Effectiveness and Coverage of Severe Acute Malnutrition Treatment with a Simplified Protocol in a Humanitarian Context in Diffa, Niger
Background: the aim of this study is to evaluate the effectiveness and coverage of a simplified protocol that is implemented in health centers (HCs) and health posts (HPs) for children who are suffering from severe acute malnutrition (SAM) in the humanitarian context of Diffa. Methods: We conducted...
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MDPI AG
2023-04-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/15/8/1975 |
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| author | Pilar Charle-Cuéllar Noemi Lopez-Ejeda Abdoul Aziz Gado Abdias Ogobara Dougnon Atté Sanoussi Nassirou Ousmane Ramatoulaye Hamidou Lazoumar Luis Javier Sánchez-Martínez Fanta Toure Antonio Vargas Saul Guerrero |
| author_facet | Pilar Charle-Cuéllar Noemi Lopez-Ejeda Abdoul Aziz Gado Abdias Ogobara Dougnon Atté Sanoussi Nassirou Ousmane Ramatoulaye Hamidou Lazoumar Luis Javier Sánchez-Martínez Fanta Toure Antonio Vargas Saul Guerrero |
| author_sort | Pilar Charle-Cuéllar |
| collection | DOAJ |
| description | Background: the aim of this study is to evaluate the effectiveness and coverage of a simplified protocol that is implemented in health centers (HCs) and health posts (HPs) for children who are suffering from severe acute malnutrition (SAM) in the humanitarian context of Diffa. Methods: We conducted a non-randomized community-controlled trial. The control group received outpatient treatment for SAM, without medical complications, at HCs and HPs with the standard protocol of community management of acute malnutrition (CMAM). Meanwhile, with respect to the intervention group, the children with SAM received treatment at the HCs and HPs through a simplified protocol wherein the mid-upper arm circumference (MUAC) and the presence of edema were used as the admission criteria, and the children with SAM were administered doses of fixed ready-to-use therapeutic food (RUTF). Results: A total of 508 children, who were all under 5 years and had SAM, were admitted into the study. The cured proportion was 87.4% in the control group versus 96.6% in the intervention group (<i>p</i> value = 0.001). There was no difference between the groups in the length of stay, which was 35 days, but the intervention group used a lower quantity of RUTF—70 sachets versus 90 sachets, per child cured. Coverage increases were observed in both groups. Discussion: the simplified protocol used at the HCs and HPs did not result in worse recovery and resulted in fewer discharge errors compared to the standard protocol. |
| first_indexed | 2024-03-11T04:39:18Z |
| format | Article |
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| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-11T04:39:18Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-65e23ac47e074722823ec10945cc683a2023-11-17T20:47:09ZengMDPI AGNutrients2072-66432023-04-01158197510.3390/nu15081975Effectiveness and Coverage of Severe Acute Malnutrition Treatment with a Simplified Protocol in a Humanitarian Context in Diffa, NigerPilar Charle-Cuéllar0Noemi Lopez-Ejeda1Abdoul Aziz Gado2Abdias Ogobara Dougnon3Atté Sanoussi4Nassirou Ousmane5Ramatoulaye Hamidou Lazoumar6Luis Javier Sánchez-Martínez7Fanta Toure8Antonio Vargas9Saul Guerrero10Action against Hunger, C/Duque de Sevilla no. 3, 28002 Madrid, SpainEPINUT Research Group (Ref. 920325), Unit of Physical Anthropology, Department of Biodiversity, Ecology, Faculty of Biological Sciences, and Evolution, Complutense University of Madrid, 28040 Madrid, SpainAction against Hunger, Niamey BP 11491, NigerAction against Hunger, West and Central Africa Regional, Dakar BP 29621, SenegalNutrition Direction, Ministry of Health, Niamey BP 623, NigerCentre de Recherche Médicale et Sanitaire (CERMES), Niamey BP 10887, NigerCentre de Recherche Médicale et Sanitaire (CERMES), Niamey BP 10887, NigerEPINUT