ArticleBMC public health2016
Integrating acute malnutrition interventions into national health systems: lessons from Niger.
Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Use of Mid-Upper Arm Circumference by Novel Community Platforms to Detect, Diagnose, and Treat Severe Acute Malnutrition in Children: A Systematic Review.Global health, science and practice · 2018Pooled it
- Translating the strategy of integrating comprehensive nutrition assessment, counselling, and support into action using a grounded theory approach in Tororo district, Uganda.Journal of health, population, and nutrition · 2025Article
- Integrating oral health into primary healthcare: lessons from project OHE-NCHeW (oral health education for nurses and community health workers) in Nigeria.Frontiers in oral health · 2025Article
- Integration measurement and its applications in low- and middle-income country health systems: a scoping review.BMC public health · 2023Article
- Article
- La pérennité d'un projet de prévention et de prise en charge de la malnutrition au Niger.Canadian journal of public health = Revue canadienne de sante publique · 2022Article
- Advancing sustainable development goals through immunization: a literature review.Globalization and health · 2021Review
- Association of nutritional support programs with zinc deficiency in Colombian children: a cross-sectional study.BMC nutrition · 2019Article
- Measuring the coverage of nutrition interventions along the continuum of care: time to act at scale.BMJ global health · 2019Review
- Community-Based Management of Acute Malnutrition to Reduce Wasting in Urban Informal Settlements of Mumbai, India: A Mixed-Methods Evaluation.Global health, science and practice · 2018Article
- Eye Health Integration in Southern and Eastern Africa: A Scoping Review.Middle East African journal of ophthalmologyArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSince 2007, integrated care of acute malnutrition has been promoted in Niger, a country affected by high burden of disease. This policy change aimed at strengthening capacity and ownership to manage the condition. Integration was neither defined nor planned but assumed to have been achieved. This paper studied the level and progress of integration of acute malnutrition interventions into key health system functions.
methodsThe qualitative study method involved literature searches on acute malnutrition interventions for children under 5 in low-income countries to develop a matrix of integration. Integration indicators defined three levels of integration of acute malnutrition interventions into health system functions-full, partial or none. Indicators of health services and health status were added to describe health system improvements. Data from qualitative and quantitative studies conducted in Niger between 2007 and 2013 were used to measure the indicators for the years under study.
resultsResults showed a mosaic of integration levels across key health system functions. Four indicators showed full integration, 22 showed partial integration and three showed no integration. Two-thirds of system functions showed progress in assimilating acute malnutrition interventions, while six persistently stagnated over time. There was variation within and across health system domains, with governance and health information functions scoring highest and financing lowest. Steady improvements were noted in geographic coverage, access and under-5 mortality risk.
conclusionsThis study provided useful information to inform policy makers and guide strategic planning to improve integration of acute malnutrition interventions in Niger. The proposed method of assessing the extent of integration and monitoring progress may be adapted and used in Niger and other low-income countries that are integrating or intending to integrate acute malnutrition interventions.
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