Risk factors associated with poor health outcomes for children under the age of 5 with moderate acute malnutrition in rural fagita lekoma district, Awi Zone, Amhara, Ethiopia, 2016

The purpose of this paper is to examine prevention programs, and discuss their potential for having an impact on reducing crime and poor health outcomes for Aboriginal people. A historical context is first outlined in order to provide a context for understanding the disproportionate amount of crime and related poor health outcomes affecting Aboriginal people. Risk factors for crime and health are identified, demonstrating their interrelatedness and overlapping nature, indicating that risk factors do not existing in isolation from each other. Existing crime prevention programs are subsequently discussed, paying particular attention to the intersection between evidence-based outcomes and programs offered at Aboriginal Friendship Centres. The use of prevention programs for preventing/reducing crime and related health costs (i.e. substance use/abuse, smoking, and/or addictions) has been positively established by existing research. Thus, it is suggested that these programs offered in Aboriginal centres, such as Aboriginal Friendship Centres, should be furtherexpanded and supported.

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Factors Influencing Recovery among Children with Moderate Acute Malnutrition Treated at Kirehe District Health Centers

Journal of Public Health International ◽

10.14302/issn.2641-4538.jphi-20-3437 ◽

2020 ◽

Vol 3 (1) ◽

pp. 20-27

Author(s):

Vianney Bihibindi Kabundi ◽

Camille Kayihura ◽

Onesmus Marete ◽

Nicodeme Habarurema ◽

Erigene Rutayisire

Keyword(s):

Low Income ◽

Family Income ◽

Health Facilities ◽

Health Centers ◽

Acute Malnutrition ◽

District Health ◽

Middle Income ◽

Factors Associated ◽

Income Status ◽

Moderate Acute Malnutrition

Acute malnutrition affects nearly 52 million of under five years children globally, 75% of them live in low to middle income countries. The treatment of acute malnutrition using supplement foods could help children recovering and could reduce the risk of sickness. The present study investigated the factors associated with recovery among children with moderate acute malnutrition (MAM) under a follow-up program at health facilities. A prospective study was conducted in 16 health centers of Kirehe District of Rwanda and included 200 children from 6 to 59 months. A semi-structured questionnaire was used for data collection. All children enrolled in the study spent three months in nutrition program at health centers. The results show that after 3 months in the program 77.5% recovered from MAM. Children aged above 36 to 59 months were recovered at 90% whereas children aged from 24-35 months were recovered at 73.5%. Micronutrients and deworming provided at health facility were contributed to the recovery as children who received them were recovered at 89.1% and for those who didn’t were recovery at 72.1%. The findings demonstrated that boys were 16 times more likely to recover from MAM in three months of intervention than girls (AOR=16.19, p<0.001, 95% CI: 5.39- 48.63). Children from moderate income families were 3 more likely to recover than those from very low income families (AOR=2.8, p=0.029, 95% CI: 1.11-7.51). Male gender, receiving micronutrients and deworming from health facilities and family income status were factors associated with MAM recovery status

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Adherence to ready-to-use food and acceptability of outpatient nutritional therapy in HIV-infected undernourished Senegalese adolescents: research-based recommendations for routine care.

10.21203/rs.2.18664/v3 ◽

2020 ◽

Author(s):

Fatou Niasse ◽

Marie Varloteaux ◽

Karim Diop ◽

Sidy Mokhtar Ndiaye ◽

François Niokhor Diouf ◽

...

Keyword(s):

