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Open AccessArticle

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

1
Department of Biomedicine and Prevention University of Rome Tor Vergata, via Montpellier, Rome 00133, Italy
2
Rainbow Project Association Pope John 23rd, 5656 Chinika Road, Ndola 10101, Zambia
3
Ndola District Health Office, 1307 Naidu Close, Ndola 10101, Zambia
4
Department of Pediatrics, David Geffen UCLA School of Medicine, Los Angeles, CA 90095, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2016, 13(7), 666; https://doi.org/10.3390/ijerph13070666
Received: 22 April 2016 / Revised: 20 June 2016 / Accepted: 27 June 2016 / Published: 1 July 2016
(This article belongs to the Special Issue Pediatric Infectious Diseases)
(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 <−3 (3.1; 1.6–5.7) as predictors of death. Time to event showed 80% of children recovered by SAM/MAM at 24 weeks. (4) Conclusions: Preventing deterioration of malnutrition, coupled to early detection of HIV/AIDS with adequate antiretroviral treatment, and extending the duration of feeding supplementation, could be crucial elements for ensuring full recovery and improve child survival in malnourished Zambian children. View Full-Text
Keywords: child malnutrition; community-based management of malnutrition; HIV; child survival; supplementary feeding programs; Zambia child malnutrition; community-based management of malnutrition; HIV; child survival; supplementary feeding programs; Zambia
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MDPI and ACS Style

Moramarco, S.; Amerio, G.; Ciarlantini, C.; Chipoma, J.K.; Simpungwe, M.K.; Nielsen-Saines, K.; Palombi, L.; Buonomo, E. Community-Based Management of Child Malnutrition in Zambia: HIV/AIDS Infection and Other Risk Factors on Child Survival. Int. J. Environ. Res. Public Health 2016, 13, 666. https://doi.org/10.3390/ijerph13070666

AMA Style

Moramarco S, Amerio G, Ciarlantini C, Chipoma JK, Simpungwe MK, Nielsen-Saines K, Palombi L, Buonomo E. Community-Based Management of Child Malnutrition in Zambia: HIV/AIDS Infection and Other Risk Factors on Child Survival. International Journal of Environmental Research and Public Health. 2016; 13(7):666. https://doi.org/10.3390/ijerph13070666

Chicago/Turabian Style

Moramarco, Stefania; Amerio, Giulia; Ciarlantini, Clarice; Chipoma, Jean K.; Simpungwe, Matilda K.; Nielsen-Saines, Karin; Palombi, Leonardo; Buonomo, Ersilia. 2016. "Community-Based Management of Child Malnutrition in Zambia: HIV/AIDS Infection and Other Risk Factors on Child Survival" Int. J. Environ. Res. Public Health 13, no. 7: 666. https://doi.org/10.3390/ijerph13070666

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