Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Bien Être de La femme et de L'Enfant au Niger | UNKNOWN |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
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.
Not provided
Not provided
Not provided
Not provided
Not provided
| Measure | Description | Time Frame |
|---|---|---|
| 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 | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| 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 | 2 years |
| inter and intra observer variability |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
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
Not provided
| Name | Affiliation | Role |
|---|---|---|
| nikki blackwell, FCICM,FRACP | Alliance for International Medical Action | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mirriah Health District | Mirriah | Mirriah | Niger |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21951349 | Background | Briend A, Maire B, Fontaine O, Garenne M. Mid-upper arm circumference and weight-for-height to identify high-risk malnourished under-five children. Matern Child Nutr. 2012 Jan;8(1):130-3. doi: 10.1111/j.1740-8709.2011.00340.x. Epub 2011 Sep 28. | |
| 2612460 | Background | Briend A, Garenne M, Maire B, Fontaine O, Dieng K. Nutritional status, age and survival: the muscle mass hypothesis. Eur J Clin Nutr. 1989 Oct;43(10):715-26. |
| Label | URL |
|---|---|
| Click here for more information about the Alliance for International Medical Action | View source |
Not provided
Not provided
| ID | Term |
|---|---|
| D011502 | Protein-Energy Malnutrition |
| D007732 | Kwashiorkor |
| D044342 | Malnutrition |
| D008224 | Lymphoma, Follicular |
| ID | Term |
|---|---|
| D011488 | Protein Deficiency |
| D003677 | Deficiency Diseases |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
Not provided
Not provided
Not provided
Not provided
Not provided
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
| 2 years |
| 25992287 | Derived | Blackwell N, Myatt M, Allafort-Duverger T, Balogoun A, Ibrahim A, Briend A. Mothers Understand And Can do it (MUAC): a comparison of mothers and community health workers determining mid-upper arm circumference in 103 children aged from 6 months to 5 years. Arch Public Health. 2015 May 18;73(1):26. doi: 10.1186/s13690-015-0074-z. eCollection 2015. |
| D000067011 | Severe Acute Malnutrition |
| D008228 | Lymphoma, Non-Hodgkin |
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |