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dc.contributor.authorMinetti, A*
dc.contributor.authorShams Eldin, M*
dc.contributor.authorDefourny, I*
dc.contributor.authorHarczi, G*
dc.date.accessioned2010-02-05T23:19:01Z
dc.date.available2010-02-05T23:19:01Z
dc.date.issued2009-10
dc.identifier.citationImpact of the shift from NCHS growth reference to WHO(2006) growth standards in a therapeutic feeding programme in Niger. 2009, 14 (10):1210-4 Trop. Med. Int. Healthen
dc.identifier.issn1365-3156
dc.identifier.pmid19772546
dc.identifier.doi10.1111/j.1365-3156.2009.02366.x
dc.identifier.urihttp://hdl.handle.net/10144/91285
dc.description.abstractOBJECTIVES: 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.
dc.language.isoenen
dc.rightsArchived on this site with the kind permission of Wiley-Blackwell, [url]http://www.blackwell-synergy.com/loi/tmi[/url]en
dc.subject.meshAnthropometryen
dc.subject.meshChild Developmenten
dc.subject.meshChild, Preschoolen
dc.subject.meshEdemaen
dc.subject.meshFemaleen
dc.subject.meshGrowthen
dc.subject.meshGrowth Disordersen
dc.subject.meshHumansen
dc.subject.meshInfanten
dc.subject.meshMaleen
dc.subject.meshMalnutritionen
dc.subject.meshNational Center for Health Statistics (U.S.)en
dc.subject.meshNigeren
dc.subject.meshNutrition Surveysen
dc.subject.meshPrognosisen
dc.subject.meshReference Standardsen
dc.subject.meshRelief Worken
dc.subject.meshUnited Statesen
dc.subject.meshWorld Health Organizationen
dc.titleImpact of the shift from NCHS growth reference to WHO(2006) growth standards in a therapeutic feeding programme in Niger.en
dc.contributor.departmentEpicentre, 75011 Paris, France. andrea.minetti@epicentre.msf.orgen
dc.identifier.journalTropical Medicine & International Healthen
refterms.dateFOA2019-03-04T15:37:54Z
html.description.abstractOBJECTIVES: 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.


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