A Large-Scale Distribution of Milk-Based Fortified Spreads Evidence for a New Approach in Regions with High Burden of Acute Malnutrition 英文参考文献.docVIP

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A Large-Scale Distribution of Milk-Based Fortified Spreads Evidence for a New Approach in Regions with High Burden of Acute Malnutrition 英文参考文献.doc

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A Large-Scale Distribution of Milk-Based Fortified Spreads Evidence for a New Approach in Regions with High Burden of Acute Malnutrition 英文参考文献

ALarge-ScaleDistributionofMilk-BasedFortified Spreads:EvidenceforaNewApproachinRegionswith HighBurdenofAcuteMalnutrition IsabelleDefourny1,AndreaMinetti1*,Ge′zaHarczi1,Ste′phaneDoyon1,SusanShepherd1 ,Milton Tectonidis1,Jean-Herve′ Bradol1,MichaelGolden2 1Me′decins sansFrontie`res,Paris,France,2UniversityofAberdeen,Aberdeen,Scotland Abstract Background:Thereare146millionunderweightchildreninthedevelopingworld,whichcontributetouptohalfofthe world’s child deaths. Inhigh burden regionsfor malnutrition, the treatmentof individualchildren is limited by available resources.Here,weevaluatealarge-scaledistributionofanutritionalsupplementonthepreventionofwasting. MethodsandFindings:Anewready-to-usefood(RUF)wasdevelopedasadietsupplementforchildrenunderthree.The interventionconsistedofsixmonthlydistributionsofRUFduringthe2007hungergapinadistrictofMaradiregion,Niger, forapproximately60,000children(length:60–85cm).Ateachdistribution,allchildrenover65cmhadtheirMid-UpperArm Circumference (MUAC) recorded. Admission trends forsevere wasting (WFH,70% NCHS) in Maradi,2002–2005 showan increaseeveryyearduringthehungergap.Incontrast,in2007,throughouttheperiodofthedistribution,theincidenceof severeacutemalnutrition(MUAC,110mm)remainedatextremelylowlevels.Comparisonofyear-over-yearadmissionsto thetherapeuticfeedingprogramshowsthatthe2007blanketdistributionhadessentiallythesameflatteningeffectonthe seasonalriseinadmissionsasthe2006individualizedtreatmentofalmost60,000childrenmoderatelywasted. Conclusions:Theseresultsdemonstratethepotentialfordistributionoffortifiedspreadstoreducetheincidenceofsevere wasting in large population of children 6–36months of age. Although further information is needed on the cost- effectivenessofsuchdistributions,theseresultshighlighttheimportanceofre-evaluatingcurrentnutritionalstrategiesand internationalrecommendationsforhighburdenareasofchildhoodmalnutrition. Citation: Defourny I, Minetti A, Harczi G, Doyon S, Shepherd S, et al. (2009) A Large-Scale Distribut