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  11. Integration Of A Wash Component In The Standard National Protocol For Treatment Of Severe Acute Malnutrition In Children Aged 6-59 Months In Northern Senegal-a Costing Study

Integration of a WASH Component in the Standard National Protocol for Treatment of Severe Acute Malnutrition in Children Aged 6-59 Months in Northern Senegal-A Costing Study

Bibata Wassonguema1,2, Maily Lê-Lacanette1, Laura Braun3

  • 1Action Contre la Faim, Paris, France.

Maternal & Child Nutrition
|November 14, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Integrating a water, sanitation, and hygiene (WASH) kit into severe acute malnutrition (SAM) treatment in Senegal adds $105.32 per child, with no extra household costs. This cost-effective approach supports improved recovery rates for malnourished children.

Area of Science:

  • Public Health Nutrition
  • Global Health Economics
  • Water, Sanitation, and Hygiene (WASH) Interventions

Background:

  • Severe acute malnutrition (SAM) impacts millions of children globally, necessitating effective treatment strategies.
  • Integrating Water, Sanitation, and Hygiene (WASH) kits into SAM treatment can prevent related diseases, but large-scale costs are unknown.
  • Senegal's national protocol for uncomplicated SAM treatment is the focus for evaluating WASH kit integration costs.

Purpose of the Study:

  • To estimate the cost of integrating a WASH kit and hygiene promotion into Senegal's national protocol for treating uncomplicated SAM.
  • To assess the societal cost perspective, including direct medical, non-medical, and indirect costs.
  • To determine if household out-of-pocket expenses increase with WASH kit integration.

Main Methods:

Keywords:
Northern Senegalchild nutritioncommunity‐based management of acute malnutrition (CMAM)costing study

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  • A micro-costing approach was used within a randomized controlled trial (TISA) setting.
  • Cost data were collected from 660 children aged 6-59 months treated between December 2020 and December 2021.
  • Societal perspective encompassing direct and indirect costs was adopted.

Main Results:

  • The WASH component added an estimated $105.32 per child treated in 2021.
  • Human resources were the primary cost driver for the WASH component.
  • No additional out-of-pocket expenses were incurred by households; total societal cost per child was $338.77.

Conclusions:

  • Integrating a WASH kit and hygiene promotion into SAM treatment in Senegal increases costs by 45% but is lower than previous estimates.
  • The absence of additional household costs suggests feasibility for national protocol integration.
  • Findings provide crucial data for budget planning and future cost-effectiveness analyses of WASH interventions in malnutrition treatment.
outpatient treatment
severe acute malnutrition (SAM)
water, sanitation and hygiene (WASH)