ArticleMaternal & child nutrition2018
An integrated community-based outpatient therapeutic feeding programme for severe acute malnutrition in rural Southern Ethiopia: Recovery, fatality, and nutritional status after discharge.
Article in Maternal & child nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 5 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 5 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Evidence on Strategies for Integrating Nutrition Interventions with Health and Immunization Systems in Conflict-affected Areas of Low- and Lower-middle-income Settings-A Systematic Review.Nutrition reviews · 2025Pooled it
- Household-level water, sanitation and hygiene factors and interventions and the prevention of relapse after severe acute malnutrition recovery: A systematic review.Maternal & child nutrition · 2024Pooled it
- Pooled it
- Relapse after severe acute malnutrition: A systematic literature review and secondary data analysis.Maternal & child nutrition · 2019Pooled it
- Pooled it
- Effects of probiotic and synbiotic supplementation on ponderal and linear growth in severely malnourished young infants in a randomized clinical trial.Scientific reports · 2023Trial
- Community-Based Outpatient Therapeutic Program Implementation in Central Gondar Zone, Northwest Ethiopia: A Process Evaluation Using Access and Implementation Fidelity Frameworks.Maternal & child nutrition · 2026Article
- Microbiome-directed food to promote sustained recovery in children with uncomplicated acute malnutrition: protocol for a randomized controlled trial in Burkina Faso.BMC nutrition · 2025Article
- Weight gain among children under five with severe malnutrition in therapeutic feeding programmes: a systematic review and meta-analysis.EClinicalMedicine · 2025Article
- Time to recovery and its predictors among children aged 6-59 months having uncomplicated severe acute malnutrition attending an outpatient therapeutic program in Northeast Ethiopia: prospective cohort study.Frontiers in nutrition · 2024Article
- Relapse of acute malnutrition and associated factors after discharge from nutrition stabilization centers among children in Eastern Ethiopia.Frontiers in nutrition · 2023Article
- Article
- Clinical and growth outcomes of severely malnourished children following hospital discharge in a South African setting.PloS one · 2022Article
- Article
- Best practices and opportunities for integrating nutrition specific into nutrition sensitive interventions in fragile contexts: a systematic review.BMC nutrition · 2021Article
- Anthropometry at discharge and risk of relapse in children treated for severe acute malnutrition: a prospective cohort study in rural Nepal.Nutrition journal · 2021Article
- Relapse and regression to severe wasting in children under 5 years: A theoretical framework.Maternal & child nutrition · 2021Article
- Incidence of relapse following a new approach to simplifying and optimising acute malnutrition treatment in children aged 6-59 months: a prospective cohort in rural Northern Burkina Faso.Journal of nutritional science · 2021Article
- [Nutritional recovery after discharge in hospitalized children with malnutrition].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2020Article
- Do we need to reconsider the CMAM admission and discharge criteria?; an analysis of CMAM data in South Sudan.BMC public health · 2020Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A scaled up and integrated outpatient therapeutic feeding programme (OTP) brings the treatment of severely malnourished children closer to the community. This study assessed recovery from severe acute malnutrition (SAM), fatality, and acute malnutrition up to 14 weeks after admission to a programme integrated in the primary health care system. In this cohort study, 1,048 children admitted to 94 OTPs in Southern Ethiopia were followed for 14 weeks. Independent anthropometric measurements and information on treatment outcome were collected at four home visits. Only 32.7% (248/759) of children with SAM on admission fulfilled the programme recovery criteria at the time of discharge (i.e., gained 15% in weight, or oedema, if present at admission, was resolved at discharge). Of all children admitted to the programme for whom nutritional assessment was done 14 weeks later, 34.6% (321/928) were severely malnourished, and 37.5% (348/928) were moderately malnourished; thus, 72.1% were acutely malnourished. Of the children, 27/982 (2.7%) had died by 14 weeks, of whom all but one had SAM on admission. Children with severe oedema on admission had the highest fatality rate (12.0%, 9/75). The median length of admission to the programme was 6.6 weeks (interquartile range: 5.3, 8.4 weeks). Despite children participating for the recommended duration of the programme, many children with SAM were discharged still acutely malnourished and without reaching programme criteria for recovery. For better outcome of OTP, constraints in service provision by the health system as well as challenges of service utilization by the beneficiaries should be identified and addressed.
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