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Program changes are effective and cost‐effective in increasing the amount of oil used in preparing corn soy blend porridge for treatment of moderate acute malnutrition in Malawi

Corn Soy Blend (CSB) porridge is commonly prepared with oil for treatment of moderate acute malnutrition (MAM). A recent review recommended that 30 g of oil be used with 100 g of CSB to increase energy density and micronutrient absorption. This study assessed the effectiveness and cost‐effectiveness...

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Autores principales: Rogers, Beatrice Lorge, Wilner, Lauren B., Maganga, Gray, Walton, Shelley Marcus, Suri, Devika J., Langlois, Breanne K., Chui, Kenneth Kwan Ho, Boiteau, Jocelyn M., Vosti, Stephen A., Webb, Patrick
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6866085/
https://www.ncbi.nlm.nih.gov/pubmed/28083927
http://dx.doi.org/10.1111/mcn.12393
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author Rogers, Beatrice Lorge
Wilner, Lauren B.
Maganga, Gray
Walton, Shelley Marcus
Suri, Devika J.
Langlois, Breanne K.
Chui, Kenneth Kwan Ho
Boiteau, Jocelyn M.
Vosti, Stephen A.
Webb, Patrick
author_facet Rogers, Beatrice Lorge
Wilner, Lauren B.
Maganga, Gray
Walton, Shelley Marcus
Suri, Devika J.
Langlois, Breanne K.
Chui, Kenneth Kwan Ho
Boiteau, Jocelyn M.
Vosti, Stephen A.
Webb, Patrick
author_sort Rogers, Beatrice Lorge
collection PubMed
description Corn Soy Blend (CSB) porridge is commonly prepared with oil for treatment of moderate acute malnutrition (MAM). A recent review recommended that 30 g of oil be used with 100 g of CSB to increase energy density and micronutrient absorption. This study assessed the effectiveness and cost‐effectiveness of program changes aimed at achieving that target oil:CSB ratio in prepared porridge. Caregivers of children in MAM supplementary feeding programs were assigned to three groups: a control group received monthly rations of 1 L oil, 8 kg CSB in bulk, and social and behavior change communication (SBCC); intervention groups received 2.6 L oil, 8 kg CSB provided either in bulk (Group 1) or four 2‐kg packages with printed messages (Group 2), and enhanced SBCC emphasizing the target oil:CSB ratio. Compared to the control, both intervention groups had higher mean added oil per 100 g CSB (18 g, p < 0.01, and 13 g, p= 0.04, higher in groups 1 and 2, respectively), and greater odds of meeting or exceeding the target ratio (28.4, p< 0.01, and 12.7, p= 0.02, in groups 1 and 2, respectively). Cost per caregiver reaching the target ratio was most favorable in Group 1 ($391 in Group 1, $527 in Group 2, and $1,666 in the control). Enhanced SBCC combined with increased oil ration resulted in increased use of oil in CSB porridge in a supplementary feeding program. Modified packaging did not improve effectiveness. However, both interventions were more cost‐effective than standard programming.
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spelling pubmed-68660852020-05-21 Program changes are effective and cost‐effective in increasing the amount of oil used in preparing corn soy blend porridge for treatment of moderate acute malnutrition in Malawi Rogers, Beatrice Lorge Wilner, Lauren B. Maganga, Gray Walton, Shelley Marcus Suri, Devika J. Langlois, Breanne K. Chui, Kenneth Kwan Ho Boiteau, Jocelyn M. Vosti, Stephen A. Webb, Patrick Matern Child Nutr Original Articles Corn Soy Blend (CSB) porridge is commonly prepared with oil for treatment of moderate acute malnutrition (MAM). A recent review recommended that 30 g of oil be used with 100 g of CSB to increase energy density and micronutrient absorption. This study assessed the effectiveness and cost‐effectiveness of program changes aimed at achieving that target oil:CSB ratio in prepared porridge. Caregivers of children in MAM supplementary feeding programs were assigned to three groups: a control group received monthly rations of 1 L oil, 8 kg CSB in bulk, and social and behavior change communication (SBCC); intervention groups received 2.6 L oil, 8 kg CSB provided either in bulk (Group 1) or four 2‐kg packages with printed messages (Group 2), and enhanced SBCC emphasizing the target oil:CSB ratio. Compared to the control, both intervention groups had higher mean added oil per 100 g CSB (18 g, p < 0.01, and 13 g, p= 0.04, higher in groups 1 and 2, respectively), and greater odds of meeting or exceeding the target ratio (28.4, p< 0.01, and 12.7, p= 0.02, in groups 1 and 2, respectively). Cost per caregiver reaching the target ratio was most favorable in Group 1 ($391 in Group 1, $527 in Group 2, and $1,666 in the control). Enhanced SBCC combined with increased oil ration resulted in increased use of oil in CSB porridge in a supplementary feeding program. Modified packaging did not improve effectiveness. However, both interventions were more cost‐effective than standard programming. John Wiley and Sons Inc. 2017-01-12 /pmc/articles/PMC6866085/ /pubmed/28083927 http://dx.doi.org/10.1111/mcn.12393 Text en © 2017 The Authors Maternal & Child Nutrition Published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Articles
Rogers, Beatrice Lorge
Wilner, Lauren B.
Maganga, Gray
Walton, Shelley Marcus
Suri, Devika J.
Langlois, Breanne K.
Chui, Kenneth Kwan Ho
Boiteau, Jocelyn M.
Vosti, Stephen A.
Webb, Patrick
Program changes are effective and cost‐effective in increasing the amount of oil used in preparing corn soy blend porridge for treatment of moderate acute malnutrition in Malawi
title Program changes are effective and cost‐effective in increasing the amount of oil used in preparing corn soy blend porridge for treatment of moderate acute malnutrition in Malawi
title_full Program changes are effective and cost‐effective in increasing the amount of oil used in preparing corn soy blend porridge for treatment of moderate acute malnutrition in Malawi
title_fullStr Program changes are effective and cost‐effective in increasing the amount of oil used in preparing corn soy blend porridge for treatment of moderate acute malnutrition in Malawi
title_full_unstemmed Program changes are effective and cost‐effective in increasing the amount of oil used in preparing corn soy blend porridge for treatment of moderate acute malnutrition in Malawi
title_short Program changes are effective and cost‐effective in increasing the amount of oil used in preparing corn soy blend porridge for treatment of moderate acute malnutrition in Malawi
title_sort program changes are effective and cost‐effective in increasing the amount of oil used in preparing corn soy blend porridge for treatment of moderate acute malnutrition in malawi
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6866085/
https://www.ncbi.nlm.nih.gov/pubmed/28083927
http://dx.doi.org/10.1111/mcn.12393
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