Impact of a simplified treatment protocol for moderate acute malnutrition with a decentralized treatment approach in emergency settings of Niger

Autor: Luis Javier Sánchez-Martínez, Pilar Charle-Cuéllar, Abdoul Aziz Gado, Abdias Ogobara Dougnon, Atté Sanoussi, Nassirou Ousmane, Ramatoulaye Hamidou Lazoumar, Fanta Toure, Antonio Vargas, Candela Lucía Hernández, Noemí López-Ejeda
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Frontiers in Nutrition, Vol 10 (2023)
Druh dokumentu: article
ISSN: 2296-861X
DOI: 10.3389/fnut.2023.1253545
Popis: IntroductionOf the 45.4 million children under five affected by acute malnutrition in the world, the majority (31.8 million) are affected by moderate acute malnutrition (MAM). Its treatment is particularly complex in emergency settings such as the Diffa region in Niger. This study aims to evaluate the effectiveness and coverage of a simplified treatment protocol with Community Health Workers (CHWs) as treatment providers.MethodsThis study is a non-randomized controlled trial. The control group (n = 181) received the standard protocol currently used in country, delivered by nursing staff only in health centres and health posts, while the intervention group (n = 483) received the simplified protocol which included nursing at health centres and CHWs at health post as treatment providers.ResultsThe recovery rate was higher in the simplified protocol group (99.6% vs. 79.56%, p
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