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. 1983;61(6):967-79.

Interventions for the control of diarrhoeal diseases among young children: supplementary feeding programmes

R G Feachem

Interventions for the control of diarrhoeal diseases among young children: supplementary feeding programmes

R G Feachem. Bull World Health Organ. 1983.

Abstract

PIP: The effect of supplementary feeding programs on diarrheal disease morbidity and mortality among preschool children is reviewed using data from field studies in developing countries. The supplementary feeding programs considered are those which provide food to preschool children on a continuing and communitywide basis. Nutritional rehabilitation of sick children and feeding programs in disasters and emergencies are not considered. The evidence that poor nutritional status predisposes to increased diarrheal disease incidence, or that supplementary feeding programs can reduce diarrheal disease incidence, is not strong. There is evidence that poor nutritional status predisposes to more severe diarrhea and to higher case fatality, and that supplementary feeding programs can reduce the severity of the diarrhea and the mortality. However, supplementary feeding programs entail high costs and considerable logistic and managerial complexity and it is unlikely that they are a cost-effective intervention for national diarrheal disease control programs. Prospective studies into the effect of nutritional status on the severity of etioloty-specific diarrheas and the resulting deaths are warranted. (author's modified)

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