Community-Based Management of Child Malnutrition in Zambia: HIV/AIDS Infection and Other Risk Factors on Child Survival

Stefania Moramarco, Giulia Amerio, Clarice Ciarlantini, Jean Kasengele Chipoma, Matilda Kakungu Simpungwe, Karin Nielsen-Saines, Leonardo Palombi and Ersilia Buonomo
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Stefania Moramarco: Department of Biomedicine and Prevention University of Rome Tor Vergata, via Montpellier, Rome 00133, Italy
Giulia Amerio: Rainbow Project Association Pope John 23rd, 5656 Chinika Road, Ndola 10101, Zambia
Clarice Ciarlantini: Rainbow Project Association Pope John 23rd, 5656 Chinika Road, Ndola 10101, Zambia
Jean Kasengele Chipoma: Ndola District Health Office, 1307 Naidu Close, Ndola 10101, Zambia
Matilda Kakungu Simpungwe: Ndola District Health Office, 1307 Naidu Close, Ndola 10101, Zambia
Karin Nielsen-Saines: Department of Pediatrics, David Geffen UCLA School of Medicine, Los Angeles, CA 90095, USA
Leonardo Palombi: Department of Biomedicine and Prevention University of Rome Tor Vergata, via Montpellier, Rome 00133, Italy
Ersilia Buonomo: Department of Biomedicine and Prevention University of Rome Tor Vergata, via Montpellier, Rome 00133, Italy

IJERPH, 2016, vol. 13, issue 7, 1-14

Abstract: (1) Background: Supplementary feeding programs (SFPs) are effective in the community-based treatment of moderate acute malnutrition (MAM) and prevention of severe acute malnutrition (SAM); (2) Methods: A retrospective study was conducted on a sample of 1266 Zambian malnourished children assisted from 2012 to 2014 in the Rainbow Project SFPs. Nutritional status was evaluated according to WHO/Unicef methodology. We performed univariate and multivariate Cox proportional risk regression to identify the main predictors of mortality. In addition, a time-to event analysis was performed to identify predictors of failure and time to cure events; (3) Results: The analysis included 858 malnourished children (19 months ± 9.4; 49.9% males). Program outcomes met international standards with a better performance for MAM compared to SAM. Cox regression identified SAM (3.8; 2.1–6.8), HIV infection (3.1; 1.7–5.5), and WAZ Keywords: child malnutrition; community-based management of malnutrition; HIV; child survival; supplementary feeding programs; Zambia (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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