A short-term intervention for the treatment of severe malnutrition in a post-conflict country: results of a survey in Guinea Bissau
To determine (i) the extent of malnutrition and the risk factors for severe malnutrition in Guinea Bissau, a post-conflict country experiencing long-term consequences of civil war; and (ii) the feasibility and effectiveness of a short-term intervention characterized by outpatient treatment with loca...
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| Veröffentlicht in: | Public health nutrition 2008-12, Vol.11 (12), p.1357-1364 |
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| creator | Colombatti, Raffaella Coin, Alessandra Bestagini, Piero Vieira, Cesaltina Silva Schiavon, Laura Ambrosini, Venceslao Bertinato, Luigi Zancan, Lucia Riccardi, Fabio |
| description | To determine (i) the extent of malnutrition and the risk factors for severe malnutrition in Guinea Bissau, a post-conflict country experiencing long-term consequences of civil war; and (ii) the feasibility and effectiveness of a short-term intervention characterized by outpatient treatment with locally produced food for the treatment of severe malnutrition during the rainy season.
Social, clinical, nutritional information were collected for children reaching the paediatric outpatient clinic of the Hospital 'Comunità di Sant'Egidio' in Bissau, Guinea Bissau, from 1 July to 12 August 2003. Severely malnourished children (weight-for-age |
| doi_str_mv | 10.1017/S1368980008003297 |
| format | Article |
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Social, clinical, nutritional information were collected for children reaching the paediatric outpatient clinic of the Hospital 'Comunità di Sant'Egidio' in Bissau, Guinea Bissau, from 1 July to 12 August 2003. Severely malnourished children (weight-for-age <-3sd) in poor health status were admitted for daily nutritional and pharmacological treatment until complete recovery. Social and health indicators were analysed to define risk factors of severe malnutrition.
In total, 2642 children were visited (age range: 1 month-17 years). Fever, cough and dermatological problems were the main reasons for access. Social data outlined poor housing conditions: 86.4 % used water from unprotected wells, 97.3 % did not have a bathroom at home, 78.2 % lived in a mud house. Weight-for-age was <-2sd in 23.0 % of the children and <-3sd in 10.3 %; thirty-seven children (1.4 %) were severely malnourished and admitted for day care. All recovered with a weight gain of 4.45 g/kg per d, none died or relapsed after 1 year. Severely malnourished children were mainly infants, part of large families and had illiterate mothers.
Short-term interventions performed in post-conflict countries during seasons of high burden of disease and malnutrition are feasible and successful at low cost; day-care treatment of severe malnutrition with locally produced food is an option that can be tested in other settings.</description><identifier>ISSN: 1368-9800</identifier><identifier>ISSN: 1475-2727</identifier><identifier>EISSN: 1475-2727</identifier><identifier>DOI: 10.1017/S1368980008003297</identifier><identifier>PMID: 18652716</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Age ; Anorexia ; Bathrooms ; Body weight gain ; Child ; child nutrition ; Child Nutritional Physiological Phenomena - physiology ; Child, Preschool ; Children ; Children & youth ; Civil war ; community nutrition programs ; Cost-Benefit Analysis ; Cough ; Developing Countries ; disease control ; Drug therapy ; Educational Status ; Feasibility ; Feasibility Studies ; Female ; Food ; food security ; Guinea-Bissau ; Health services ; Health Status ; Hospitals ; Humans ; Illnesses ; Infant ; Intervention ; Malaria ; Male ; Malnutrition ; Malnutrition - epidemiology ; Malnutrition - etiology ; Malnutrition - pathology ; Malnutrition - therapy ; Mortality ; Nutrition ; Nutrition Assessment ; nutritional intervention ; Nutritional Status ; Outpatient treatment ; Pediatrics ; politics ; Post-conflict ; post-conflict countries ; Poverty ; Public health ; Rainy season ; Risk Factors ; Rural Population ; Seasons ; Severity of Illness Index ; social problems ; Treatment Outcome ; Warfare ; Water wells ; Weight