Use of MUAC as the sole discharge criterion from community-based management of severe acute malnutrition in Burkina Faso.

Hdl Handle:
http://hdl.handle.net/10144/619287
Title:
Use of MUAC as the sole discharge criterion from community-based management of severe acute malnutrition in Burkina Faso.
Authors:
Isanaka, S; Hanson, KE; Frison, S; Andersen, CT; Cohuet, S; Grais, RF
Journal:
Maternal & child nutrition
Abstract:
The use of mid upper arm circumference (MUAC) measurement to screen and determine eligibility for admission to therapeutic feeding programs has been established, but evidence and programmatic experience to inform guidance on the use of MUAC as a discharge criterion is limited. We present results from a large scale nutritional program using MUAC for admission and discharge and compare program outcomes and response to treatment when determining eligibility for discharge by proportional weight gain vs. discharge by MUAC. The study population included all children admitted to the Ministry of Health therapeutic feeding program supported by Médecins Sans Frontières in northern Burkina Faso from September 2007 to December 2011 (n = 50,841). Recovery was high overall using both discharge criteria, with low risks of death, non-response and transfer to inpatient care and high daily gains in weight, MUAC, WHZ and height. When discharge was made by MUAC only, recovery increased, while all adverse program outcomes and length of stay decreased, with increasing MUAC on admission. MUAC-based programming, where MUAC is integrated into program screening, admission, and discharge, is one of several new approaches that can be used to target resources to the most at-risk malnourished children and improve program efficiency and coherency. This analysis provides additional programmatic experience on the use of MUAC-based discharge criterion, but more work may be needed to inform optimal discharge thresholds across settings.
Publisher:
Wiley-Blackwell
Issue Date:
8-Sep-2018
URI:
http://hdl.handle.net/10144/619287
DOI:
10.1111/mcn.12688
PubMed ID:
30194814
Submitted date:
2018-10-04
Language:
en
ISSN:
1740-8709
Appears in Collections:
Nutrition

Full metadata record

DC FieldValue Language
dc.contributor.authorIsanaka, Sen
dc.contributor.authorHanson, KEen
dc.contributor.authorFrison, Sen
dc.contributor.authorAndersen, CTen
dc.contributor.authorCohuet, Sen
dc.contributor.authorGrais, RFen
dc.date.accessioned2018-10-16T16:55:42Z-
dc.date.available2018-10-16T16:55:42Z-
dc.date.issued2018-09-08-
dc.date.submitted2018-10-04-
dc.identifier.citationUse of MUAC as the sole discharge criterion from community-based management of severe acute malnutrition in Burkina Faso. 2018:e12688 Matern Child Nutren
dc.identifier.issn1740-8709-
dc.identifier.pmid30194814-
dc.identifier.doi10.1111/mcn.12688-
dc.identifier.urihttp://hdl.handle.net/10144/619287-
dc.description.abstractThe use of mid upper arm circumference (MUAC) measurement to screen and determine eligibility for admission to therapeutic feeding programs has been established, but evidence and programmatic experience to inform guidance on the use of MUAC as a discharge criterion is limited. We present results from a large scale nutritional program using MUAC for admission and discharge and compare program outcomes and response to treatment when determining eligibility for discharge by proportional weight gain vs. discharge by MUAC. The study population included all children admitted to the Ministry of Health therapeutic feeding program supported by Médecins Sans Frontières in northern Burkina Faso from September 2007 to December 2011 (n = 50,841). Recovery was high overall using both discharge criteria, with low risks of death, non-response and transfer to inpatient care and high daily gains in weight, MUAC, WHZ and height. When discharge was made by MUAC only, recovery increased, while all adverse program outcomes and length of stay decreased, with increasing MUAC on admission. MUAC-based programming, where MUAC is integrated into program screening, admission, and discharge, is one of several new approaches that can be used to target resources to the most at-risk malnourished children and improve program efficiency and coherency. This analysis provides additional programmatic experience on the use of MUAC-based discharge criterion, but more work may be needed to inform optimal discharge thresholds across settings.en
dc.language.isoenen
dc.publisherWiley-Blackwellen
dc.rightsArchived with thanks to Maternal & Child Nutritionen
dc.titleUse of MUAC as the sole discharge criterion from community-based management of severe acute malnutrition in Burkina Faso.en
dc.identifier.journalMaternal & child nutritionen
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