Outcomes after Acute Malnutrition Program Adaptations to COVID-19, Uganda, Ethiopia, and Somalia

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Shragai, Talya ; Talley, Leisel ; Summers, Aimee ; Behringer, Hannah ; Wrabel, Maria ; Stobaugh, Heather ; Leidman, Eva
• Corporate Authors:
  Action Against Hunger USA Research Field Team–Ethiopia ; Action Against Hunger USA Research Field Team–Somalia ; Action Against Hunger USA Research Field Team–Uganda
• Description:
  At the onset of the COVID-19 pandemic, protocols for community-based management of acute malnutrition (CMAM) were implemented to support continuity of essential feeding services while mitigating COVID-19 transmission. To assess correlations between adaptation timing and CMAM program indicators, we evaluated routine program data in Uganda, Ethiopia, and Somalia for children 6-59 months of age. We specifically analyzed facility-level changes in total admissions, average length of stay (ALOS), total children screened for admission, and recovery rates before and after adaptations. We found no statistically significant changes in program indicators after adaptations. For Somalia, we also analyzed child-level changes in ALOS and in weight and mid-upper arm circumference at admission and discharge. ALOS significantly increased immediately after adaptations and then decreased to preadaptation levels. We found no meaningful changes in either weight or mid-upper arm circumference at admission or discharge. These findings indicate that adapted CMAM programs can remain effective.
• Subjects:
  COVID-19/epidemiology Hospitalization Humans Length Of Stay Pandemics
• Source:
  Emerg Infect Dis. 2022; 28(Suppl 1):S288-S298
• Pubmed ID:
  36502417
• Pubmed Central ID:
  PMC9745232
• Document Type:
  Journal Article
• Place as Subject:
  Ethiopia ; Somalia ; Uganda
• Volume:
  28
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:260bde64d0af875afb4c01dd4961f51f6fa5e66b7263fb204ce3638685c45c91
• Download URL:
  https://stacks.cdc.gov/view/cdc/123280/cdc_123280_DS1.pdf
• File Type:
  [PDF - 3.72 MB ]