Impact of the shift from NCHS growth reference to WHO(2006) growth standards in a therapeutic feeding programme in Niger.
Affiliation
Epicentre, 75011 Paris, France. andrea.minetti@epicentre.msf.orgIssue Date
2009-10
Metadata
Show full item recordAbstract
OBJECTIVES: To describe the implementation of the WHO(2006) growth standards in a therapeutic feeding programme. METHODS: Using programme monitoring data from 21,769 children 6-59 months admitted to the Médecins Sans Frontières therapeutic feeding programme during 2007, we compared characteristics at admission, type of care and outcomes for children admitted before and after the shift to the WHO(2006) standards. Admission criteria were bipedal oedema, MUAC <110 mm, or weight-for-height (WFH) of <-70% of the median (NCHS) before mid-May 2007, and WFH <-3 z score (WHO(2006)) after mid-May 2007. RESULTS: Children admitted with the WHO(2006) standards were more likely to be younger, with a higher proportion of males, and less malnourished (mean WFH -3.6 z score vs. mean WFH -4.6 z score). They were less likely to require hospitalization or intensive care (28.4%vs. 77%; 12.8%vs. 36.5%) and more likely to be treated exclusively on an outpatient basis (71.6%vs. 23%). Finally, they experienced better outcomes (cure rate: 89%vs. 71.7%, death rate: 2.7%vs. 6.4%, default rate: 6.7%vs. 12.3%). CONCLUSIONS: In this programme, the WHO(2006) standards identify a larger number of malnourished children at an earlier stage of disease facilitating their treatment success.PubMed ID
19772546Language
enISSN
1365-3156ae974a485f413a2113503eed53cd6c53
10.1111/j.1365-3156.2009.02366.x
Scopus Count
Collections
Related articles
- Prognostic accuracy of WHO growth standards to predict mortality in a large-scale nutritional program in Niger.
- Authors: Lapidus N, Luquero FJ, Gaboulaud V, Shepherd S, Grais RF
- Issue date: 2009 Mar 3
- Comparison of the new World Health Organization growth standards and the National Center for Health Statistics growth reference regarding mortality of malnourished children treated in a 2006 nutrition program in Niger.
- Authors: Dale NM, Grais RF, Minetti A, Miettola J, Barengo NC
- Issue date: 2009 Feb
- Mortality risk among children admitted in a large-scale nutritional program in Niger, 2006.
- Authors: Lapidus N, Minetti A, Djibo A, Guerin PJ, Hustache S, Gaboulaud V, Grais RF
- Issue date: 2009
- Impact of new WHO growth standards on the prevalence of acute malnutrition and operations of feeding programs - Darfur, Sudan, 2005-2007.
- Authors: Centers for Disease Control and Prevention (CDC).
- Issue date: 2009 Jun 5
- Algorithms for converting estimates of child malnutrition based on the NCHS reference into estimates based on the WHO Child Growth Standards.
- Authors: Yang H, de Onis M
- Issue date: 2008 May 5