scholarly journals Nutritive and Antinutritive Values of Ready-to-use Foods Based on Local Ingredients for the Recovery of Moderate Acute Malnourished Children in Cote d Ivoire

2021 ◽  
pp. 57-66
Author(s):  
Audrey Herbert Yépié ◽  
Ibrahima Cissé ◽  
Nina Laurette Ahuéfa ◽  
Louise A. Anin Atchibri ◽  
Odile S. Aké-Tano
Keyword(s):  
Young Children ◽  
Cote D'ivoire ◽  
Acute Malnutrition ◽  
Local Production ◽  
Traditional Methods ◽  
Malnourished Children ◽  
Nutrient Value ◽  
Biochemical Compositions ◽  
Moderate Acute Malnutrition ◽  
Ready To Use Foods

Moderate acute malnutrition is one of the most common nutritional disorders among young children in Côte d'Ivoire. For treating this condition, ready-to-use foods have been found to be the most effective. However, their high cost and the recurrent stock breaks lead to national unavailability whose local production can fill and ensure sustainable care. This study has been set to assess the nutritional and anti-nutrient value of ready-to-use foods formulated with locally available ingredients. For doing this, four formulae meeting the recommended nutritive needs for moderately acutely malnourished children aged 6 to 59 months have been produced using traditional methods and household equipment. The cocoa (LF-1 and LF-3) and cashew (LF-2 and LF-4) formulae contained rice, soy, sugar, oil, and egg. The latter has been added to FL-3 and FL-4. All formulae presented biochemical compositions (proteins, fats, carbohydrates, and energy except fiber and ash) close to Plumpy’Sup®.

scholarly journals Attitudes toward Supplemental Nutrition Assistance Programs in Caregivers of Children with Moderate–Acute Malnutrition Younger than 5 Years in Denpasar, Bali: A Qualitative Study

2018 ◽  
Vol 39 (3) ◽  
pp. 465-474
Author(s):  
K. Desak Ketut Dewi Satiawati ◽  
Pande Putu Januraga
Keyword(s):  
Health Workers ◽  
Acute Malnutrition ◽  
Supplemental Nutrition ◽  
Supplementary Food ◽  
Assistance Programs ◽  
Malnourished Children ◽  
Care Workers ◽  
Nutrition Assistance ◽  
Nutrition Assistance Programs ◽  
Moderate Acute Malnutrition

Background: Providing additional nutriment represents one strategy for overcoming moderate–acute malnutrition (MAM) in children younger than 5 years. However, it is important to examine how well received such Supplemental Nutrition Assistance Programs (SNAP) are by caregivers in order to ensure optimal results. Objective: This study explores SNAP’s reception by caregivers of MAM children younger than 5 years. Methods: Qualitative research was conducted through semi-structured, in-depth interviews with 16 selected caregivers and 5 Nutritional Executives from October to November, 2016 at 4 health centers in Denpasar, Bali, Indonesia. The results are presented to highlight the underlying patterns of SNAP’s acceptance. Results: Overall, the informants responded negatively to SNAP, reporting that it was of limited usefulness. The results show 4 main themes relating to the receipt of SNAP. The first relates to the caregiver’s preferences in terms of the types of supplementary food on offer. Second, caregiver’s perceptions that the child was not, in fact, in a state of illness or disease due to a medical issue. Third, that the caregiver does not require supplementary food as they maintain that they are able to buy it independently. Fourth, factors related to the lack of support for health-care workers working with malnourished children. Conclusion: The study finds that strengthening the role of health workers in terms of enabling them to effectively communicate the benefits of supplementary food to caregivers as well as adjusting the range of foods available according to the recipient’s preferences is critical in overcoming malnutrition in children younger than 5 years.

scholarly journals Effect of Nutrition Education on Knowledge, Complementary Feeding, and Hygiene Practices of Mothers With Moderate Acutely Malnourished Children in Uganda

2019 ◽  
Vol 40 (2) ◽  
pp. 221-230 ◽  
Author(s):  
Richard B. Kajjura ◽  
Frederick J. Veldman ◽  
Susanna M. Kassier
Keyword(s):  
Young Children ◽  
Nutrition Education ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Acute Malnutrition ◽  
Maternal Knowledge ◽  
Test Analysis ◽  
Hygiene Practices ◽  
Moderate Acute Malnutrition ◽  
Infants And Young Children