Gain</subject><ispartof>Public health nutrition, 2008-12, Vol.11 (12), p.1357-1364</ispartof><rights>Copyright © The Authors 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c534t-a247677928bff84b68d1fb69ba828d3954bb9a0db0ff81a64c005ee6f097368e3</citedby><cites>FETCH-LOGICAL-c534t-a247677928bff84b68d1fb69ba828d3954bb9a0db0ff81a64c005ee6f097368e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18652716$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Colombatti, Raffaella</creatorcontrib><creatorcontrib>Coin, Alessandra</creatorcontrib><creatorcontrib>Bestagini, Piero</creatorcontrib><creatorcontrib>Vieira, Cesaltina Silva</creatorcontrib><creatorcontrib>Schiavon, Laura</creatorcontrib><creatorcontrib>Ambrosini, Venceslao</creatorcontrib><creatorcontrib>Bertinato, Luigi</creatorcontrib><creatorcontrib>Zancan, Lucia</creatorcontrib><creatorcontrib>Riccardi, Fabio</creatorcontrib><title>A short-term intervention for the treatment of severe malnutrition in a post-conflict country: results of a survey in Guinea Bissau</title><title>Public health nutrition</title><addtitle>Public Health Nutr</addtitle><description>To determine (i) the extent of malnutrition and the risk factors for severe malnutrition in Guinea Bissau, a post-conflict country experiencing long-term consequences of civil war; and (ii) the feasibility and effectiveness of a short-term intervention characterized by outpatient treatment with locally produced food for the treatment of severe malnutrition during the rainy season.
Social, clinical, nutritional information were collected for children reaching the paediatric outpatient clinic of the Hospital 'Comunità di Sant'Egidio' in Bissau, Guinea Bissau, from 1 July to 12 August 2003. Severely malnourished children (weight-for-age <-3sd) in poor health status were admitted for daily nutritional and pharmacological treatment until complete recovery. Social and health indicators were analysed to define risk factors of severe malnutrition.
In total, 2642 children were visited (age range: 1 month-17 years). Fever, cough and dermatological problems were the main reasons for access. Social data outlined poor housing conditions: 86.4 % used water from unprotected wells, 97.3 % did not have a bathroom at home, 78.2 % lived in a mud house. Weight-for-age was <-2sd in 23.0 % of the children and <-3sd in 10.3 %; thirty-seven children (1.4 %) were severely malnourished and admitted for day care. All recovered with a weight gain of 4.45 g/kg per d, none died or relapsed after 1 year. Severely malnourished children were mainly infants, part of large families and had illiterate mothers.
Short-term interventions performed in post-conflict countries during seasons of high burden of disease and malnutrition are feasible and successful at low cost; day-care treatment of severe malnutrition with locally produced food is an option that can be tested in other settings.</description><subject>Adolescent</subject><subject>Age</subject><subject>Anorexia</subject><subject>Bathrooms</subject><subject>Body weight gain</subject><subject>Child</subject><subject>child nutrition</subject><subject>Child Nutritional Physiological Phenomena - physiology</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Civil war</subject><subject>community nutrition programs</subject><subject>Cost-Benefit Analysis</subject><subject>Cough</subject><subject>Developing Countries</subject><subject>disease control</subject><subject>Drug therapy</subject><subject>Educational Status</subject><subject>Feasibility</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Food</subject><subject>food security</subject><subject>Guinea-Bissau</subject><subject>Health services</subject><subject>Health Status</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Infant</subject><subject>Intervention</subject><subject>Malaria</subject><subject>Male</subject><subject>Malnutrition</subject><subject>Malnutrition - epidemiology</subject><subject>Malnutrition - etiology</subject><subject>Malnutrition - pathology</subject><subject>Malnutrition - therapy</subject><subject>Mortality</subject><subject>Nutrition</subject><subject>Nutrition Assessment</subject><subject>nutritional intervention</subject><subject>Nutritional Status</subject><subject>Outpatient