المستودع الأكاديمي جامعة المدينة

Impact of the shift from NCHS growth reference to WHO(2006) growth standards in a therapeutic feeding programme in Niger.

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dc.contributor Epicentre, 75011 Paris, France. andrea.minetti@epicentre.msf.org
dc.creator Minetti, A
dc.creator Shams Eldin, M
dc.creator Defourny, I
dc.creator Harczi, G
dc.date 2009-10
dc.date.accessioned 2017-01-31T07:16:12Z
dc.date.available 2017-01-31T07:16:12Z
dc.identifier Impact of the shift from NCHS growth reference to WHO(2006) growth standards in a therapeutic feeding programme in Niger. 2009, 14 (10):1210-4 Trop. Med. Int. Health
dc.identifier 1365-3156
dc.identifier 19772546
dc.identifier 10.1111/j.1365-3156.2009.02366.x
dc.identifier http://hdl.handle.net/10144/91285
dc.identifier http://fieldresearch.msf.org/msf/handle/10144/91285
dc.identifier Tropical Medicine & International Health
dc.identifier.uri http://dspace.mediu.edu.my:8181/xmlui/handle/10144/91285
dc.description OBJECTIVES: To describe the implementation of the WHO(2006) growth standards in a therapeutic feeding programme. METHODS: Using programme monitoring data from 21,769 children 6-59 months admitted to the Médecins Sans Frontières therapeutic feeding programme during 2007, we compared characteristics at admission, type of care and outcomes for children admitted before and after the shift to the WHO(2006) standards. Admission criteria were bipedal oedema, MUAC <110 mm, or weight-for-height (WFH) of <-70% of the median (NCHS) before mid-May 2007, and WFH <-3 z score (WHO(2006)) after mid-May 2007. RESULTS: Children admitted with the WHO(2006) standards were more likely to be younger, with a higher proportion of males, and less malnourished (mean WFH -3.6 z score vs. mean WFH -4.6 z score). They were less likely to require hospitalization or intensive care (28.4%vs. 77%; 12.8%vs. 36.5%) and more likely to be treated exclusively on an outpatient basis (71.6%vs. 23%). Finally, they experienced better outcomes (cure rate: 89%vs. 71.7%, death rate: 2.7%vs. 6.4%, default rate: 6.7%vs. 12.3%). CONCLUSIONS: In this programme, the WHO(2006) standards identify a larger number of malnourished children at an earlier stage of disease facilitating their treatment success.
dc.language en
dc.rights Archived on this site with the kind permission of Wiley-Blackwell, [url]http://www.blackwell-synergy.com/loi/tmi[/url]
dc.title Impact of the shift from NCHS growth reference to WHO(2006) growth standards in a therapeutic feeding programme in Niger.


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