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Volume 28, Supplement—December 2022
SUPPLEMENT ISSUE
Clinical

Outcomes after Acute Malnutrition Program Adaptations to COVID-19, Uganda, Ethiopia, and Somalia

Talya ShragaiComments to Author , 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
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (T. Shragai, L. Talley, A. Summers, E. Leidman); Emory University, Atlanta (H. Behringer) Action Against Hunger, New York, New York, USA (M. Wrabel, H. Stobaugh); Tufts University, Boston, Massachusetts, USA (H. Stobaugh)

Main Article

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.

Main Article

Page created: May 27, 2022
Page updated: December 11, 2022
Page reviewed: December 11, 2022
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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