Treatment of Malnourished Children at the Beach Camp

Baby Ahmad 1

Ahmed Abed Allah Abu Wattfa, (7 months old) male infant. (The 3rd child for his parents)

 According to the mother, her pregnancy was pretty normal; she gained around 10 Kg by the end of the pregnancy and delivered her baby normally at the hospital.

Post-delivery:

The new-born (Ahmed) was 4 Kg in weight; he was poorly suckling and was admitted to the nursery for more than one month, and was fed by nasogastric tube insertion (NGT) due to his inability to suckle. On discharge, NGT was kept in place and was changed each week at hospital.

Feeding history:

– Breast milk was given to Ahmed during his 1st few days after delivery through the NGT, and then bottled milk was given later on as the mother was unable to produce enough milk.

– The baby was kept on NGT feeding for 2-3 weeks after discharge from the hospital, then the mother insisted to feed him by bottle despite his weakly suckling, and due to this problem, his weight was not increased.

Medical history:

2 weeks before Ahmed was admitted to the program, he was at the hospital due to his failure to thrive. At the hospital he was checked by CBC, his Hgb. was 10 gm %, no other investigations were done.

On Examination:

Weight 2.5 Kg below -3 Z-score, Length 56 cm below- 3 Z – score, Weight for Length below – 3 Z-score, Head c.f.  was 38 cm.

The baby is severely malnourished, skinny, no subcutaneous fat.  He is alert, his skin is dry, and the facial feature indicates the Pierre-Robin Syndrome (Retro-gnathia, Cleft soft palate, Post. displacement of the tongue) but no cardiac anomaly or skeletal anomaly.

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Medical Outreach Services for the Vulnerable Groups in Gaza Strip

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Caritas Jerusalem is providing medical services through a mobile clinic in three of the most marginalized areas:

  • Al-Sawarha area, in the middle of Gaza Strip: a rural area with very limited access to medical services. In Sawarha, Caritas is working through the local partner: Rural Women Development Society.
  • Al-Mawasi area, south of Gaza Strip: another rural area, set between Khan Younis city and Rafah city. Al-Mawasi area used to be part of an Israeli settlement and was re-inhabited by Palestinians after 2005. In Mawasi, Caritas is working through its local partner: The Charitable Ahali Al Mawasi Society.
  • Al-Shoka area, south of the Gaza strip: a marginalized area with very limited access to medical services. The area is located near the borders which make it hard to access during political unrest times. In Shoka, Caritas is working through its local partner: The assembly benevolent of operation “Al-Tadamon”.

The medical services provided are as follow;

  1. Primary health care services for sick children.
  2. Antenatal health care for pregnant women.
  3. Health care services for patients of NCDs (Hypertension and Diabetes)

Provision of assistive devices to people with disabilities

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During January, Caritas Jerusalem through their partner Artificial Limbs and Polio Center in Gaza (ALPC) continued providing disabled children from poor family backgrounds who are suffering from various disabilities with the assistive devices needed.

The ALPC worked with 14 cases of children with disabilities, and followed up with 10 cases for a total of 24 cases.

 

The cases as follows:

  • 8 cases of Genu Varum.
  • 3 cases of hip dislocation.
  • 13 cases of leg deformities.

The children are referred to the center from all over the Gaza strip since the ALPC is the only center in the area that provides this service.

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