Impact of different levels of supervision on the recovery of severely malnourished children treated by community health workers in mali
Charle-Cuéllar, Pilar; López-Ejeda, Noemí; Traore, Mamadou; Coulibaly, Adama Balla; Landouré, Aly; Diawara, Fatou; Bunkembo, Magloire; Vargas, Antonio; Gil, Ruth; Briend, André (2021-01)
Charle-Cuéllar, Pilar
López-Ejeda, Noemí
Traore, Mamadou
Coulibaly, Adama Balla
Landouré, Aly
Diawara, Fatou
Bunkembo, Magloire
Vargas, Antonio
Gil, Ruth
Briend, André
01 / 2021
367
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:tuni-202105175098
https://urn.fi/URN:NBN:fi:tuni-202105175098
Kuvaus
Peer reviewed
Tiivistelmä
(1) Background: The Ministry of Health in Mali included the treatment of severe acute malnutrition (SAM) into the package of activities of the integrated community case management (iCCM). This paper evaluates the most effective model of supervision for treating SAM using community health workers (CHWs). Methods (2): This study was a prospective non-randomized community intervention trial with two intervention groups and one control group with different levels of supervision. It was conducted in three districts in rural areas of the Kayes Region. In the high supervision group, CHWs received supportive supervision for the iCCM package and nutrition-specific supervision. In the light supervision group, CHWs received supportive supervision based on the iCCM package. The control group had no specific supervision. (3) Results: A total of 6112 children aged 6-59 months with SAM without medical complications were included in the study. The proportion of cured children was 81.4% in those treated by CHWs in the high supervision group, 86.2% in the light supervision group, and 66.9% in the control group. Children treated by the CHWs who received some supervision had better outcomes than those treated by unsupervised CHWs (p < 0.001). There was no difference between areas with light and high supervision, although those with high supervision performed better in most of the tasks analyzed. (4) Conclusions: Public policies in low-income countries should be adapted, and their model of supervision of CHWs for SAM treatment in the community should be evaluated.
Kokoelmat
- TUNICRIS-julkaisut [16983]