Evidence map›Paper›PMID 37686865›Full record

ArticleNutrients2023

Cost of Acute Malnutrition Treatment Using a Simplified or Standard Protocol in Diffa, Niger.

Bernardette Cichon, Noemi Lopez Ejeda, Pilar Charle Cuellar, Issa Ango Hamissou, Ali Amadou Abdoul Karim, Cornelia Aton, Atté Sanoussi, Nassirou Ousmane, Ramatoulaye Hamidou Lazoumar, Abdoul Aziz Ousmane Gado and 2 more

Abstract read
In one paragraph

Article in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Bernardette CichonAction Against Hunger UK, London SE10 0ER, UK.ORCID 0000-0002-7558-7032
Noemi Lopez EjedaEPINUT Research Group (Ref. 920325), Unit of Physical Anthropology, Department of Biodiversity, Ecology and Evolution, Faculty of Biological Sciences, Complutense University of Madrid, 28040 Madrid, Spain.ORCID 0000-0003-1310-0134
Pilar Charle CuellarAction Against Hunger Spain, C/Duque de Sevilla no. 3, 28002 Madrid, Spain.ORCID 0000-0003-4784-5003
Issa Ango HamissouIndependent Consultant, Niamey, Niger.
Ali Amadou Abdoul KarimIndependent Consultant, Niamey, Niger.
Cornelia AtonAction Against Hunger UK, London SE10 0ER, UK.
Atté SanoussiNutrition Direction, Ministry of Health, Niamey BP 623, Niger.
Nassirou OusmaneNutrition Direction, Ministry of Health, Niamey BP 623, Niger.
Ramatoulaye Hamidou LazoumarCentre de Recherche Médicale et Sanitaire (CERMES), Niamey BP 10887, Niger.
Abdoul Aziz Ousmane GadoAction Against Hunger, Niamey BP 11491, Niger.
Zakou Yassi HarounaAction Against Hunger, Niamey BP 11491, Niger.
Saul Guerrero OteyzaUNICEF, 3 United Nations Plaza, New York, NY 10017, USA.

Funding

Elrha 40410United States Agency for International Development 720FDA19GR0029
6 · The paper itself

Abstract

Evidence on the cost of acute malnutrition treatment, particularly with regards to simplified approaches, is limited. The objective of this study was to determine the cost of acute malnutrition treatment and how it is influenced by treatment protocol and programme size. We conducted a costing study in Kabléwa and N'Guigmi, Diffa region, where children with acute malnutrition aged 6-59 months were treated either with a standard or simplified protocol, respectively. Cost data were collected from accountancy records and through key informant interviews. Programme data were extracted from health centre records. In Kabléwa, where 355 children were treated, the cost per child treated was USD 187.3 (95% CI: USD 171.4; USD 203.2). In N'Guigmi, where 889 children were treated, the cost per child treated was USD 110.2 (95% CI: USD 100.0; USD 120.3). Treatment of moderate acute malnutrition was cheaper than treatment of severe acute malnutrition. In a modelled scenario sensitivity analysis with an equal number of children in both areas, the difference in costs between the two locations was reduced from USD 77 to USD 11. Our study highlighted the significant impact of programme size and coverage on treatment costs, that cost can differ significantly between neighbouring locations, and that it can be reduced by using a simplified protocol.

Indexed as

AsteraceaeSevere Acute MalnutritionChildHealth Care CostsHealth FacilitiesHumansNigeracute malnutritioncostcost-efficiencyRUTFtreatment

Identifiers

PMID37686865
PMCPMC10490076

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.