Save the Children's emergency health and nutrition program in Ethiopia aims to provide both immediate relief and long-term development through integrated health and nutrition activities. Over 13 million people in Ethiopia are dependent on food aid due to a food crisis that has killed tens of thousands. The program conducts early warning monitoring, nutrition surveys, rapid assessments, and establishes therapeutic feeding centers, supplementary feeding programs, and outpatient therapeutic care. Community-based therapeutic care seeks to treat malnutrition in households and communities using ready-to-use therapeutic foods to improve coverage compared to center-based therapeutic feeding centers.
CORE Group Fall Meeting 2010. The Essential Nutrition Actions Framework: More than Just Seven Actions. (Part 3 of 3) - Agnes Guyon, JSI Research and Training & Victoria Quinn, Helen Keller International
CORE Group Fall Meeting 2010. The Essential Nutrition Actions Framework: More than Just Seven Actions. (Part 3 of 3) - Agnes Guyon, JSI Research and Training & Victoria Quinn, Helen Keller International
Recent presentation given in Bangkok on updated results of the UN Standing Committee on Nutrition 2010 Report on the World Nutrition Status. My research and analysis on iodine status worldwide is included
Social Protection and Its Impact on Food and Nutrition SecurityPascal Corbé
Food and Nutrition Security and Social Protection
Lessons Learned, Trends and Conclusions for German Development Cooperation
Gained on Missions to Ethiopia, Cambodia & Malawi
By Elke Kasmann, Martina Kress, Ines Reinhard, Annette Roth of GIZ
Held at Event: Agriculture Meets Social Protection: How can food and nutrition security benefit?
7 July 2016
Relevance of Contingency Planning to the Humanitarian Nutrition Cluster, Assessment of Nutrition Cluster contingency planning globally, analysis of challenges and lessons learnt of cluster contingency planning
Severe Acute Malnutrition (SAM) and Nutrition Rehabilitation Centre (NRC)- Dr...Yogesh Arora
A presentation on severe acute malnutrition and nutritional rehabilitation center. Various preventive, promotive, and curative aspects of SAM are discussed in this presentation.
A project proposal for East Timor on improving health and nutrition for women...Kazuko Yoshizawa
The presentation outlines a project proposal aimed at capacity building in health and nutrition for Timor-Leste, developed through extensive consultation with the Ministry of Health, development partners, NGOs, and civil society. The primary objective of the project is to enhance the nutritional status of women and children who are particularly vulnerable to malnutrition. The project proposal comprises four key areas that address the capacity gaps identified through stakeholder consultations and documented in published reports and strategies. By providing additional support and interventions, as well as strengthening existing structures, the proposed interventions would help to improve the nutrition status of children and women. The proposal further suggests that the capacity of Integrated Community Health Services (Sisca) could be enhanced to improve rural health services. Such improvements would help to address the existing disparities in health outcomes between rural and urban areas in Timor-Leste. Through the proposed interventions, the project aims to support the overall development of the health and nutrition sector in Timor-Leste. By addressing the identified capacity gaps, the project would help to build sustainable systems that can deliver effective health and nutrition services to the population.
In conclusion, the presentation explains a comprehensive project proposal that aims to improve the nutritional status of vulnerable women and children in Timor-Leste. The proposal is based on extensive consultation with stakeholders and would address capacity gaps identified through published reports and strategies. Through this project, it would be possible to enhance rural health services by strengthening the capacity of Integrated Community Health Services (Sisca) and supporting existing structures. Ultimately, the proposed interventions would contribute to the development of sustainable health and nutrition systems in Timor-Leste.
