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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8625976/ https://www.ncbi.nlm.nih.gov/pubmed/34836322 http://dx.doi.org/10.3390/nu13114067 |
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author | Ogobara Dougnon, Abdias Charle-Cuéllar, Pilar Toure, Fanta Aziz Gado, Abdoul Sanoussi, Atté Lazoumar, Ramatoulaye Hamidou Alain Tchamba, Georges Vargas, Antonio Lopez-Ejeda, Noemi |
author_facet | Ogobara Dougnon, Abdias Charle-Cuéllar, Pilar Toure, Fanta Aziz Gado, Abdoul Sanoussi, Atté Lazoumar, Ramatoulaye Hamidou Alain Tchamba, Georges Vargas, Antonio Lopez-Ejeda, Noemi |
author_sort | Ogobara Dougnon, Abdias |
collection | PubMed |
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 | Online Article Text |
id | pubmed-8625976 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-86259762021-11-27 Impact of Integration of Severe Acute Malnutrition Treatment in Primary Health Care Provided by Community Health Workers in Rural Niger Ogobara Dougnon, Abdias Charle-Cuéllar, Pilar Toure, Fanta Aziz Gado, Abdoul Sanoussi, Atté Lazoumar, Ramatoulaye Hamidou Alain Tchamba, Georges Vargas, Antonio Lopez-Ejeda, Noemi Nutrients Article 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. MDPI 2021-11-14 /pmc/articles/PMC8625976/ /pubmed/34836322 http://dx.doi.org/10.3390/nu13114067 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Ogobara Dougnon, Abdias Charle-Cuéllar, Pilar Toure, Fanta Aziz Gado, Abdoul Sanoussi, Atté Lazoumar, Ramatoulaye Hamidou Alain Tchamba, Georges Vargas, Antonio Lopez-Ejeda, Noemi Impact of Integration of Severe Acute Malnutrition Treatment in Primary Health Care Provided by Community Health Workers in Rural Niger |
title | 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_short | 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 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8625976/ https://www.ncbi.nlm.nih.gov/pubmed/34836322 http://dx.doi.org/10.3390/nu13114067 |
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