Background: Inappropriate infant and young child complementary feeding practices related to a lack of maternal knowledge contributes to an increased risk of malnutrition, morbidity, and mortality. There is a lack of data regarding the effect of nutrition education on maternal knowledge, feeding, and hygiene practices as part of a supplementary feeding intervention targeting infants and young children with moderate acute malnutrition in low-income countries like Uganda. Objective: To determine whether nutrition education improves knowledge, feeding, and hygiene practices of mothers with infants and young children diagnosed with moderate acute malnutrition. Methods: A cross-sequential study using a pretest–posttest design included 204 mother–infant pairs conveniently sampled across 24 randomly selected clusters. Weekly nutrition education sessions were embedded in a supplementary porridge intervention for 3 months. Mean scores and proportions for knowledge, feeding, and hygiene practices were determined at baseline and end line. The difference between mean scores at the 2 time points were calculated with the paired t test analysis, while the proportions between baseline and end line were calculated using a z test analysis. Results: Mean scores for knowledge, dietary diversity, and meal frequency were higher at end line compared to baseline ( P < .001). Handwashing did not improve significantly ( P = .183), while boiling water to enhance water quality improved ( P < .001). Conclusion: Nutrition education in conjunction with a supplementary feeding intervention targeting infants and young children with moderate acute malnutrition improved meal frequency, dietary diversity and water quality.

Formulation, sensory attributes and nutrient content of a malted sorghum-based porridge: Potential for the management of moderate acute malnutrition among infants and young children

2020 ◽  
Vol 16 ◽  
Author(s):  
Richard B. Kajjura ◽  
Frederick J. Veldman ◽  
Susanna M. Kassier
Keyword(s):  
Young Children ◽  
Nutrient Content ◽  
Acute Malnutrition ◽  
Consumer Acceptability ◽  
Suitable Alternative ◽  
Sorghum Flour ◽  
Sorghum Malt ◽  
Moderate Acute Malnutrition ◽  
Protein Density ◽  
Infants And Young Children

Introduction: Substituting corn in a fortified corn soy blend (CSB+) with enzyme-active sorghum malt has the potential to be a suitable alternative supplementary porridge in the management of infants and young children (IYC) with moderate acute malnutrition (MAM) in Uganda. Objective: To develop an acceptable malted sorghum-based supplementary porridge (MSBP) that meets the energy and protein specifications for the management of IYC with MAM, using locally-available ingredients. Methods: MSBP formulations included the use of malted sorghum flour and extruded soy and corn flour. The ratio of the soy to corn ingredients was 3:7 (F617/ F593), 1:1 (F892/ F940), and 4:1 for CSB+ , which is the standard care for the management of IYC with MAM in Uganda. The sorghum malt content for F617/ F892 and F593/ F940 was 25% and 30%, respectively. F617, F593, F892 and F940 met international specifications for a supplementary porridge. A comparison of the consumer acceptability scores and viscosity levels of these formulations was made, using analysis of variance. Results and Discussion: The scores for flavour, taste, mouth feel, sweetness and overall consumer acceptability differed among the formulations (p<0.05). F617 had a higher mean acceptability score than F593, F892 and F940 (p<0.05), as well as a higher energy and protein content than CSB+ (p<0.01). The energy density, protein density and viscosity of F617 were 1.6kcal/g, 4g/100 kcal and 2809 cP, respectively, at a flour rate of 25%. Conclusion: Sorghum malt is suitable for the development of an acceptable supplementary porridge (MSBP). It meets the international energy and protein specifications for the management of IYC with MAM, and the F617 formulation meets these specifications.

scholarly journals Ready-to-Use Foods for Management of Moderate Acute Malnutrition: Considerations for Scaling up Production and Use in Programs

2015 ◽  
Vol 36 (1_suppl1) ◽  
pp. S59-S64 ◽  
Author(s):  
Saskia Osendarp ◽  
Beatrice Rogers ◽  
Kelsey Ryan ◽  
Mark Manary ◽  
Peter Akomo ◽  
...  
Keyword(s):  
Scaling Up ◽  
Acute Malnutrition ◽  
Moderate Acute Malnutrition ◽  
Ready To Use Foods

scholarly journals Correlates of Physical Activity among Young Children with Moderate Acute Malnutrition

2017 ◽  
Vol 181 ◽  
pp. 235-241 ◽  
Author(s):  
Charles W. Yaméogo ◽  
Bernardette Cichon ◽  
Christian Fabiansen ◽  
Ann-Sophie Iuel-Brockdorf ◽  
Susan Shepherd ◽  
...  
Keyword(s):  
Physical Activity ◽  
Young Children ◽  
Acute Malnutrition ◽  
Moderate Acute Malnutrition

scholarly journals Preparation of Ready to Use Supplementary Food for Treating Moderate Acute Malnutrition in Children Aged 6 to 59 Months

2020 ◽  
Vol 14 (3) ◽  
pp. 22
Author(s):  
Patricia M. Ntsama ◽  
Julie Judith T. Tsafack ◽  
Gabriel Nama Medoua ◽  
Carl M F Mbofung
Keyword(s):  
Sensory Evaluation ◽  
Severe Acute Malnutrition ◽  
Protein Digestibility ◽  
Acute Malnutrition ◽  
Balanced Diet ◽  
Malnourished Children ◽  
Threatening Condition ◽  
Life Threatening ◽  
Moderate Acute Malnutrition ◽  
Moderate Malnutrition

