PREVENTION OF MALNUTRITION IN INFANTS AND TODDLERS

Identifying Malnutrition

Summary Report

Globally

State wide:

• 644,000 Oregonians are food insecure, of those 223,000 are children.

This intervention will increase the number of identified malnutrition cases in young children.

In addition, parents will be educated and gain the ability to obtain the necessary resources for a nutritious lifestyle for the whole family.

Nationally

References

• Malnutrition is linked to 1/2 of deaths under 5
• 3 million deaths a year
• Chronic malnutrition can result in growth stunting.

Ammerman AS, Ward DS, Benjamin SE, Ball SC, Sommers JK, Molloy M, et al. An intervention to promote healthy weight: Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) theory and design. Prev Chronic Dis 2007 Jul.Available from: http://www.cdc.gov/ pcd/issues/2007/jul/06_0115.htm.

Barnett, W. S., PhD, & Hustedt, J. T., PhD. (2015). Head Start’s Lasting Benefits. Infants and Young Children, 18(1). Retrieved from https://depts.washington.edu/isei/iyc/barnett_hustedt18_1.pdf.

Black, Maureen M., Cutts, Diana B., Frank, Deborah A., Geppert, Joni, Skalicky, Anne, Levenson, Suzette, . . . Herren, Tim. (2004). Special Supplemental Nutrition Program for Women, Infants, and Children participation and infants' growth and health: A multisite surveillance study. Pediatrics, 114(1), 169.

Davis, R. (2014). 10 Facts About Malnutrition in Children - The Borgen Project. Retrieved October 26, 2016, from http://borgenproject.org/10-facts-malnutrition-children/

Global Alliance for Improved Nutrition. (n.d.). 2016, from http://www.gainhealth.org/

Oregon Food Bank. (2015). Hunger Factors 2015 Hunger and Poverty in Oregon and Clark County, WA Complete Report (pp. 1-15, Rep.).

Mehta, N. M., Corkins, M. R., Lyman, B., Malone, A., Goday, P. S., Carney, L., . . . Schwenk, W. F. (2013). Defining Pediatric Malnutrition: A Paradigm Shift Toward Etiology-Related Definitions. Journal of Parenteral and Enteral Nutrition, 37(4), 460-481. doi:10.1177/0148607113479972

Why Will This Program Be Successful?

Community Data:

• ○ 21.8% of Portland children are in poverty, 2013
• ○ ~ 7.6% of Portland children under age 5 live in poverty.
• There is an increase in homeless families with young children in Portland.
• 18% of Multnomah county is in poverty

The Problem

• WIC is Successful
• Program will increase the success
• Increased screens will identify more children
• Individuals are more likely to stay involved
• Convenient
• Community setting

• Malnourishment negatively effects a child’s growth & health.
• Many food aid programs don't target nutrition
• Programs like WIC are not reaching all those in need

RATIONALE

What Can Be Gained

Literature

• Increase in detection of malnourished children
• Increased health in children
• cognitive function
• physical health
• Healthier adults
• Increased community unity

Analyzing WIC:

• lower pregnancy/birth complications.
• 9% eligible families don't receive assistance.

NAP SACC Theory and Design:

• focuses on obesity, and nutrition in daycare.
• 74% of children are in a care program.

Head Start's Lasting Benefits:

• Long time benefits of achievement and behavior.

A Rationale for The Development of An Intervention to Address Malnutrition: A Program to Target Children Under 5 years, in Multnomah County Communities Effected by Socioeconomic Factors

Submitted by BrieA`nna Battle.

Evaluation

Statements from Committee Members

• Children will be evaluated through follow up screenings and checkups
• Screenings before referral
• When child enters the program
• 6 month reevaluation
• one year in program
• Eligibility of program and benefits through WIC is dependent on a child’s nutrition at the end of year

Implementation Strategy

The Solution

Intervention Design

The program is advertised verbally

• through healthcare professionals, and daycare's

Health care works will follow up with families

• providing information
• insuring families attend meetings

• Educating families
• Providing access to food- WIC
• Focus families not in WIC during pregnancy
• Expand referral system
• Monthly educational and community building meetings

• Screenings in daycare will be performed twice biweekly by volunteer pediatricians.
• Clinics will screen and refer
• Parents/guardians referred to WIC and other resource if they qualify.
• Parents required to attend monthly meetings

Goals & Objectives

Objectives:

• Increase the nutrition in daycare children by 15% within 12 months
• Increase the health of at least 75% of the participants in WIC.

Goals:

• Day cares will screen and refer. – bimonthly.
• Clinics will participate in screenings and referring
• Improve the knowledge and health of families
• Parents will regularly attend monthly meeting
• Optimize a child’s health across a lifespan

PREVENTION OF MALNUTRITION IN CHILDREN UNDER 5