treatment</subject><subject>Pediatrics</subject><subject>politics</subject><subject>Post-conflict</subject><subject>post-conflict countries</subject><subject>Poverty</subject><subject>Public health</subject><subject>Rainy season</subject><subject>Risk Factors</subject><subject>Rural Population</subject><subject>Seasons</subject><subject>Severity of Illness Index</subject><subject>social problems</subject><subject>Treatment Outcome</subject><subject>Warfare</subject><subject>Water wells</subject><subject>Weight Gain</subject><issn>1368-9800</issn><issn>1475-2727</issn><issn>1475-2727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqFkV1rFDEUhgdRbK3-AG80KHg3mo_Jl3d10VUsiNQqeBMyM0mbOpOs-SjutX_cjLtYUIqEkJD3OSfnPadpHiL4HEHEX5wiwoQUEMK6CZb8VnOIOk5bzDG_Xe9Vbhf9oLmX0mXlKOf8bnOABKOYI3bY_DwG6SLE3GYTZ-B8Pa6Mzy54YEME-cKAHI3Oc30EwYJkrkw0YNaTLzm636DzQINNSLkdgreTGzIYQvE5bl-CaFKZclpCNUilJt8u_Lo4bzR45VLS5X5zx-opmQf786g5e_P60-pte_Jh_W51fNIOlHS51bjjjHOJRW-t6HomRmR7JnstsBiJpF3fSw3HHlYZadYN1a8xzELJayMMOWqe7fJuYvheTMpqdmkw06S9CSUpJrmQpHbyfyCGVCKKWAWf_gVehhJ9NaGwIAzWRWmlntxIYQIFw93yJ9pBQwwpRWPVJrpZx61CUC3TVv9Mu8Y82icu_WzG64j9eCvQ7gCXsvnxR9fxm2KccKrY-qNafear7v0Xqb5W_vGOtzoofR5dUmenGCICEWWkOqoE2Zep5z668dxcm7m50F_-PMx5</recordid><startdate>20081201</startdate><enddate>20081201</enddate><creator>Colombatti, Raffaella</creator><creator>Coin, Alessandra</creator><creator>Bestagini, Piero</creator><creator>Vieira, Cesaltina Silva</creator><creator>Schiavon, Laura</creator><creator>Ambrosini, Venceslao</creator><creator>Bertinato, Luigi</creator><creator>Zancan, Lucia</creator><creator>Riccardi, Fabio</creator><general>Cambridge University Press</general><scope>FBQ</scope><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RQ</scope><scope>7RV</scope><scope>7T2</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7U1</scope><scope>7U2</scope><scope>7X8</scope></search><sort><creationdate>20081201</creationdate><title>A short-term intervention for the treatment of severe malnutrition in a post-conflict country: results of a survey in Guinea Bissau</title><author>Colombatti, Raffaella ; Coin, Alessandra ; Bestagini, Piero ; Vieira, Cesaltina Silva ; Schiavon, Laura ; Ambrosini, Venceslao ; Bertinato, Luigi ; Zancan, Lucia ; Riccardi, Fabio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c534t-a247677928bff84b68d1fb69ba828d3954bb9a0db0ff81a64c005ee6f097368e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Age</topic><topic>Anorexia</topic><topic>Bathrooms</topic><topic>Body weight gain</topic><topic>Child</topic><topic>child nutrition</topic><topic>Child Nutritional Physiological Phenomena - physiology</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Children & youth</topic><topic>Civil war</topic><topic>community nutrition programs</topic><topic>Cost-Benefit Analysis</topic><topic>Cough</topic><topic>Developing Countries</topic><topic>disease control</topic><topic>Drug therapy</topic><topic>Educational Status</topic><topic>Feasibility</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Food</topic><topic>food security</topic><topic>Guinea-Bissau</topic><topic>Health services</topic><topic>Health Status</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Illnesses</topic><topic>Infant</topic><topic>Intervention</topic><topic>Malaria</topic><topic>Male</topic><topic>Malnutrition</topic><topic>Malnutrition - epidemiology</topic><topic>Malnutrition - etiology</topic><topic>Malnutrition - pathology</topic><topic>Malnutrition - therapy</topic><topic>Mortality</topic><topic>Nutrition</topic><topic>Nutrition Assessment</topic><topic>nutritional intervention</topic><topic>Nutritional Status</topic><topic>Outpatient treatment</topic><topic>Pediatrics</topic><topic>politics</topic><topic>Post-conflict</topic><topic>post-conflict countries</topic><topic>Poverty</topic><topic>Public health</topic><topic>Rainy season</topic><topic>Risk Factors</topic><topic>Rural Population</topic><topic>Seasons</topic><topic>Severity of Illness Index</topic><topic>social problems</topic><topic>Treatment Outcome</topic><topic>Warfare</topic><topic>Water wells</topic><topic>Weight Gain</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Colombatti, Raffaella</creatorcontrib><creatorcontrib>Coin, Alessandra</creatorcontrib><creatorcontrib>Bestagini, Piero</creatorcontrib><creatorcontrib>Vieira, Cesaltina