Evidence map›Paper›PMID 40116108›Full record

ArticleInternational health2025

Primary healthcare readiness for nutritionally at-risk infants aged under 6 months: a facility-based survey in Senegal.

Tabitha D van Immerzeel, Indou Deme-Ly, Maty Diagne-Camara, Rebecca E Penzias, Daouda Seck, Abdallah Diallo, Amanda E Murungi, Carlos S Grijalva-Eternod, Marko Kerac, Abou Ba and 1 more

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Article in International health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. Article
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

11 authors.

Tabitha D van ImmerzeelCheikh Anta Diop University, Department Social Peadiatric Institute, BP 5005, Dakar, Senegal.ORCID 0000-0001-8809-3886
Indou Deme-LyNational Paediatric Hospital Albert Royer, Dakar 25755, Senegal.ORCID 0000-0002-4119-808X
Maty Diagne-CamaraCheikh Anta Diop University, Department of Preventive Medicine and Public Health, Institute of Health and Development, BP 5005, Dakar, Senegal.
Rebecca E PenziasLondon School of Hygiene & Tropical Medicine, department Infectious Disease Epidemiology and International Health, WC1E 7HT, London, UK.ORCID 0009-0007-6668-9911
Daouda SeckCheikh Anta Diop University, Department Social Peadiatric Institute, BP 5005, Dakar, Senegal.ORCID 0000-0003-0360-7177
Abdallah DialloCheikh Anta Diop University, Department Social Peadiatric Institute, BP 5005, Dakar, Senegal.ORCID 0000-0002-0749-1944
Amanda E MurungiMulango National Referral Hospital, PO Box 7051, Kampala, Uganda.
Carlos S Grijalva-EternodLondon School of Hygiene & Tropical Medicine, Department Population Health, WC1E 7HT, London, UK.ORCID 0000-0002-2461-9954
Marko KeracLondon School of Hygiene & Tropical Medicine, Department Population Health, WC1E 7HT, London, UK.ORCID 0000-0002-3745-7317
Abou BaCheikh Anta Diop University, Department Social Peadiatric Institute, BP 5005, Dakar, Senegal.ORCID 0009-0000-1420-6315
Louise T DayLondon School of Hygiene & Tropical Medicine, department Infectious Disease Epidemiology and International Health, WC1E 7HT, London, UK.ORCID 0000-0002-0038-0002

Funding

Eleanor Crook FoundationNetherlands Society for Tropical Medicine and International Health OKF 2021
6 · The paper itself

Abstract

backgroundMalnutrition in infants aged <6 mo (u6m) is poorly identified and managed in many countries, increasing the risk of poor growth and development. Addressing this gap, 2023 WHO malnutrition guidelines recommend assessment, classification and treatment at primary care level. This study aimed to assess primary healthcare facility readiness for nutritional care in infants u6m.

methodsWe adapted the Harmonized Health Facility Assessment (HHFA), adding items for Management of small and nutritionally At-risk Infants u6m and their Mothers (MAMI) at five care contact points. Our HHFA-MAMI tool captured 342 items using healthcare provider interviews, observations and registers data to calculate mean scores per area and median patient visits.

resultsWe surveyed 15 facilities in Senegal. General readiness scored 69.5%, MAMI availability and readiness 37.7%. Infrastructure (72.0%) and health workforce (60.7%) were available, while equipment (32.5%) and training (22.3%) scored low. Infants were frequently assessed (53.6%), not often classified (15.2%) as at risk, nor adequately treated (38.2%). Comparing contact points, delivery and sick child clinic scored highest in readiness, immunization in utilization.

conclusionsPrimary care readiness gaps exist in classifying and treating at-risk infants u6m, equipment and training. We found opportunities at each of the five contact points to implement WHO-recommended care.

Indexed as

Health FacilitiesInfant Nutrition DisordersPrimary Health CareFemaleHumansInfantInfant, NewbornMaleSenegalSurveys and Questionnairesbreastfeedinghealth facility administrationinfant nutritional disordersprimary healthcare

Identifiers

PMID40116108
PMCPMC12406792

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LicenceCC BY-NC
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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.