ArticleCurrent developments in nutrition2025
Determinants of Caregivers' Ability to Accurately Detect Acute Malnutrition Using Color-Coded Mid-Upper Arm Circumference Tape and Pitting Edema.
Article in Current developments in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: In Malawi, inadequate community health workers are delaying admission of acute malnutrition cases into therapeutic programs. Training caregivers to screen their children for early identification of acute malnutrition has been shown to improve early admissions, prevent serious complications, and save lives. However, there are knowledge gaps regarding the determinants of caregivers to accurately screen for acute malnutrition. Objectives: To identify determinants of accuracy in detecting acute malnutrition using color-coded mid-upper arm circumference (MUAC) tape and pitting edema among caregivers. Methods: This was a cross-sectional study taken as a baseline for a larger non-random pragmatic interventional study. Using a cascade model, community health workers (health surveillance assistants, Results: Compared to caregivers who were farmers (86.2%), those who were formally employed (1.8%) were nearly 70% less likely to accurately determine acute malnutrition [adjusted odds ratio (AOR): 0.30; 95% confidence interval (CI): 0.12, 0.75] than farmers. Caregivers from Phalombe district were nearly 5 times more likely to be accurate than caregivers from Nsanje district (AOR: 4.93; 95% CI: 3.31, 7.35). Caregivers were twice and thrice more likely to accurately screen children aged 31-42 mo (AOR: 2.44; 95% CI: 1.43, 4.17) and 43-54 mo (AOR: 2.83; 95% CI: 1.45, 5.54), respectively, than children aged 6-11 mo. Conclusions: The outcome of training caregivers to use color-coded MUAC tapes and pitting edema to screen for acute malnutrition is likely to be sensitive to several factors including residence, occupation of the caregivers, and age of the children. More data and further studies are required to validate the present results.
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