Evidence map›Paper›PMID 42381597›Full record

ArticleMaternal & child nutrition2026

Barriers and Factors Associated With Treatment Coverage of Severe Acute Malnutrition Among Children 6-59 Months in Agrarian and Pastoralist Areas of Ethiopia.

Bayise Biru, Lieven Huybregts, Dessalegn Tamiru, Mohammed Areb, Alemayehu Haddis, Talla Fall, Mariama Touré, Tefera Belachew

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Maternal & child nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06380504 (Effect of Leveraging Community-level Structures to Strengthen Prevention, Screening and Treatment of Severe Acute Malnutrition in Ethiopia), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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.

NCT06380504 narecruitingnot on this map

Effect of Leveraging Community-level Structures to Strengthen Prevention, Screening and Treatment of Severe Acute Malnutrition in Ethiopia

TypeinterventionalSponsorInternational Food Policy Research InstituteRan2024 to 2027Enrolled1,080ConditionsAcute Malnutrition, Severe, Malnutrition, Child, WastingArmsR-SWITCH integrated intervention package
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Bayise BiruDepartment of Nutrition and Dietetics, Faculty of Public Health, Institute of Health Sciences, Jimma University, Jimma, Oromia, Ethiopia.ORCID 0000-0003-0149-9379
Lieven HuybregtsNutrition, Diets, and Health Unit, International Food Policy Research Institute (IFPRI), Washington, District of Columbia, USA.
Dessalegn TamiruDepartment of Nutrition and Dietetics, Faculty of Public Health, Institute of Health Sciences, Jimma University, Jimma, Oromia, Ethiopia.
Mohammed ArebDepartment of Nutrition and Dietetics, Faculty of Public Health, Institute of Health Sciences, Jimma University, Jimma, Oromia, Ethiopia.
Alemayehu HaddisDepartment of Environmental science and Technology, Jimma University, Jimma, Oromia, Ethiopia.
Talla FallNutrition, Diets, and Health Unit, International Food Policy Research Institute (IFPRI), Dakar, Senegal.
Mariama TouréNutrition, Diets, and Health Unit, International Food Policy Research Institute (IFPRI), Dakar, Senegal.
Tefera BelachewDepartment of Nutrition and Dietetics, Faculty of Public Health, Institute of Health Sciences, Jimma University, Jimma, Oromia, Ethiopia.ORCID 0000-0001-5455-9457

Funding

Bill and Melinda gates foundation through UNICEF ETH/PCA2022189/PD2024619-amd/2
6 · The paper itself

Abstract

Severe acute malnutrition remains a major public health concern, yet a large proportion of affected children do not receive appropriate treatment. Understanding the barriers and associated factors is essential for informing targeted, context-specific interventions. A door-to-door screening campaign among children aged 6-59 months was conducted from May to September 2024 in Kersa (agrarian) and Jeldessa (pastoralist) woredas of Ethiopia. The treatment coverage of severe acute malnutrition was 12.8% (95% CI: 9.0%-17.9%). The most frequently reported barriers to treatment included lack of awareness of the child's nutritional status, time and financial constraints, and absence of family permission. Multivariable analysis revealed that household wealth index (aPR: 2.9; 95% CI: 1.5-5.5), use of water treatment methods (aPR: 4.6; 95% CI: 1.7-11.9), recent community MUAC screening (aPR: 12.0; 95% CI: 5.4-26.8), availability of treatment services at a nearby health post (aPR: 3.2; 95% CI: 1.1-9.9), and possession of a vaccination card (aPR: 3.2; 95% CI: 1.1-9.1) were significantly associated with severe acute malnutrition treatment coverage. The findings highlight that severe acute malnutrition treatment coverage in both pastoralist and agrarian settings of Ethiopia remains critically low. Stronger implementation of active screening and treatment services recommended by Ethiopian national guidelines, together with social protection measures for the poorest households, may improve treatment coverage. Trial Registration: ClinicalTrials.gov (NCT06380504).

Indexed as

Child Nutrition DisordersHealth Services AccessibilitySevere Acute MalnutritionChild, PreschoolCross-Sectional StudiesEthiopiaFemaleHealth Knowledge, Attitudes, PracticeHumansInfantMaleNutritional StatusRural PopulationSocioeconomic FactorsUndertreatmentchildrenEthiopiasevere acute malnutritiontreatment coverage

Identifiers

PMID42381597
PMCPMC13320365

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Registered trials

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.