Risk Factors ◽

Young Patients ◽

Nutritional Therapy ◽

Routine Care ◽

Acute Malnutrition ◽

Stepwise Logistic Regression ◽

Growth Standards ◽

Factors Associated ◽

Overall Acceptability

Abstract Background: Ready-to-use food (RUF) is increasingly used for nutritional therapy in HIV-infected individuals. However, practical guidance advising nutrition care to HIV-infected adolescents is lacking, so that little is known about the acceptability of such therapy in this vulnerable population. This study assesses the overall acceptability and perception of a RUF-based therapy and risk factors associated with sub-optimal RUF intake in HIV-infected undernourished adolescents in Senegal.Methods: Participants 5 to 18 years of age with acute malnutrition were enrolled in 12 HIV clinics in Senegal. Participants were provided with imported RUF, according to WHO prescription weight- and age-bands (2009), until recovery or for a maximum of 9-12 months. Malnutrition and recovery were defined according to WHO growth standards. Adherence was assessed fortnightly by self-reported RUF intake over the period. Sub-optimal RUF intake was defined as when consumption of the RUF provision was < 50%. RUF therapy acceptability and perceptions were assessed using a structured questionnaire at week 2 and focus group discussions (FGDs) at the end of the study. Factors associated with sub-optimal RUF intake at week 2 were identified using a stepwise logistic regression model. Results: We enrolled 173 participants, with a median age of 12.5 years (Interquartile range: 9.5 – 14.9), of whom 61% recovered from malnutrition within the study period. Median follow-up duration was 66 days (21 – 224). RUF consumption was stable, varying between 64% and 57% of the RUF provided, throughout the follow-up. At week 2, sub-optimal RUF intake was observed in 31% of participants. Dislike of the taste of RUF (aOR=5.0, 95% CI: 2.0 – 12.3), HIV non-disclosure (5.1, 1.9 – 13.9) and food insecurity (2.8, 1.1 – 7.2) were the major risk factors associated with sub-optimal RUF intake at week 2. FGDs showed that the need to hide from others to avoid sharing and undesirable effects were other constraints on RUF feeding. Conclusions: This study revealed several factors reducing the acceptability and adherence to RUF therapy based on WHO guidelines in HIV-infected adolescents. Tailoring prescription guidance and empowering young patients in their care are crucial levers for improving the acceptability of RUF-based therapy in routine care. ClinicalTrials.gov identifier: NCT03101852, 04/04/2017

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Assessment of Risk Factors Associated with Severe Acute Malnutrition Among Children Admitted to Arsi Zone Gov’tal Hospitals, Ethiopia, 2016: Cross Sectional Study

International Journal of Clinical and Experimental Medical Sciences ◽

10.11648/j.ijcems.20200604.11 ◽

2020 ◽

Vol 6 (4) ◽

pp. 51

Author(s):

Tolessa Kebede Bedo ◽

Birhanu Alemu Feseha

Keyword(s):

Risk Factors ◽

Severe Acute Malnutrition ◽

Cross Sectional Study ◽

Acute Malnutrition ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Arsi Zone

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Factors associated with moderate acute malnutrition among 6–59 months children in the Lake Tchad region: A case-control study

Revue d Épidémiologie et de Santé Publique ◽

10.1016/j.respe.2018.05.300 ◽

2018 ◽

Vol 66 ◽

pp. S347-S348 ◽

Cited By ~ 1

Author(s):

D. Bahya-Batinda ◽

M. Dramaix-Wilmet ◽

P. Donnen

Keyword(s):

Case Control Study ◽

Case Control ◽

Acute Malnutrition ◽

Factors Associated ◽

Moderate Acute Malnutrition ◽

Control Study

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Informing the management of acute malnutrition in infants aged under 6 months (MAMI): risk factor analysis using nationally-representative demographic & health survey secondary data

PeerJ ◽

10.7717/peerj.5848 ◽

2019 ◽

Vol 6 ◽

pp. e5848 ◽

Cited By ~ 11

Author(s):

Marko Kerac ◽

Severine Frison ◽

Nichola Connell ◽

Bethan Page ◽

Marie McGrath

Keyword(s):

