An observational study in Marasmus, Kwashiorkor and Malnutrition; Degree, Moderate, sponsored by Alliance for International Medical Action. Completed at 1 site in Niger. Open to participants aged 6 Months to 59 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2013-12-10.
Sponsored by Alliance for International Medical Action · Observational
PRIMARY OBJECTIVE :
To determine whether mothers, given minimal group training, are capable of using a MUAC (mid-upper arm circumference) bracelet to screen their children for malnutrition and categorise them into one of three groups : 'red' (SAM ; severe acute malnutrition), 'yellow' (MAM ; moderate acute malnutrition) or 'green' (normal nutritional status)
SECONDARY OBJECTIVES :
To establish whether there is a difference in the MUAC value if measured on the right arm as opposed to the left, in young children
To determine whether there is a difference in the MUAC value if the mid upper arm position is determined visually as opposed to being measured in the 'classical' fashion
Severe Acute Malnutrition (SAM) and its complications are major causes of death in under 5s in the developing world. A simple, reproducible, scalable way to recognise acute malnutrition and target early intervention would be a huge advance. Can mothers with limited training reliably measure and interpret the results of Mid Upper Arm Circumference (MUAC), a measurement performed with a MUAC measuring tape costing $0.06? MUAC contrasts with Z-score (WHZ), which requires both scales and a height gauge, both health worker interventions susceptible to considerable error, sensitive to non-nutritional factors, requiring calculations and growth curves, yet much less accurate in predicting risk of death compared with MUAC.
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Children present in the inpatient malnutrition treatment unit and paediatric service of the Mirriah district hospital aged between 6-59 months old
Children aged between 6-59 months old in the two villages of the Mirriah district, Niger; where the community phase of the study was conducted
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Exclusion Criteria:
inter and intra observer variability
Variance in result of screening for malnutrition performed by mothers with minimal training compared to 'gold-standard' fully trained health care workers. Screening will be performed with a MUAC (mid-upper arm circumference) bracelet, results will be expressed by category: SAM (severe acute malnutrition), MAM (moderate acute malnutrition) or 'normal nutritional status
Time frame: 2 years
inter and intra observer variability
The difference in millimetres in the MUAC value if measured on the right arm as opposed to the left ('classical method'), in young children
Time frame: 2 years
inter and intra observer variability
The difference in the MUAC value in millimetres if the mid upper arm position is determined visually as opposed to being measured in the 'classical' fashion
Time frame: 2 years
This study is completed, as verified in Dec 2013. You cannot join it, but the record below documents what was studied.
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Alliance for International Medical Action