Silva</creatorcontrib><creatorcontrib>Schiavon, Laura</creatorcontrib><creatorcontrib>Ambrosini, Venceslao</creatorcontrib><creatorcontrib>Bertinato, Luigi</creatorcontrib><creatorcontrib>Zancan, Lucia</creatorcontrib><creatorcontrib>Riccardi, Fabio</creatorcontrib><collection>AGRIS</collection><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>MEDLINE - Academic</collection><jtitle>Public health nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Colombatti, Raffaella</au><au>Coin, Alessandra</au><au>Bestagini, Piero</au><au>Vieira, Cesaltina Silva</au><au>Schiavon, Laura</au><au>Ambrosini, Venceslao</au><au>Bertinato, Luigi</au><au>Zancan, Lucia</au><au>Riccardi, Fabio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A short-term intervention for the treatment of severe malnutrition in a post-conflict country: results of a survey in Guinea Bissau</atitle><jtitle>Public health nutrition</jtitle><addtitle>Public Health Nutr</addtitle><date>2008-12-01</date><risdate>2008</risdate><volume>11</volume><issue>12</issue><spage>1357</spage><epage>1364</epage><pages>1357-1364</pages><issn>1368-9800</issn><issn>1475-2727</issn><eissn>1475-2727</eissn><abstract>To determine (i) the extent of malnutrition and the risk factors for severe malnutrition in Guinea Bissau, a post-conflict country experiencing long-term consequences of civil war; and (ii) the feasibility and effectiveness of a short-term intervention characterized by outpatient treatment with locally produced food for the treatment of severe malnutrition during the rainy season.
Social, clinical, nutritional information were collected for children reaching the paediatric outpatient clinic of the Hospital 'Comunità di Sant'Egidio' in Bissau, Guinea Bissau, from 1 July to 12 August 2003. Severely malnourished children (weight-for-age <-3sd) in poor health status were admitted for daily nutritional and pharmacological treatment until complete recovery. Social and health indicators were analysed to define risk factors of severe malnutrition.
In total, 2642 children were visited (age range: 1 month-17 years). Fever, cough and dermatological problems were the main reasons for access. Social data outlined poor housing conditions: 86.4 % used water from unprotected wells, 97.3 % did not have a bathroom at home, 78.2 % lived in a mud house. Weight-for-age was <-2sd in 23.0 % of the children and <-3sd in 10.3 %; thirty-seven children (1.4 %) were severely malnourished and admitted for day care. All recovered with a weight gain of 4.45 g/kg per d, none died or relapsed after 1 year. Severely malnourished children were mainly infants, part of large families and had illiterate mothers.
Short-term interventions performed in post-conflict countries during seasons of high burden of disease and malnutrition are feasible and successful at low cost; day-care treatment of severe malnutrition with locally produced food is an option that can be tested in other settings.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>18652716</pmid><doi>10.1017/S1368980008003297</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent Age Anorexia Bathrooms Body weight gain Child child nutrition Child Nutritional Physiological Phenomena - physiology Child, Preschool Children Children & youth Civil war community nutrition programs Cost-Benefit Analysis Cough Developing Countries disease control Drug therapy Educational Status Feasibility Feasibility Studies Female Food food security Guinea-Bissau Health services Health Status Hospitals Humans Illnesses Infant Intervention Malaria Male Malnutrition Malnutrition - epidemiology Malnutrition - etiology Malnutrition - pathology Malnutrition - therapy Mortality Nutrition Nutrition Assessment nutritional intervention Nutritional Status Outpatient treatment Pediatrics politics Post-conflict post-conflict countries Poverty Public health Rainy season Risk Factors Rural Population Seasons Severity of Illness Index social problems Treatment Outcome Warfare Water wells Weight Gain |
| title | A short-term intervention for the treatment of severe malnutrition in a post-conflict country: results of a survey in Guinea Bissau |
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