• Login
    View Item 
    •   Home
    • 1 Published Research and Commentary
    • Nutrition
    • View Item
    •   Home
    • 1 Published Research and Commentary
    • Nutrition
    • View Item
    Jan 16, 2021
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of MSFTitleAuthorsSubjectsPublisherJournalThis CollectionTitleAuthorsSubjectsPublisherJournal

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

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Authors
    Isanaka, S
    Hanson, KE
    Frison, S
    Andersen, CT
    Cohuet, S
    Grais, RF
    Issue Date
    2018-09-08
    Submitted date
    2018-10-04
    
    Metadata
    Show full item record
    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
    URI
    http://hdl.handle.net/10144/619287
    DOI
    10.1111/mcn.12688
    PubMed ID
    30194814
    Language
    en
    ISSN
    1740-8709
    ae974a485f413a2113503eed53cd6c53
    10.1111/mcn.12688
    Scopus Count
    Collections
    Nutrition

    entitlement

    Related articles

    • Mid-upper arm circumference based nutrition programming: evidence for a new approach in regions with high burden of acute malnutrition.
    • Authors: Goossens S, Bekele Y, Yun O, Harczi G, Ouannes M, Shepherd S
    • Issue date: 2012
    • Comparison of Clinical Characteristics and Treatment Outcomes of Children Selected for Treatment of Severe Acute Malnutrition Using Mid Upper Arm Circumference and/or Weight-for-Height Z-Score.
    • Authors: Isanaka S, Guesdon B, Labar AS, Hanson K, Langendorf C, Grais RF
    • Issue date: 2015
    • Comparison of weight-for-height and mid-upper arm circumference (MUAC) in a therapeutic feeding programme in South Sudan: is MUAC alone a sufficient criterion for admission of children at high risk of mortality?
    • Authors: Grellety E, Krause LK, Shams Eldin M, Porten K, Isanaka S
    • Issue date: 2015 Oct
    • Using mid-upper arm circumference to end treatment of severe acute malnutrition leads to higher weight gains in the most malnourished children.
    • Authors: Dale NM, Myatt M, Prudhon C, Briend A
    • Issue date: 2013
    • Do we need to reconsider the CMAM admission and discharge criteria?; an analysis of CMAM data in South Sudan.
    • Authors: Ahn E, Ouma C, Loha M, Dibaba A, Dyment W, Kim J, Beck NS, Park T
    • Issue date: 2020 Apr 16
    DSpace software (copyright © 2002 - 2021)  DuraSpace
    Quick Guide | Contact Us
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.