Research Group (Ref. 920325), Unit of Physical Anthropology, Department of Biodiversity, Ecology, Faculty of Biological Sciences, and Evolution, Complutense University of Madrid, 28040 Madrid, SpainAction against Hunger, West and Central Africa Regional, Dakar BP 29621, SenegalAction against Hunger, C/Duque de Sevilla no. 3, 28002 Madrid, SpainUnited Nations International Children’s Emergency Fund—UNICEF, 3 United Nations Plaza, New York, NY 10017, USABackground: the aim of this study is to evaluate the effectiveness and coverage of a simplified protocol that is implemented in health centers (HCs) and health posts (HPs) for children who are suffering from severe acute malnutrition (SAM) in the humanitarian context of Diffa. Methods: We conducted a non-randomized community-controlled trial. The control group received outpatient treatment for SAM, without medical complications, at HCs and HPs with the standard protocol of community management of acute malnutrition (CMAM). Meanwhile, with respect to the intervention group, the children with SAM received treatment at the HCs and HPs through a simplified protocol wherein the mid-upper arm circumference (MUAC) and the presence of edema were used as the admission criteria, and the children with SAM were administered doses of fixed ready-to-use therapeutic food (RUTF). Results: A total of 508 children, who were all under 5 years and had SAM, were admitted into the study. The cured proportion was 87.4% in the control group versus 96.6% in the intervention group (<i>p</i> value = 0.001). There was no difference between the groups in the length of stay, which was 35 days, but the intervention group used a lower quantity of RUTF—70 sachets versus 90 sachets, per child cured. Coverage increases were observed in both groups. Discussion: the simplified protocol used at the HCs and HPs did not result in worse recovery and resulted in fewer discharge errors compared to the standard protocol.https://www.mdpi.com/2072-6643/15/8/1975severe acute malnutrition (SAM)coveragesimplified approachesready-to-use therapeutic food (RUTF)mid-upper arm circumference (MUAC)community management of acute malnutrition (CMAM) |
| spellingShingle | Pilar Charle-Cuéllar Noemi Lopez-Ejeda Abdoul Aziz Gado Abdias Ogobara Dougnon Atté Sanoussi Nassirou Ousmane Ramatoulaye Hamidou Lazoumar Luis Javier Sánchez-Martínez Fanta Toure Antonio Vargas Saul Guerrero Effectiveness and Coverage of Severe Acute Malnutrition Treatment with a Simplified Protocol in a Humanitarian Context in Diffa, Niger Nutrients severe acute malnutrition (SAM) coverage simplified approaches ready-to-use therapeutic food (RUTF) mid-upper arm circumference (MUAC) community management of acute malnutrition (CMAM) |
| title | Effectiveness and Coverage of Severe Acute Malnutrition Treatment with a Simplified Protocol in a Humanitarian Context in Diffa, Niger |
| title_full | Effectiveness and Coverage of Severe Acute Malnutrition Treatment with a Simplified Protocol in a Humanitarian Context in Diffa, Niger |
| title_fullStr | Effectiveness and Coverage of Severe Acute Malnutrition Treatment with a Simplified Protocol in a Humanitarian Context in Diffa, Niger |
| title_full_unstemmed | Effectiveness and Coverage of Severe Acute Malnutrition Treatment with a Simplified Protocol in a Humanitarian Context in Diffa, Niger |
| title_short | Effectiveness and Coverage of Severe Acute Malnutrition Treatment with a Simplified Protocol in a Humanitarian Context in Diffa, Niger |
| title_sort | effectiveness and coverage of severe acute malnutrition treatment with a simplified protocol in a humanitarian context in diffa niger |
| topic | severe acute malnutrition (SAM) coverage simplified approaches ready-to-use therapeutic food (RUTF) mid-upper arm circumference (MUAC) community management of acute malnutrition (CMAM) |
| url | https://www.mdpi.com/2072-6643/15/8/1975 |
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