National health programs are one of the measures taken by the government of India to improve the health status of the people.National health Programs useful to controlling or eradicating diseases which cause considerable morbidity and mortality in India
which are either centrally sponsored
Critical appraisal of child health policies, programs, guidelines and their i...Mohammad Aslam Shaiekh
Critical Appraisal of Child Health Policies, Programs, Guidelines and Their Implementation Strategies and Review the Current Status of National Context
Critical appraisal of child health policies, programs, guidelines and their i...Mohammad Aslam Shaiekh
Critical Appraisal of Child Health Policies, Programs, Guidelines and Their Implementation Strategies and Review the Current Status of National Context.
Dr. Roohullah Shabon is currently Professor in Seneca College, Toronto teaching mental health, addiction and prevention of psychological trauma. He has worked as Academician, Presidents and Chief Technical Advisor in more than 20 countries around the globe with international humanitarian and development agencies including the World Health Organization, International Medical Corps, Swedish Committee, Right to Play International in Toronto and as Emergency Health, Nutrition Anti-child Abuse and Exploitation Specialist with Save the Children Headquarters in Washington DC. He is expert in working with most traumatize venerable population, community based development programs, emergency and disaster preparedness and response.
During his 20 years of working in development, peace building and humanitarian work, he has received many recognition including Best organization annual performance award (2004) during is his work with Internal Displaced People during conflict in West Darfur of Sudan and during 2013 a top Volunteer Award from Government of Canada as President of Palcare for his support to the needy people suffering incurable health problem.
He led many disaster preparedness and response and community development program some examples of his achievements includes conflict resolution with government during the control of cholera epidemic in Afghanistan and saving children and women life during conflict in Iraq Afghanistan, Lebanon and West Bank; changing the concept of Therapeutic Feeding Program (TFC) to Community Based Therapeutic Centre (CTC) during drought in Ethiopia, Sudan, Tanzania, and Uganda; Mobilization of professional resources during earthquake in Bam of Iran; development of Play and game for health education and community development during Tsunami in Thailand, Indonesia and Sri Lanka and using Play and game for health education and peace building between Palestinian and Israeli children in Jerusalem and West Bank, Integrating short term emergency program to development program for refugees, internal displaced population and returnees in Afghanistan, Jordan, Thailand, Lebanon, Azerbaijan and Sudan.
Dr. Roohullah Shabon is currently Professor in Seneca College, Toronto teaching mental health, addiction and prevention of psychological trauma. He has worked as Academician, Presidents and Chief Technical Advisor in more than 20 countries around the globe with international humanitarian and development agencies including the World Health Organization, International Medical Corps, Swedish Committee, Right to Play International in Toronto and as Emergency Health, Nutrition Anti-child Abuse and Exploitation Specialist with Save the Children Headquarters in Washington DC. He is expert in working with most traumatize venerable population, community based development programs, emergency and disaster preparedness and response.
During his 20 years of working in development, peace building and humanitarian work, he has received many recognition including Best organization annual performance award (2004) during is his work with Internal Displaced People during conflict in West Darfur of Sudan and during 2013 a top Volunteer Award from Government of Canada as President of Palcare for his support to the needy people suffering incurable health problem.
He led many disaster preparedness and response and community development program some examples of his achievements includes conflict resolution with government during the control of cholera epidemic in Afghanistan and saving children and women life during conflict in Iraq Afghanistan, Lebanon and West Bank; changing the concept of Therapeutic Feeding Program (TFC) to Community Based Therapeutic Centre (CTC) during drought in Ethiopia, Sudan, Tanzania, and Uganda; Mobilization of professional resources during earthquake in Bam of Iran; development of Play and game for health education and community development during Tsunami in Thailand, Indonesia and Sri Lanka and using Play and game for health education and peace building between Palestinian and Israeli children in Jerusalem and West Bank, Integrating short term emergency program to development program for refugees, internal displaced population and returnees in Afghanistan, Jordan, Thailand, Lebanon, Azerbaijan and Sudan.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
The hemodynamic and autonomic determinants of elevated blood pressure in obes...