Risk Factors ◽

Research Policy ◽

Secondary Data ◽

Acute Malnutrition ◽

World Health ◽

Demographic And Health Surveys ◽

Maternal Body Mass Index ◽

Factors Associated ◽

Small Infant ◽

Nationally Representative

Background Tackling malnutrition is a global health priority, helping children both survive and thrive. Acute malnutrition (wasting) in infants aged under 6 months (u6m) is often neglected. Worldwide, some 8.5 million infants u6m are affected yet recent World Health Organization malnutrition guidelines highlight numerous evidence gaps on how to best manage them. To inform future research, policy and programming, we aimed to identify risk factors associated with infant u6m wasting. Methods We did secondary data analysis of nationally representative, cross sectional Demographic and Health Surveys conducted in the last 10 years. We compared wasted infants u6m (weight-for-length <−2 z-scores) vs. non-wasted (weight-for-length ≥−2 z-score). We used simple and adjusted (for infant age, sex, socio-economic status) logistic regression to calculate odds of wasting associated with risk factors spanning three broad categories: household-related; maternal-related; infant-related. Results We analysed 16,123 infants u6m from 20 countries. Multiple risk factors were statistically associated with wasting. These included: poverty (Odds ratio, OR 1.22 (95% CI [1.01–1.48], p = 0.04)); low maternal body mass index (adjusted OR 1.53(1.29–1.80, p < 0.001); small infant size at birth (aOR 1.32(1.10–1.58, p < 0.01)); delayed start of breastfeeding (aOR 1.31(1.13–1.51, p < 0.001)); prelacteal feed (aOR 1.34(1.18–1.53, p < 0.001)); recent history of diarrhoea (aOR 1.37(1.12–1.67, p < 0.01)); mother disempowered (experiences violence; does not make decisions about health issues; does not engage with health services such as antenatal care, does not give birth in a health facility). ‘Protective’ factors associated with significantly decreased odds of infant u6m wasting included: educated mother (OR 0.64(0.54–0.76, p < 0.001)); mother in work (OR 0.82(0.72–0.94, p < 0.01)); currently breastfed (aOR 0.62(0.42–0.91, p = 0.02)), exclusively breastfed (aOR 0.84(0.73–0.97, p = 0.02). Discussion Infant u6m wasting is a complex, multifactorial problem associated with many risk factors; knowing them will help shape international and national management strategies. Whilst our observational study cannot prove causation, many factors identified are biologically plausible and/or socially important. They should be considered when assessing and managing infants u6m. Although supporting breastfeeding is core to future interventions, this alone is unlikely to be sufficient; strategies should involve multiple sectors, beyond just health and nutrition. By noting our results, future intervention studies could focus resources and maximise chances of achieving impact.

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Adherence to ready-to-use food and acceptability of outpatient nutritional therapy in HIV-infected undernourished Senegalese adolescents: research-based recommendations for routine care

BMC Public Health ◽

10.1186/s12889-020-08798-z ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Fatou Niasse ◽

Marie Varloteaux ◽

Karim Diop ◽

Sidy Mokhtar Ndiaye ◽

François Niokhor Diouf ◽

...

Keyword(s):

Risk Factors ◽

Young Patients ◽

Nutritional Therapy ◽

Routine Care ◽

Acute Malnutrition ◽

Stepwise Logistic Regression ◽

Growth Standards ◽

Factors Associated ◽

Link Type

Abstract Background Ready-to-use food (RUF) is increasingly used for nutritional therapy in HIV-infected individuals. However, practical guidance advising nutrition care to HIV-infected adolescents is lacking, so that little is known about the acceptability of such therapy in this vulnerable population. This study assesses the overall acceptability and perception of a RUF-based therapy and risk factors associated with sub-optimal RUF intake in HIV-infected undernourished adolescents in Senegal. Methods Participants 5 to 18 years of age with acute malnutrition were enrolled in 12 HIV clinics in Senegal. Participants were provided with imported RUF, according to WHO prescription weight- and age-bands (2009), until recovery or for a maximum of 9–12 months. Malnutrition and recovery were defined according to WHO growth standards. Adherence was assessed fortnightly by self-reported RUF intake over the period. Sub-optimal RUF intake was defined as when consumption of the RUF provision was < 50%. RUF therapy acceptability and perceptions were assessed using a structured questionnaire at week 2 and focus group discussions (FGDs) at the end of the study. Factors associated with sub-optimal RUF intake at week 2 were identified using a stepwise logistic regression model. Results We enrolled 173 participants, with a median age of 12.5 years (Interquartile range: 9.5–14.9), of whom 61% recovered from malnutrition within the study period. Median follow-up duration was 66 days (21–224). RUF consumption was stable, varying between 64 and 57% of the RUF provided, throughout the follow-up. At week 2, sub-optimal RUF intake was observed in 31% of participants. Dislike of the taste of RUF (aOR = 5.0, 95% CI: 2.0–12.3), HIV non-disclosure (5.1, 1.9–13.9) and food insecurity (2.8, 1.1–7.2) were the major risk factors associated with sub-optimal RUF intake at week 2. FGDs showed that the need to hide from others to avoid sharing and undesirable effects were other constraints on RUF feeding. Conclusions This study revealed several factors reducing the acceptability and adherence to RUF therapy based on WHO guidelines in HIV-infected adolescents. Tailoring prescription guidance and empowering young patients in their care are crucial levers for improving the acceptability of RUF-based therapy in routine care. Trial registration ClinicalTrials.gov identifier: NCT03101852, 04/04/2017.

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