Effectiveness of Acute Malnutrition Treatment at Health Center and Community Levels with a Simplified, Combined Protocol in Mali: An Observational Cohort Study.
acute malnutrition
combined protocol
community-based management of acute malnutrition
mid-upper-arm circumference
simplified protocol
wasting
Journal
Nutrients
ISSN: 2072-6643
Titre abrégé: Nutrients
Pays: Switzerland
ID NLM: 101521595
Informations de publication
Date de publication:
21 Nov 2022
21 Nov 2022
Historique:
received:
05
09
2022
revised:
02
11
2022
accepted:
07
11
2022
entrez:
26
11
2022
pubmed:
27
11
2022
medline:
30
11
2022
Statut:
epublish
Résumé
A simplified, combined protocol was created that admits children with a mid-upper-arm circumference (MUAC) of <125 mm or edema to malnutrition treatment with ready-to-use therapeutic food (RUTF) that involves prescribing two daily RUTF sachets to children with MUAC < 115 mm or edema and one daily sachet to those with 115 mm ≤ MUAC < 125 mm. This treatment was previously shown to result in non-inferior programmatic outcomes compared with standard treatment. We aimed at observing its effectiveness in a routine setting at scale, including via delivery by community health workers (CHWs). A total of 27,800 children were admitted to the simplified, combined treatment. Treatment resulted in a 92% overall recovery, with a mean length of stay of 40 days and a mean RUTF consumption of 62 sachets per child treated. Among children admitted with MUAC < 115 mm or edema, 87% recovered with a mean length of stay of 55 days and consuming an average of 96 RUTF sachets. The recovery in all sub-groups studied exceeded 85%. Treatment by CHWs resulted in a similar (94%) recovery to treatment by formal healthcare workers (92%). The simplified, combined protocol resulted in high recovery and low RUTF consumption per child treated and can safely be adopted by CHWs to provide treatment at the community level.
Identifiants
pubmed: 36432609
pii: nu14224923
doi: 10.3390/nu14224923
pmc: PMC9699530
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : European Commission Humanitarian Office
ID : ECHO/-WF/BUD/2018/91050, ECHO/-WF/BUD/2019/91032, ECHO/-WF/BUD/2020/91006, ECHO/MLI/EDF/2020/01003
Organisme : Christina Kirby and Joshua Kulkin Foundation
ID : NA
Organisme : the Rockefeller Foundation
ID : NA
Organisme : Google Camp
ID : AWF-2019-35787
Organisme : the Thompson Family Foundation
ID : NA
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