ArticleFrontiers in nutrition2026
Outcomes of community-based nutrition support groups in Dioila Health District, Mali.
Article in Frontiers in nutrition, 2026. 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: Malnutrition remains a major public health concern in Mali, particularly in rural districts where food insecurity, limited dietary diversity, and inadequate infant and young child feeding (IYCF) practices persist. The Koulikoro Region continues to experience malnutrition levels above the national average. To strengthen community-level prevention and early detection, the Ministry of Health and partners implemented Nutrition Support Groups (NSGs), facilitated by relais communautaires. Despite their scale-up, evidence on NSG functionality and effectiveness in rural settings, including Dioila Health District, remains limited. Objective: To assess caregiver participation in NSGs, examine self-reported changes in feeding practices, and review recovery outcomes for moderate and severe acute malnutrition using routine health facility records. Methods: A cross-sectional study was conducted in Dioila District between August and September 2024. Caregiver knowledge and practices were assessed using a pre-tested questionnaire, while NSG attendance registers and health facility records provided data on participation and recovery. Descriptive statistics summarized variables, and chi-square and Results: A total of 227 caregivers from 37 villages participated in the study. NSG attendance was high (91%), and satisfaction with activities reached 78%. Frequent attendees demonstrated significantly higher nutrition knowledge scores (mean = 75.4 vs. 65.0; Conclusion: NSGs in Dioila Health District are effective community-based platforms for improving caregiver knowledge, promoting positive feeding practices, and supporting early detection of malnutrition. While facility-based recovery outcomes are strong, sustainability challenges remain. Strengthening supervision mechanisms, ensuring consistent support for community volunteers, and improving referral linkages with health facilities are critical to enhance the effectiveness and long-term sustainability of NSGs in rural Mali.
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