2030 Countdown to combating malnutrition in Burundi: comparison of proactive approaches for case detection and enrolment into treatment
| Autor: | Jean-Berchmans Masabo, Sonia Hakizimana, Honorine Murorunkwere, Tarek Meguid, Cathryn Christensen, Ghislaine Gatasi, Emmanuel Nene Odjidja |
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| Rok vydání: | 2020 |
| Předmět: |
0303 health sciences
education.field_of_study medicine.medical_specialty Pediatrics Health (social science) Case detection 030309 nutrition & dietetics business.industry Public health Population Public Health Environmental and Occupational Health General Medicine medicine.disease 03 medical and health sciences Malnutrition 0302 clinical medicine Chronic malnutrition Global Acute Malnutrition Medicine Observational study 030212 general & internal medicine education business Mass screening |
| Zdroj: | International Health. 14:413-420 |
| ISSN: | 1876-3405 1876-3413 |
| DOI: | 10.1093/inthealth/ihz119 |
| Popis: | Background Burundi has one of the highest rates of malnutrition in the world, particularly chronic malnutrition, which affects 55% of all children Methods Individual data from each screening approach was classified as either acutely malnourished or normal and either chronically malnourished or normal using a cut-off z-score between −2 and 2. Results While the Global Acute Malnutrition rate for the community-based mass screening was 8.3% (95% CI 5.6 to 11), with 8% enrolled in treatment, that of clinic-based systematic screening was 14.1% (95% CI 12.2 to 16.1), 98% of which were enrolled in treatment. Clinic systematic screening was 1.82 times (OR, 95% CI 1.26 to 2.62, p Conclusions Although different mechanisms are relevant to proactively detect cases, strengthening the health system to systematically screen children could yield the best results, as it remains the primary contact for the sicker population, who may be at risk of increased infection as a result of underlying malnutrition. |
| Databáze: | OpenAIRE |
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