Evaluation of outpatient therapeutic programme (<scp>OTP</scp>) for treatment of severe acute malnutrition in <scp>Yemen</scp>: <scp>a</scp> focus on treatment default and its risk factors

Amad, Mohammed Al; Al-Eryani, Lina; Serouri, Abdulwahed Al; Khader, Yousef

doi:10.1111/jep.12798

Cited by 7 publications

(8 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Factors related were poor accessibility, poor satisfaction with staff and system, and treatment and acceptability of OTP. Having difficulty to attend OTP every week, unavailability of medication during follow-up visits, not liking to eat Plumpy’Nut were also cited as reasons for high default rate(17).…”

Section: Discussionmentioning

confidence: 99%

Analysis of Integrated Management of Acute Malnutrition (IMAM) dataset 2013 to 2018: A secondary dataset analysis

Kamazizwa

Nyadzayo²,

Shambira

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: Malnutrition remains the most common cause of morbidity and mortality in children under the age of 5 years. In Zimbabwe nearly 1 in every 3 children is malnourished. Child nutrition in the country is affected by inadequate knowledge among mothers and caregivers on appropriate diets especially in the first 1000 days of life. Weak coordination and inadequate resources for high impact nutrition interventions also affect nutrition in children. Methods: A descriptive cross sectional study was conducted on records from January 2013 to December 2018. All malnourished patients admitted into Community based management of acute malnutrition (CMAM) at health facilities in, with a diagnosis of Severe Acute Malnutrition (SAM) from January 2013 December 2018 as reported in the DHIS2 were included in the study. We retrieved the dataset from the DHIS2 to the excel sheet and analysed the data to come up with graphs demonstrating trends in management of acute malnutrition. Results: The 6-59 months age-group constitute the group with the highest cases of admission into the CMAM program. The 0-5 months age-group showed the least number of cases admitted and had the lowest HIV positivity over the period under review. The highest treatment outcome for HIV positive patients was death rate. Highest number of cases of malnutrition were admitted in 2016.The District failed to meet sphere standard default and cure rate throughout the period under review. Conclusion: The treatment outcomes of this study showed that HIV negative had better treatment outcomes than HIV positive. The age group 6 to 59 months had the highest number of cases admitted into CMAM program.The implementation of an effective public health approach for addressing malnutrition require a holistic approach that incorporates preventive measures such as poverty reduction, hygiene promotion, clean water, prevention of prenatal macronutrient and micronutrient deficiencies, and the promotion of age appropriate foods and feeding practices for infants and young children. Keywords : Community based management of acute malnutrition, severe acute malnutrition, treatment outcome

show abstract

Section: Discussionmentioning

confidence: 99%

Analysis of Integrated Management of Acute Malnutrition (IMAM) dataset 2013 to 2018: A secondary dataset analysis

Kamazizwa

Nyadzayo²,

Shambira

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…A high default rate was substantially associated with factors such as inadequate services, employee and system dissatisfaction, ambulatory therapy program treatment, and acceptance of staff services. The study advocated expanding outpatient therapeutic program OTP services and providing OTP employees with training in severe acute malnutrition treatment methods (Al Amad, Al-Eryani et al, 2017). About the coverage of vaccines, one study found an increase from 2012 to 2014 in the national coverage for the Penta-3 vaccine (82% in 2012 vs. 88% in 2014) and measles vaccine (70% in 2012 vs. 75% in 2014).…”

Section: Health Systemmentioning

confidence: 99%

Research progress of health care in Yemeni children during the war: review

Moeed

Al-Sanabani

Annuzaili³

et al. 2022

Prim Health Care Res Dev

View full text Add to dashboard Cite

Background: Yemen crisis, which has been going on for more than six years, represents one of the most gruesome human plights in the modern history, especially children. Objectives: This research aimed to present a comprehensive view of Yemeni children’s studies during the ongoing war period, to come up with a comprehensive base that concerns humanitarians, researchers, decision-makers, and general public at large about the reality of the predicament of Yemeni child. Method: We searched databases and identified 373 articles, of which 68 were included in this review. Review of literature between 2014 and 2020 is taken from academic sources, multilateral organizations, donors, and governmental and non-governmental organizations. The data are analyzed by date and governorates. Results: We chose 68 articles and divided them according to the diseases and health conditions as follows: infectious diseases (15 studies), non-infectious diseases (10 studies), blood-related diseases (7 studies), oral and dental problems (12 studies), accidents and injuries (2 studies), health system (16 studies), family and community (6 studies). Moreover, the studies were divided geographically as follows: 7 studies that were almost comprehensive for all governorates; additional studies were conducted for Amanat Al Asimah (21 studies), Taiz (12 studies), Aden and Al Hudaydah (7 studies for each), Dhamar and Ibb (6 studies for each), Abyan and Lahij (2 study for each). As for Al Bayda, Marib, Sana’a, and Socotra, each of them had one study. Conclusion: Our assessment revealed that the ongoing Yemen crisis is underrated and largely neglected. The studies conducted so far do match the ground reality both in terms of inclusiveness and numbers.

show abstract

“…The programme uses community health workers or volunteers to actively find cases of acute malnutrition within the community. The severely malnourished children treated should be provide with the routine medications during the treatment period such as vitamin A, folic acid, antibiotics, deworming and measles vaccine" [12].…”

Section: Review Articlementioning

confidence: 99%

“…"Children with SAM should be treated proactively with intensive treatment regimens of short duration, aiming to rehabilitate the child in a short period. OTP is currently used to achieve rapid recovery from SAM, it provides services of SAM management closer to the community at primary health care centers, where uncomplicated severely malnourished children receive different amount of RUTF as Plumpy'Nut sachets according to their body weight" [12,2]. "The caregivers of SAM children should be visits the health facility or OTP point every week or two weeks with their child for a medical checkup and to receive a weekly supply of RUTF.…”

Section: Review Articlementioning

confidence: 99%

Outpatient Therapeutic Programme for Malnourished Children

Alflah

2022

AJPR

View full text Add to dashboard Cite

Outpatient therapeutic programme (OTP) is one of the approaches of community-based management of acute malnutrition (CMAM), which includes community engagement and mobilization for outpatient management of uncomplicated severe acute malnutrition (SAM) children 6–59 months with good appetite, by providing them by home-based treatment as Ready-to-use Therapeutic Food (RUTF) and routine medical treatment. Around 85-90% of children with SAM are successfully treated at home in OTP, by attending regular intervals until they recover. OTP is currently used to achieve rapid recovery from SAM, it provides services of SAM management closer to the community at primary health care centers, where uncomplicated SAM children receive different amount of RUTF as Plumpy'Nut sachets according to their body weight.

show abstract

Evaluation of outpatient therapeutic programme (OTP) for treatment of severe acute malnutrition in Yemen: a focus on treatment default and its risk factors

Cited by 7 publications

References 12 publications

Analysis of Integrated Management of Acute Malnutrition (IMAM) dataset 2013 to 2018: A secondary dataset analysis

Analysis of Integrated Management of Acute Malnutrition (IMAM) dataset 2013 to 2018: A secondary dataset analysis

Research progress of health care in Yemeni children during the war: review

Outpatient Therapeutic Programme for Malnourished Children

Contact Info

Product

Resources

About