Caregiver Screening for Relapse Among Children Recently Recovered From Severe Acute Malnutrition: A Randomized Controlled Feasibility Trial
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View abstract on PubMed
Summary
This summary is machine-generated.Training caregivers to screen for relapse using mid-upper arm circumference (MUAC) tapes is feasible for children recovering from severe acute malnutrition (SAM). This approach may reduce relapse detection time and hospitalizations, warranting further investigation in larger trials.
Area Of Science
- Public Health and Nutrition
- Pediatric Malnutrition Research
- Global Health Interventions
Background
- Relapse to acute malnutrition is a significant challenge for children recovering from severe acute malnutrition (SAM).
- Existing interventions primarily focus on the acute phase, with limited resources for post-discharge follow-up.
- Early detection of relapse is crucial for timely intervention and improved outcomes in children recovering from SAM.
Purpose Of The Study
- To evaluate the feasibility of training caregivers to screen for malnutrition relapse using mid-upper arm circumference (MUAC) tapes.
- To assess the impact of caregiver-led MUAC screening on the time to detection of relapse in children recently recovered from SAM.
- To compare hospitalization and mortality rates between caregiver screening and standard care follow-up.
Main Methods
- A randomized controlled trial involving 200 caregiver-child dyads in Burkina Faso.
- Intervention group: Caregivers trained for weekly MUAC screening for 6 months.
- Control group: Standard of care (SOC) with monthly clinic visits for 3 months post-discharge.
Main Results
- The caregiver MUAC screening group showed a trend towards a lower hazard of relapse detection (HR 0.65).
- Significantly fewer hospitalizations and/or deaths occurred in the MUAC screening group (3%) compared to the SOC group (14%).
- Caregiver training for MUAC screening was feasible and well-accepted.
Conclusions
- Training caregivers in MUAC screening is a feasible strategy to monitor children after recovery from SAM.
- This approach may reduce the time to detect relapse and decrease adverse health events like hospitalization.
- A larger-scale trial is recommended to confirm these findings and establish the effectiveness of caregiver-led MUAC screening.
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