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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...

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Autores principales: Ogobara Dougnon, Abdias, Charle-Cuéllar, Pilar, Toure, Fanta, Aziz Gado, Abdoul, Sanoussi, Atté, Lazoumar, Ramatoulaye Hamidou, Alain Tchamba, Georges, Vargas, Antonio, Lopez-Ejeda, Noemi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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.
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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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