Concept of ctc presentation dr roohullah shabon1
1. Food Security Unit –PLG Feb 2004
Presentation by :
Dr Roohullah Shabon
Emergency Health & Nutrition
Specialist
Save the Children,
Emergency and Protection Unit,
Washington DC
2. SC Emergency Health & Nutrition
Program in Ethiopia
Tens of thousands of
people are estimated
to have died from
the food crisis in
Ethiopia and over 13
million are still
dependent on food
aid for survival.
3. SC Emergency Health & Nutrition
Program in Ethiopia
Save the Children-US Emergency
Health and Nutrition Program
(EHNP) aims at developing its
activities in an integrated approach
including health and nutrition. All
program activities are undertaken
with the goal of both immediate
humanitarian relief and long term
sustainable development.
4. Activities: Together with Government
and other agencies.
Early Warnings System
Collected, compile and analysis nutrition surveillance and
food security data.
Revise and standardize early warning indicators and
parameters
Conduct one-week rapid assessment of early warning
system.
Rapid Assessments
Conducted 13 Rapid Assessments and participated in two
Consolidated Appeals.
Development of “Rapid Health, Nutrition and Food Security
Assessment Tools” , Rapid Assessments guideline and train
the staff.
5. Cont. Activities: Together with
Government and other agencies.
Nutrition Surveys
Development of nutrition survey guidelines, training
of the staff and technical and/or financial support
provided to 17 Nutrition Surveys
Sub granting of Funds
Funding has been provided to a total of 9
NGOs and 3 government agencies
6. Cont. Activities: Together with
Government and other agencies.
Rapid Nutrition Response Programs
At present running 6 TFCs, 1 NRU, 4 SFPs and 2 OTPs (Outpatient Therapeutic
Programme). A total of 4 CTC programs has been established by the
EHNP in Arbegona, Aroresa, Bensa and Hulla woredas.
Admitted a total of 3,307 patients, of which 78.04% were cured.
From March up to October 2003 , there were 725 severely malnourished
children in treatment.
Handed over 5 TFCs; four to the government and two to local NGOs.
Health Unit and W/S Units
The Units will strengthen the EHNP Project Units’ health promotion
efforts and build the local capacity of the regional/zonal MOH in
terms of therapeutic/supplementary feeding management, health
& nutritional surveillance, health and sanitation education and
malaria control.
7. Therapeutic Feeding Centre
The objective of TFC is
to reduce morbidity &
mortality associated
with severe
malnutrition & restore
health promptly in a
population of affected
areas.
As soon as the
numbers of severely
malnourished cases
are more than the
capacity of the health
facility, specific
structure like Nutrition
Rehabilitation Unit
(NRU) is set up within
the health facilities.
When this is not
8. The decision to open TFC is based on:
Result of Nut. Survey and Rapid Assessment.
The prevalence of Severe Acute Malnutrition (SAM)
in a random survey among children under five years
old is more than 3%.
The prevalence of Global Acute Malnutrition (GAM) is
more than 10%.
Under-five mortality rate is more than 2/10000 per
day.
The absolute number of severely malnourished is
over 20 cases
9. Closure of TFC
Decrease in TFC admissions over 2
consecutive months, and average number
of patients for the last two consecutive
weeks (14 days) less than 20 inpatients in
TFC
Under five mortality rate < 2/10000 per
day
Prevalence of Severe Acute Malnutrition
(SAM) < 3%
Prevalence of Global Acute Malnutrition
(GAM) < 10 %
10. STAFFING PATTERN of TFC
Nutritionist
Nutrition workers
Health workers
Logisticians
Cooks, cleaners, guards
Outreach workers
Health educators/social workers
11. Community-based Therapeutic Care
(CTC)
Start with
supplementary feeding
from Sudan, Ethiopia
and Malawi, CTC is the
best means to quickly
respond to an
emergency situation
where there are high or
increasing levels of
severe malnutrition.
The CTC concept aim to
integrate emergency
nutrition with long-term
programs by establishing
structure that can be re-
activated in future
emergencies.
