Severe Acute Malnutrition Clinical Trial
Official title:
Discharge From Community-based Management of Severe Acute Malnutrition Using Mid Upper Arm Circumference
Retrospective analysis of routine program data of children aged 6 to 59 months admitted to the MSF therapeutic feeding program with MUAC ≤ 118 mm in Yako and Titao districts of Burkina Faso from 2007-2011.
Comparison of patient characteristics and treatment outcomes was conducted between two
groups: 1) children discharged as recovered from September 2007 to March 2009 with at least
15% of their weight at admission (Period A); and 2) children discharged as recovered from
April 2009 to December 2011 with MUAC ≥ 124 mm (Period B).
A total of 50,841 children were admitted with MUAC ≤ 118 mm to the MSF therapeutic feeding
program and were included in this analysis: 24,792 children in Period A (2007-2009) and
26,049 children in Period B (2009-2011).
Overall, 89% of admissions were directly into outpatient care and the majority (53%) entered
with a MUAC 116-118mm; 48% of children were male and 80% of children < 2 years of age (Table
1).
Compared to children admitted in Period A, children admitted in Period B were statistically
more likely to be female, younger, and of better anthropometric status (e.g. higher mean
MUAC, WHZ and HAZ).
There was a greater proportion of children admitted directly to inpatient care in Period B
than in Period A (10.6% vs 8.0%).
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