Efficacy and safety of therapeutic nutrition products for home based therapeutic nutrition for severe acute malnutrition: A systematic review

Gera, Tarun

doi:10.1007/s13312-010-0095-1

Cited by 35 publications

(33 citation statements)

References 19 publications

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“…This fi nding is also supported by a systematic review that demonstrated the effi cacy and effectiveness of peanutbased RUTF in the management of SAM among children. 9 It is thus logical to believe that if we improved aspects that currently hinder its acceptability, there would be a positive effect on the overall perceived 'value' of PPN among benefi ciaries.…”

Section: Discussionmentioning

confidence: 99%

“…Overall, 121 (81%) children had SAM and 28 (19%) had MAM. Nearly 51% of the included children had received PPN for 3 weeks and the remainder had received it for >3 weeks (range [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22].…”

Section: Characteristics Of the Study Populationmentioning

confidence: 99%

“…The programme also faced challenges in terms of a high lossto-follow-up rate (15-17%) and relatively low nutritional recovery rates (59-65%) compared to those reported in the literature. 9 A relatively long average length of stay in the programme (60-63 days) has also been observed. We are concerned that these fi ndings might be related to the overall acceptability of PPN, which is a key determinant in ensuring favourable outcomes of nutritional rehabilitation.…”

mentioning

confidence: 91%

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Peanut-based ready-to-use therapeutic food: acceptability among malnourished children and community workers in Bangladesh

Ali

Zachariah

Dahmane

et al. 2013

public health action

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with a community-based nutrition programme that has been using PPN for the management of acute malnutrition among children in a slum setting in Dhaka, Bangladesh. Bangladesh has one of the highest prevalence rates of childhood malnutrition in the world: 6,7 almost 46% of children aged <5 years are stunted (low height for age) and 15% are wasted (low weight for height). 8 During the implementation of this nutrition programme, several care givers of children complained of diffi culties in feeding their children with PPN and attributed it to the taste and smell of PPN. The programme also faced challenges in terms of a high lossto-follow-up rate (15-17%) and relatively low nutritional recovery rates (59-65%) compared to those reported in the literature. 9 A relatively long average length of stay in the programme (60-63 days) has also been observed. We are concerned that these fi ndings might be related to the overall acceptability of PPN, which is a key determinant in ensuring favourable outcomes of nutritional rehabilitation. While some studies in Africa have shown that peanut-based RUTF has good acceptability and compliance among severely malnourished children, 10-12 other studies have demonstrated barriers to its use and inadequate compliance, mainly due to sharing within the households. 13,14 There is, however, limited published literature on PPN acceptability in South Asia.In the present study, we assessed the acceptability of PPN among 1) care givers of malnourished children and 2) community health workers (CHWs), in Kamrangirchar slum, Dhaka, Bangladesh. METHODS DesignThis was a cross-sectional semi-structured questionnaire survey. Study setting and study populationThe study was conducted between April and June 2011 in Kamrangirchar, an urban slum setting in Dhaka, Bangladesh, with about 400 000 inhabitants living in an area of 3.1 km 2 . It is not offi cially considered as part of Dhaka City, and all health services are outsourced to non-governmental organisations, who are the main providers.MSF started its nutrition programme for children in May 2010. All services are provided free of charge . It is to be noted that 47% of children needed encouragement or were forced to eat PPN, while 5% completely rejected it after 3 weeks. Of the 29 CHWs interviewed, 48% were dissatisfied with PPN's taste and consistency, and 55% with its smell. However, 91% of the care givers and all CHWs still perceived a therapeutic benefit of PPN for malnourished children. Conclusion: Despite a therapeutic benefit, only 4 in 10 care givers perceived PPN as being acceptable as a food product, which is of concern. Interna onal Union Against Tuberculosis and Lung Disease

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Section: Discussionmentioning

confidence: 99%

Section: Characteristics Of the Study Populationmentioning

confidence: 99%

mentioning

confidence: 91%

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Peanut-based ready-to-use therapeutic food: acceptability among malnourished children and community workers in Bangladesh

Ali

Zachariah

Dahmane

et al. 2013

public health action

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“…Some have focused on comparing the inpatient model with the community model (Lenters et al, 2013;Schooness et al, 2013;Ashworth, 2006); some have assessed the appropriateness and efficacy of routine first-line antibiotics provided during outpatient care for children with uncomplicated SAM (Alcoba et al, 2013); and others have examined the effect of different ready-to-use foods (RUFs), including cost-effectiveness (Bhutta et al, 2008;Gera, 2010). Picot and colleagues (2012) reviewed various intervention studies that have been designed to treat infants and children aged under five years with SAM.…”

Section: Rationale and Purposementioning

confidence: 99%

“…We did not conduct a meta-analysis of included homogenous studies, since previous reviews (Gera, 2010;Schooness et al, 2013;Lenters et al, 2013) have already done this. Instead, a narrative synthesis of the data was performed, with a tabulation of the results.…”

Section: Data Extraction and Evidence Synthesismentioning

confidence: 99%

Recovery, Relapse, and Episodes of Default in the Management of Acute Malnutrition in Children in Humanitarian Emergencies: A systematic review

Akparibo¹,

Lee²,

Özerdem³

2017

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Ready-to-use therapeutic food for home-based treatment of severe acute malnutrition in children from six months to five years of age

Schoonees

Lombard

Musekiwa

et al. 2013

Cochrane Database of Systematic Reviews

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Efficacy and safety of therapeutic nutrition products for home based therapeutic nutrition for severe acute malnutrition: A systematic review

Cited by 35 publications

References 19 publications

Peanut-based ready-to-use therapeutic food: acceptability among malnourished children and community workers in Bangladesh

Peanut-based ready-to-use therapeutic food: acceptability among malnourished children and community workers in Bangladesh

Recovery, Relapse, and Episodes of Default in the Management of Acute Malnutrition in Children in Humanitarian Emergencies: A systematic review

Ready-to-use therapeutic food for home-based treatment of severe acute malnutrition in children from six months to five years of age

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