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    Towards identifying malnutrition among infants under 6 months: a mixed-methods study of South-Sudanese refugees in Ethiopia

    Moore, Laura and O'Mahony, Sinead and Shevlin, Mark and Hyland, Philip and Barthorp, Hatty and Vallières, Frédérique (2020) Towards identifying malnutrition among infants under 6 months: a mixed-methods study of South-Sudanese refugees in Ethiopia. Public Health Nutrition, 24 (6). pp. 1265-1274. ISSN 1475-2727

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    Objectives: To determine (i) whether distinct groups of infants under 6 months old (U6M) were identifiable as malnourished based on anthropometric measures and if so to determine the probability of admittance to GOAL Ethiopia’s Management of At Risk Mothers and Infants (MAMI) programme based on group membership; (ii) whether there were discrepancies in admission using recognised anthropometric criteria, compared with group membership and (iii) the barriers and potential solutions to identifying malnutrition within U6M. Design: Mixed-methods approaches were used, whereby data collected by GOAL Ethiopia underwent: factor mixture modelling, χ 2 analysis and logistic regression analysis. Qualitative analysis was performed through coding of key informant interviews. Setting: Data were collected in two refugee camps in Ethiopia. Key informant interviews were conducted remotely with international MAMI programmers and nutrition experts. Participants: Participants were 3444 South-Sudanese U6M and eleven key informants experienced in MAMI programming. Results: Well-nourished and malnourished groups were identified, with notable discrepancies between group membership and MAMI programme admittance. Despite weight for age z-scores (WAZ) emerging as the most discriminant measure to identify malnutrition, admittance was most strongly associated with mid-upper arm circumference (MUAC). Misconceptions surrounding malnutrition, a dearth of evidence and issues with the current identification protocol emerged as barriers to identifying malnutrition among U6M. Conclusions: Our model suggests that WAZ is the most discriminating anthropometric measure for malnutrition in this population. However, the challenges of using WAZ should be weighed up against the more scalable, but potentially overly sensitive and less accurate use of MUAC among U6M.

    Item Type: Article
    Additional Information: This is the Accepted Manuscript version of the article, which is available at Moore, L., O’Mahony, S., Shevlin, M., Hyland, P., Barthorp, H., & Vallières, F. (2021). Towards identifying malnutrition among infants under 6 months: A mixed-methods study of South-Sudanese refugees in Ethiopia. Public Health Nutrition, 24(6), 1265-1274. doi:10.1017/S1368980020004048
    Keywords: Infants under 6 months; Malnutrition; Mid-upper arm circumference; Weight for age z-scores; Weight-for-length; Management of At Risk Mothers and Infants;
    Academic Unit: Assisting Living & Learning,ALL institute
    Faculty of Science and Engineering > Psychology
    Item ID: 15112
    Identification Number:
    Depositing User: Philip Hyland
    Date Deposited: 09 Dec 2021 17:19
    Journal or Publication Title: Public Health Nutrition
    Publisher: Cambridge University Press
    Refereed: Yes
    Use Licence: This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here

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