12. The main principles of CTC are
Coverage
Access
Timeliness
Sectoral integration
Capacity building
13. CTC has the following elements:
Therapeutic Feeding Centre (known as a
Stabilisation Centre (SC) in our program):
The TFC will be only for severely malnourished
children who are not well enough to be treated at
the OTP site. They will be treated as inpatients until
their condition is stable enough for them to be
discharged home (normally 5-10 days). Some
children will not respond to treatment at the TFC
and will need to be referred to hospital.
Supplementary Feeding Programmed (SFP):
This is made up of a two-weekly dry ration of Famix
or CSB, health education and very basic medical
care in collaboration with existing health facilities
14. CTC has the following elements
continue:
Outpatient Therapeutic Programme
(OTP): There will be an OTP at every SFP
distribution site. This is where the
majority of severely malnourished
children will be assessed and treated.
Outreach work. The community
element of the CTC program must be
strong in order to mobilize
mothers/caretaker to bring their child to
the SFP/OTP for screening.
15. Management Phases of CTC:
Stabilisation phase
This is the initial
phase of treatment of
severe malnutrition
with complications as
inpatient in
stabilisation centre
(previous TFC):
life-threatening
problems are
identified and treated
specific deficiencies
are corrected
metabolic
abnormalities are
16. Stabilisation phase
Target group:
Children with
severe malnutrition
with complications
Treatment
According to WHO
protocols for the
initial phase of the
treatment of
severe malnutrition
with complications
17. Outpatient Therapeutic Programme
(OTP)
2 groups of admissions:
Direct OTP
Indirect OTP
Direct to OTP
People with severe
malnutrition with no
complications
Admitted directly into OTP
with no stabilisation phase
Indirect to OTP
People who previously has
severe malnutrition with
complications admitted into
OTP after discharge from
Stabilisation Centres
18. OTP treatment
RUTF (Ready Use
Therapeutic
Feeding) every
week or two weeks
Systematic
medication
Direct OTP
Amoxicillin
Vitamin A, Folic
Acid
Mebendazole
Anti-malarial
Vaccination
19. Supplementary Feeding Programme (SFP)
Dry take home supplementary ration
Basic health care
De-worming
Vit A
Measles
Consultation and appropriate referral if
necessary
Admission criteria same as WHO
20. Advantage of CTC
CTC programs bring treatment out of the
center and to the peripheral areas. Thus
greatly increasing coverage.
CTC programs are not meant to replace
TFCs but to complement and integrate
them into a larger, more accessible, and
holistic program that allows better follow-
up of patients.
21. Contin. Advantage of CTC
Integrates with food security programmes
Shared trainings, workers
Demonstration gardens
Promotion of crops for local RUTF
Includes local production of RUTF where
appropriate
Wide range of linkages to key social
structures, key individuals
Mother to mother techniques for
education and increasing participation
22. 3. What is the difference of CTC & TFC
TFC
24 care centre based
Food targeted to the child
Use F100 and F75
Close/continuous follow-
up
Quick weight gain
More widely understood &
accepted
High cost
Cross infection
Decrease household
economy-mothers away
20 days
Good for patients with
complication dehydration
and septicaemia.
23. What is the difference of CTC & TFC
CTC
Stay in the household and
community based
Empowering the family
Mother to mother support
with PDI approach
Use Ready to Use Therapeutic
Food (RUTF)
Treating malnutrition where it
occurs
More Coverage
Community awareness and
participation lead to address
food insecurity
Evolvement from emergency
to development and vice
versa
Study/Sphere:85% (75)
Cure,4.1(10) Death,4,7(15)
Default
24. Challenges to the CTC approaches :
Logistics-distance, weather, etc making
outreach somewhat difficult
Lack of capacity and understanding in the
government makes sustainability & exist
strategy shaky
Resource intensive operation and need
functional health centres system
CTC being new approach acceptability by
partners is questioned