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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Jagwer Gregory, MBCHB, MPH, MSc, International Refugee Committee, Kakuma Refugee Camp, Kakuma, Kenya, 301-913-0500, GWKakumaMed@theIRC.org
Purpose: This anthropometrical and micronutrient cluster survey assessed the prevalence of malnutrition in Kakuma refugee Camp. The survey was carried out by the International Rescue Committee and the Institute of Child Health, London in collaboration with UNHCR. It focused on micronutrient malnutrition and its causes. Methods: Due to a combination of poorly defined areas within the camp and restricted population figures, an adapted two stage sampling methodology was used. Data was collected in 30 clusters of approximately 30 children. This sample is greater than needed for the calculation of malnutrition in children 6-59 months, however, with the intended use of clinical signs of malnutrition during the survey, it was decided to increase the sample size to the maximum practicable. Results: Acute global malnutrition was found in 17.2% of children. Severe wasting or edema were found in 1.4%. Chronic malnutrition was present in 12.6%. The iron, thiamin and niacin content in the general food ration were sufficient at a population level but deficiencies were seen in vitamins A, C, and riboflavin. Anemia was present in 61.3% of children and severe anemia in 6.2%. 74% of anemic and 41% of non-anemic children were iron deficient. The median iodine level was 620 ug/L. Vitamin A deficiency was found in 47.2% of the children. Policy Implications: Micronutrient deficiencies are frequently encountered in populations dependent on food aid. Malnutrition erodes the development potential of children. This need not be so. We know the causes and have solutions that are inexpensive and effective. Malnutrition must be tackled using a multi-disciplinary approach tailored to circumstances of refugee camps.
Learning Objectives:
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.