But he says further studies are still needed: “Only then will we be able to deliver adequate care to millions of young children whose problems have hitherto not been addressed by the child survival agenda”.
Citation: Heikens GT (2007) How can we improve the care of severely malnourished children in Africa? PLoS Med 4(2): e45.
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CONTACT:
Geert Heikens
College of Medicine, Queen Elisabeth Central Hospital
Department of Paediatrics & Child Health
Blantyre, Malawi
+265 1 673 198
+265 8 207 307 (mobile)
theikens@medcol.mw
Related PLoS Medicine Research Article article:
Citation: Maitland K, Berkley JA, Shebbe M, Peshu N, English M, et al. (2006) Children with severe malnutrition: Can those at highest risk of death be identified with the WHO protocol? PLoS Med 3(12): e500.
This related article is freely available online: http://medicine.plosjournals.org/perlserv/?request=get-document&doi=10.1371/journal.pmed.0030500
Journal
PLoS Medicine