Volume 28, Supplement—December 2022
SUPPLEMENT ISSUE
Clinical
Outcomes after Acute Malnutrition Program Adaptations to COVID-19, Uganda, Ethiopia, and Somalia
Talya Shragai
, Leisel Talley, Aimee Summers, Hannah Behringer, Maria Wrabel, Heather Stobaugh, Eva Leidman, and Action Against Hunger USA Research Field Team–Ethiopia and Action Against Hunger USA Research Field Team–Somalia and Action Against Hunger USA Research Field Team–Uganda
, Leisel Talley, Aimee Summers, Hannah Behringer, Maria Wrabel, Heather Stobaugh, Eva Leidman, and Action Against Hunger USA Research Field Team–Ethiopia and Action Against Hunger USA Research Field Team–Somalia and Action Against Hunger USA Research Field Team–Uganda
Table 1
Summary of analyzed CMAM program data and program adaptations implemented by each included program*
| Country, level | Program type | No. facilities providing data | Dates data available; date adaptations began | Program outcome variables | Program adaptations |
|---|---|---|---|---|---|
| Uganda, facility | Targeted supplementary feeding program | 5 | Jan 2019–Dec 2020; Apr 2020 | Total admissions, recovery rate | Family MUAC, suspension of community screening, reduced frequency of follow-up visits, modified admission/discharge criteria |
| Ethiopia (Oromia region), facility |
Outpatient therapeutic program |
81 |
Jul 2019–Dec 2020; May 2020 |
Total admissions, recovery rate |
Family MUAC, suspension of community screening, reduced frequency of follow-up visits |
| Somalia | |||||
| Facility | Outpatient therapeutic program | 12 | Nov 2019–Dec 2020; Mar 2020 | Total admissions, recovery rate, total screened, average length of stay | Family MUAC circumference, suspension of community screening, reduced frequency of follow-up visits |
| Child | Outpatient therapeutic program | 8 | Jan 2017–Nov 2020; Mar 2020 | Average length of stay, admission/discharge weight, admission/discharge MUAC |
*Family MUAC trains caregivers to identify childhood malnutrition by using a MUAC tape. Suspension of community screening suspends case finding of childhood malnutrition by community healthcare workers. Reduced frequency of follow-up visits changes the clinic visit schedule for children enrolled in outpatient therapeutic programs and targeted supplemental feeding programs. Modified admission/discharge criteria alter the clinical benchmarks for children to be admitted to/discharged from CMAM programs. CMAM, community-based management of acute malnutrition; MUAC, mid–upper arm circumference.
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Page updated: December 11, 2022
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