Distance From Treatment Is Associated With Poorer Admission Status and Worse Outcomes Among Acutely Malnourished Children
Bibliographic Data
| ID | 15536459 |
|---|---|
| Authors | Suvi T Kangas (0000-0003-1477-7649, International Rescue Committee, corresponding author), Abel Khisa (International Rescue Committee), Zachary Tausanovitch (International Rescue Committee), Bareye Ouologuem (Mali-Folkecenter), Issa Niamanto Coulibaly (International Rescue Committee), Koniba Diassana (International Rescue Committee), Alhousseyni Haidara (International Rescue Committee), Grace Heymsfield (0009-0004-2614-2215, International Rescue Committee), Christian Ritz (0000-0002-5095-0624, University of Southern Denmark), André Briend (0000-0001-9390-8541, University of Copenhagen), Jeanette Bailey (0000-0002-4343-4939, International Rescue Committee) |
| Year | 2025 |
| Pages | e70119-e70119 |
| Publication date | 2025-09-26 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Maternal and Child Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1740-8695 • E-ISSN: 1740-8709 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/mcn.70119 |
| PMID | 41001914 |
| OpenAlex | W4414556218 |
| Language | EN |
| References cited | 33 |
Distance from health facilities is an important predictor of treatment seeking and health outcomes. We aimed to describe the relationship between distance from care with admission characteristics and treatment outcomes among children admitted to malnutrition treatment. Data was collected as part of an observational study on the effectiveness of a simplified malnutrition treatment program in the Nara district of Mali. Treatment was provided at 37 health centers and 51 community health sites. Linear and logistics mixed models were fitted to estimate associations between distance from treatment with admission anthropometrics and programmatic outcomes. A total of 49,074 children with mid-upper arm circumference (MUAC) 15 km from the treatment site, respectively. Up to 91% recovered attaining twice a MUAC ≥ 125 mm. Distance from treatment was consistently associated with lower anthropometrics at admission with 0.63, 1.38 and 2.18 mm lower MUAC among children living 1-5, 6-15, and > 15 km distance from the treatment site, respectively (p 15 km from treatment site was associated with 49% increased risk of defaulting, 20% decreased risk of referral to inpatient care and 18% increased risk of missing a visit when compared to 0 km, and when adjusting for admission anthropometry. Poorer admission status and worse treatment outcomes are observed among children living farther from treatment sites, emphasizing the need to further decentralize malnutrition treatment
Anthropometry · Health care · Hospital admission · Malnutrition · Observational study · Referral · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Food Security and Health in Diverse Populations
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Evidence of Impact
Performance of low‐literate community health workers treating severe acute malnutrition in South Sudan
Barriers to access for severe acute malnutrition treatment services in Pakistan and Ethiopia
| Citation velocity | historical |
|---|---|
| Highly cited | No |