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- Title
Effectiveness of Acute Malnutrition Treatment at Health Center and Community Levels with a Simplified, Combined Protocol in Mali: An Observational Cohort Study.
- Authors
Kangas, Suvi T.; Marron, Bethany; Tausanovitch, Zachary; Radin, Elizabeth; Andrianarisoa, Josiane; Dembele, Salimou; Ouédraogo, Césaire T.; Coulibaly, Issa Niamanto; Biotteau, Marie; Ouologuem, Bareye; Daou, Soumaila; Traoré, Fatoumata; Traoré, Issiaka; Nene, Marc; Bailey, Jeanette
- Abstract
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.
- Subjects
MALI; THERAPEUTICS; LENGTH of stay in hospitals; ENRICHED foods; CONVALESCENCE; HEALTH outcome assessment; COMMUNITY health services; MEDICAL protocols; MALNUTRITION; ACUTE diseases; EDEMA; ARM circumference
- Publication
Nutrients, 2022, Vol 14, Issue 22, p4923
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu14224923