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Condition · E46

Malnutrition

Malnutrition affects 34% of Tanzanian children under 5 (stunting). It impairs brain development, weakens immunity, and increases risk of death from other diseases.

Always confirm diagnosis and treatment with a qualified health professional.

Compiled from public health references including the CDC, Mayo Clinic, WebMD, the World Health Organization, and the Tanzania Ministry of Health.

Overview

Malnutrition includes undernutrition (stunting, wasting, micronutrient deficiencies) and overnutrition (obesity). Stunting (low height-for-age) affects 1 in 3 Tanzanian children, reflecting chronic food insecurity and poor diet quality. Wasting (low weight-for-height) indicates acute malnutrition requiring immediate intervention. Both are preventable.

Common Symptoms

Stunting (chronic):
- Short height for age
- Delayed development

Wasting (acute — seek care immediately):
- Very low weight for height
- Muscle wasting
- Oedema (swollen feet/legs in kwashiorkor)
- Hair changes (reddish, brittle)
- Lethargy
- Loss of appetite

Treatment

  • Severe acute malnutrition (SAM): Ready-to-Use Therapeutic Food (RUTF — "plumpy nut") available free at health centres; hospitalisation for complicated SAM
  • Moderate acute malnutrition: Supplementary feeding programmes
  • Micronutrient supplementation (vitamin A, zinc, iron-folate)
  • Treat underlying infections
  • Nutritional counselling for caregivers

Prevention

  • Exclusive breastfeeding for 6 months, then complementary feeding
  • Vitamin A supplementation (free, every 6 months, age 6 months to 5 years)
  • Diversified diet: fruits, vegetables, legumes, animal products
  • Growth monitoring at the health centre every month for under-2s
  • Food security — community gardens and improved agriculture

Cost & NHIF Coverage

Public facilities: Screening (MUAC measurement) and therapeutic feeding (ready-to-use therapeutic food, RUTF) for severe acute malnutrition are free at government facilities and outreach clinics.

NHIF: Covers related consultations and inpatient care for severe cases at accredited facilities.

Private facilities: Nutritional assessment TZS 15,000–30,000; supplements and follow-up vary widely — severe acute malnutrition should be managed through the free public nutrition programme regardless of where it's first identified.

Estimated ranges — actual cost varies by facility. Confirm with reception and check your insurer's coverage before treatment.

Where to Get Care

Confirm with reception that the facility treats this condition and that your insurer is accepted before visiting.

Nearby facilities