<p>Children with moderate malnutrition have a high risk of mortality and MAM is associated with a high number of nutrition-related deaths. If some of these children suffering from MAM do not receive adequate support, they may progress towards severe acute malnutrition (SAM), which is a life-threatening condition. Therefore, the management of MAM should be a public health priority<strong></strong></p><p>A well-balanced diet was prepared based on the recommendation of WHO for the treatment of moderate acute malnourished children aged 6 -59 months.  According to the formulae, nine products of RUSF were prepared using cereals, legumes, seeds, oil, sugar, and vitamin and mineral premix. Three products of RUSF MSPe, PBPe, and ISPe were found to be better among the nine products by the mothers after sensory evaluation.</p><p>Based on sensory evaluation in children, RUSF   MSPe was found to be the best among the three products. The product was analyzed for proximate composition, mineral, vitamin, digestibility of protein.  The protein, fat, carbohydrate, dietary fiber, total ash, vitamin C, Vitamin A,  iron, calcium and zinc of 100 g of the product were found to be  15.9g, 33.7g, 44.3g, 6.6g, 2.2g, 54.6 mg, 855 µg,  14.1 mg,  66.6 g and  12.4 µg respectively. The diet can supply 544.5 Kcal/100 g. The energy contributed by the protein, fat, and carbohydrate was found to be 11.68%, 55.7%, and 32.62% of total Kcals respectively. The protein digestibility adjusted to the chemical index PDCASS was 0.95.</p>Hence, the prepared RUSF is in accordance with the specification given by WHO which could be effective in the treatment of moderate acute malnourished children after the clinical trial.

scholarly journals Program and Caseload Implications of Adopting the Global MUAC Criteria for Community Management of Acute Malnutrition in Children Under 5 Years Old in Ethiopia

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 157-157
Author(s):  
Yosef Asefaw ◽  
Seifu Hagose ◽  
Girmay Ayana ◽  
Solomon Hailu ◽  
Tadess Kebebe ◽  
...  
Keyword(s):  
Severe Acute Malnutrition ◽  
Acute Malnutrition ◽  
Cross Sectional ◽  
Number Of Children ◽  
Funding Sources ◽  
Malnourished Children ◽  
The Mean ◽  
Gates Foundation ◽  
Moderate Acute Malnutrition ◽  
Cluster Randomized

Abstract Objectives Ethiopia has been hesitant to shift to the global MUAC-based definitions for acute malnutrition given the two to four times potential increase in caseload suggested by several cross-sectional surveys. Thus, the objective of this study was to provide specific evidence on the caseload implications for Ethiopia of aligning with the WHO recommended criteria. Methods A cluster-randomized control study was conducted in four districts of Amhara and Oromia regions of Ethiopia in a total of 36 health posts (HPs). Districts and HPs were selected based on previous high case report. In each district, an equal numbers of HPs were randomly assigned to use either the global MUAC criteria of &lt;11.5 cm for severe acute malnutrition (SAM) and the moderate acute malnutrition (MAM) criteria of ≥11.5cm to &lt;12.5 cm (intervention) or the current Ethiopian criteria of &lt;11 cm for SAM and ≥11 cm to &lt;12 cm for MAM (control). All 6–59 mo children were screened regularly for 16 wks. Malnourished children were admitted to the study according to the criteria assigned to their HP. Results A total of 349 SAM and 986 MAM new cases were admitted during the 16 wk recruitment. Of the new SAM cases, 225 were in intervention and 124 were in control HPs. The ratio of SAM in intervention compared to control HPs was 1.78 (1.14–2.42, 95%CI), which indicates an increase in admissions of 78% (P = 0.019). The mean (±SD) monthly SAM admissions per HPs were 1.71 (0.53) in control and 2.97 (3.31) in intervention (P = 0.191). For MAM, 592 cases were in intervention and 394 were in control for a ratio of 1.50 (1.11–1.89). The global MUAC criteria increased caseload by 50% (P = 0.015) compared to control. The mean monthly new MAM admissions per HPs were 5.47 (4.02) in control and 8.22 (3.28) in intervention (P = 0.045). The mean number of children served during biweekly combined sessions for SAM and MAM was 19.67 (9.28) in intervention and 13.08 (8.28) in control (P = 0.026). For sessions restricted to SAM, a mean of 4.26 (4.11) was served in intervention and 1.92 (1.88) in control (P = 0.028). Conclusions The increases in cases and workload resulting from shifting from Ethiopia's current national SAM and MAM admission and discharge criteria to the WHO criteria are likely to be on a smaller scale than is usually claimed based on various cross-sectional surveys. Most HPs were not overwhelmed due to the shift. Funding Sources Bill and Melinda Gates Foundation.

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