Impact of Integration of Severe Acute Malnutrition Treatment in Primary Health Care Provided by Community Health Workers in Rural Niger

The present study aimed to assess the effectiveness and impact on treatment coverage of integrating severe acute malnutrition (SAM) treatment at the health hut level by community health workers (CHWs). This study was a non-randomized controlled trial, including two rural communes in the health distr...

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Autores principales:	Abdias Ogobara Dougnon, Pilar Charle-Cuéllar, Fanta Toure, Abdoul Aziz Gado, Atté Sanoussi, Ramatoulaye Hamidou Lazoumar, Georges Alain Tchamba, Antonio Vargas, Noemi Lopez-Ejeda
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	severe acute malnutrition (SAM) community health workers (CHW) integrated community case management (iCCM) mid-upper arm circumference (MUAC) coverage Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/b9175ab37150436fbfe457d4d13a9f42
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spelling	oai:doaj.org-article:b9175ab37150436fbfe457d4d13a9f422021-11-25T18:36:31ZImpact of Integration of Severe Acute Malnutrition Treatment in Primary Health Care Provided by Community Health Workers in Rural Niger10.3390/nu131140672072-6643https://doaj.org/article/b9175ab37150436fbfe457d4d13a9f422021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/4067https://doaj.org/toc/2072-6643The present study aimed to assess the effectiveness and impact on treatment coverage of integrating severe acute malnutrition (SAM) treatment at the health hut level by community health workers (CHWs). This study was a non-randomized controlled trial, including two rural communes in the health district of Mayahi: Maïreyreye (control) and Guidan Amoumoune (intervention). The control group received outpatient treatment for uncomplicated SAM from health facilities (HFs), while the intervention group received outpatient treatment for uncomplicated SAM from HFs or CHWs. A total of 2789 children aged 6–59 months with SAM without medical complications were included in the study. The proportion of cured children was 72.1% in the control group, and 77.2% in the intervention group. Treatment coverage decreased by 8.3% in the control area, while the group of CHWs was able to mitigate that drop and even increase coverage by 3%. This decentralized treatment model of acute malnutrition with CHWs allowed an increase in treatment coverage while maintaining a good quality of care. It also allowed the early inclusion of children in less severe conditions. These results may enhance the Niger Ministry of Health to review the management of SAM protocol and allow CHWs to treat acute malnutrition.Abdias Ogobara DougnonPilar Charle-CuéllarFanta ToureAbdoul Aziz GadoAtté SanoussiRamatoulaye Hamidou LazoumarGeorges Alain TchambaAntonio VargasNoemi Lopez-EjedaMDPI AGarticlesevere acute malnutrition (SAM)community health workers (CHW)integrated community case management (iCCM)mid-upper arm circumference (MUAC)coverageNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 4067, p 4067 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	severe acute malnutrition (SAM) community health workers (CHW) integrated community case management (iCCM) mid-upper arm circumference (MUAC) coverage Nutrition. Foods and food supply TX341-641
spellingShingle	severe acute malnutrition (SAM) community health workers (CHW) integrated community case management (iCCM) mid-upper arm circumference (MUAC) coverage Nutrition. Foods and food supply TX341-641 Abdias Ogobara Dougnon Pilar Charle-Cuéllar Fanta Toure Abdoul Aziz Gado Atté Sanoussi Ramatoulaye Hamidou Lazoumar Georges Alain Tchamba Antonio Vargas Noemi Lopez-Ejeda Impact of Integration of Severe Acute Malnutrition Treatment in Primary Health Care Provided by Community Health Workers in Rural Niger
description	The present study aimed to assess the effectiveness and impact on treatment coverage of integrating severe acute malnutrition (SAM) treatment at the health hut level by community health workers (CHWs). This study was a non-randomized controlled trial, including two rural communes in the health district of Mayahi: Maïreyreye (control) and Guidan Amoumoune (intervention). The control group received outpatient treatment for uncomplicated SAM from health facilities (HFs), while the intervention group received outpatient treatment for uncomplicated SAM from HFs or CHWs. A total of 2789 children aged 6–59 months with SAM without medical complications were included in the study. The proportion of cured children was 72.1% in the control group, and 77.2% in the intervention group. Treatment coverage decreased by 8.3% in the control area, while the group of CHWs was able to mitigate that drop and even increase coverage by 3%. This decentralized treatment model of acute malnutrition with CHWs allowed an increase in treatment coverage while maintaining a good quality of care. It also allowed the early inclusion of children in less severe conditions. These results may enhance the Niger Ministry of Health to review the management of SAM protocol and allow CHWs to treat acute malnutrition.
format	article
author	Abdias Ogobara Dougnon Pilar Charle-Cuéllar Fanta Toure Abdoul Aziz Gado Atté Sanoussi Ramatoulaye Hamidou Lazoumar Georges Alain Tchamba Antonio Vargas Noemi Lopez-Ejeda
author_facet	Abdias Ogobara Dougnon Pilar Charle-Cuéllar Fanta Toure Abdoul Aziz Gado Atté Sanoussi Ramatoulaye Hamidou Lazoumar Georges Alain Tchamba Antonio Vargas Noemi Lopez-Ejeda
author_sort	Abdias Ogobara Dougnon
title	Impact of Integration of Severe Acute Malnutrition Treatment in Primary Health Care Provided by Community Health Workers in Rural Niger
title_short	Impact of Integration of Severe Acute Malnutrition Treatment in Primary Health Care Provided by Community Health Workers in Rural Niger
title_full	Impact of Integration of Severe Acute Malnutrition Treatment in Primary Health Care Provided by Community Health Workers in Rural Niger
title_fullStr	Impact of Integration of Severe Acute Malnutrition Treatment in Primary Health Care Provided by Community Health Workers in Rural Niger
title_full_unstemmed	Impact of Integration of Severe Acute Malnutrition Treatment in Primary Health Care Provided by Community Health Workers in Rural Niger
title_sort	impact of integration of severe acute malnutrition treatment in primary health care provided by community health workers in rural niger
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/b9175ab37150436fbfe457d4d13a9f42
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Impact of Integration of Severe Acute Malnutrition Treatment in Primary Health Care Provided by Community Health Workers in Rural Niger

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