Malnutrition Clinical Trial
Official title:
Sentinel Surveillance of Acute Malnutrition in the Region of Maradi, Niger, Children Under 5: Impact of a Preventive Intervention
Malnutrition is a critical public health problem in developing countries. Malnutrition may
be linked to more than one half of the deaths in children under 5 years old. In July 2001,
after an intervention related to a measles epidemic, Medecins sans Frontieres-France opened
a nutritional program in Maradi, in the South of Niger. The introduction of ready to use
therapeutic foods (RUTF), in particular Plumpy'Nut (Nutriset, France) allowed for the
treatment of the majority of children at their homes using ambulatory treatment. Children
with complicated cases were cared for in an inpatient center. With ambulatory treatment the
number of children cared for in the MSF program reached close to 70000 in 2006.
This study aimed to assess the effect of a 3-month distribution of RUTF in the context of a
preventative supplementary feeding program. The primary hypotheses were that short-term RUTF
supplementation at the village-level would prevent declines in weight-for-height and reduce
the incidence of wasting in children 6 to 60 mo of age over a period of 8 mo. Because RUTF
may have additional health effects, the intervention effect on height-for-age, stunting,
mortality and morbidity from malaria, diarrhea, and respiratory infection were also
examined.
n/a
Primary Purpose: Prevention
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