المؤلفون: López Ejeda, Noemí, Medialdea, Laura, Vargas, Antonio, Coronado, Jessica, García Arias, Miguel Ángel, Marrodán Serrano, María Dolores

مصطلحات موضوعية: 616-053.2, Acute Malnutrition, Chronic Malnutrition, Composite Index of Anthropometric Failure (CIAF), Weight-for-height z-score (WHZ), MIddle-Upper Arm Circumference (MUAC), Antropología biológica, Nutrición, Dietética y nutrición (Medicina), Pediatría, Salud pública (Medicina), 2402 Antropología (Física), 2402.14 desarrollo Somático, 3212 Salud Publica, 3206.10 Enfermedades de la Nutrición, 3210 Medicina Preventiva, 3206.06 Necesidades Alimenticias

وصف الملف: application/pdf

العلاقة: ECHO/-AM/BUD/2018/91042; https://hdl.handle.net/20.500.14352/97166Test; López-Ejeda N, Medialdea L, Vargas A, Coronado J, García-Arias MÁ, Marrodán MD. Public Health Implications of Wasting and Stunting Relationship in Children under Five Years Highly Vulnerable to Undernutrition in Guatemala: The REDAC Study. Nutrients. 2022; 14(19):3945.; https://www.mdpi.com/2072-6643/14/19/3945Test

الإتاحة: https://doi.org/20.500.14352/97166Test
https://doi.org/10.3390/nu14193945Test
https://hdl.handle.net/20.500.14352/97166Test
https://www.mdpi.com/2072-6643/14/19/3945Test

المؤلفون: Charle Cuéllar, Pilar, Espí Verdú, Lidia, Goyanes, Juan, Bunkembo, Magloire, Samake, Salimata, Traore, Mamadou, Coulibaly, Adama, Landouré, Aly, Diawara, Fatou, Dougnon, Abdias O., Vargas, Antonio, López Ejeda, Noemí

مصطلحات موضوعية: Severe acute malnutrition (SAM), Community health workers (CHW), Integrated Community Case Management (iCCM), Coverage, Geographical accessibility, Simplified approaches, Antropología biológica, Nutrición, Dietética y nutrición (Medicina), Salud pública (Medicina), 2402 Antropología (Física), 3212 Salud Publica, 3206.10 Enfermedades de la Nutrición, 3206.06 Necesidades Alimenticias

الوقت: 616-057

وصف الملف: application/pdf

العلاقة: https://hdl.handle.net/20.500.14352/97169Test; Charle-Cuéllar, P., Espí-Verdú, L., Goyanes, J. et al. Scaling severe acute malnutrition treatment with community health workers: a geospatial coverage analysis in rural Mali. Hum Resour Health, 2022; 20: 74; https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-022-00771-8Test

الإتاحة: https://doi.org/20.500.14352/97169Test
https://doi.org/10.1186/s12960-022-00771-8Test
https://hdl.handle.net/20.500.14352/97169Test

المؤلفون: Fernández Cabrera, Jacinta

الوصول الحر: http://hdl.handle.net/10662/15533Test

مرشدي الرسالة: Morán García, José María, Rey Sánchez, Purificación, Universidad de Extremadura. Departamento de Enfermería

مصطلحات موضوعية: Masa grasa, Masa magra, Densidad mineral ósea, Fat mass, Lean body mass, Bone mass density, Extremadura, 3206.06 Necesidades Alimenticias, 3206.10 Enfermedades de la Nutrición, 3207.14 Osteopatología, 3210 Medicina Preventiva

الوصول الحر: http://hdl.handle.net/10662/623Test

مرشدي الرسالة: Vizuete Carrizosa, Manuel, Feu Molina, Sebastián, García Preciado, Ángel Ventura, Universidad de Extremadura. Departamento de Didáctica de la Expresión Musical, Plástica y Corporal

مصطلحات موضوعية: Sociocultural, Estilos de vida, Obesidad infantil, Social-cultural, Lifestyle, Childhood-obesity, México, 3206.06 Necesidades Alimenticias, 5802.04 Niveles y Temas de Educación, 3212 Salud Publica

الوصول الحر: http://hdl.handle.net/10662/3190Test

المؤلفون: Andina Díaz, Elena, Vieira Martins, Maria Fátima Silva, Siles González, José

المساهمون: Enfermeria, Facultad de Ciencias de la Salud

مصطلحات موضوعية: Enfermería, Modelo de enfermería, Cuidados de enfermería, Cultura, Enfermería materno-infantil, 3206.06 Necesidades Alimenticias

العلاقة: Andina Díaz, E.; Vieira Martins, M. F. S.; Siles González, J. (2021). Creencias y prácticas alimentarias en embarazo y puerperio: aplicación del Modelo de Tradiciones de Salud. Enfermería Global. 20, 1 (ene. 2021), 98–121. DOI:https://doi.org/10.6018/eglobal.413651Test.; https://hdl.handle.net/10612/18826Test

الإتاحة: https://doi.org/10.6018/eglobal.413651Test
https://hdl.handle.net/10612/18826Test

المؤلفون: Hertel, Daniel Roberto

المساهمون: Universidade de Vila Velha. Brasil

مصطلحات موضوعية: Obligación alimentaria, Cumplimiento de sentencia, Ejecución, Covid-19, Prisión civil, Maintenance, Enforcement of judgment, Execution, Civil arrest, Covid- 19, 5605.02 Derecho Civil, 5602.05 Derecho Natural, 3206.06 Necesidades Alimenticias

وصف الملف: 18 p.; application/pdf

العلاقة: https://doi.org/10.17398/2695-7728.37.551Test; http://hdl.handle.net/10662/15586Test; Roberto Hertel, D. (2021). Técnica procesal para cumplimiento de obligación alimentaria en el nuevo Código de Proceso Civil Brasileño. Anuario de la Facultad de Derecho. Universidad de Extremadura, (37), 551-568. https://doi.org/10.17398/2695-7728.37.551Test; Anuario de la Facultad de Derecho. Universidad de Extremadura; 37; 551; 568

الإتاحة: https://doi.org/10.17398/2695-7728.37.551Test
http://hdl.handle.net/10662/15586Test

المؤلفون: Charle Cuéllar, Pilar, López Ejeda, Noemí, Traoré, Mamadou, Coulibaly, Adama, Landouré, Aly, Diawara, Fatou, Bunkembo, Magloire, Vargas, Antonio, Gil, Ruth, Briend, André

مصطلحات موضوعية: 613.24, Severe Acute Malnutrition (SAM), Community Health Workers (CHWs), Integrated Community Case Management (iCCM), Supportive supervision, Scaling-up interventions, Antropología biológica, Nutrición, Salud pública (Medicina), Dietética y nutrición (Medicina), Pediatría, 2402 Antropología (Física), 3212 Salud Publica, 3206.10 Enfermedades de la Nutrición, 3206.04 Deficiencias Alimentarias, 3206.06 Necesidades Alimenticias

وصف الملف: application/pdf

العلاقة: https://hdl.handle.net/20.500.14352/97457Test; Download PDFsettingsOrder Article Reprints Open AccessArticle Impact of Different Levels of Supervision on the Recovery of Severely Malnourished Children Treated by Community Health Workers in Mali by Pilar Charle-Cuéllar 1,2,*ORCID,Noemí López-Ejeda 1,3ORCID,Mamadou Traore 4,Adama Balla Coulibaly 4,Aly Landouré 5,Fatou Diawara 5,Magloire Bunkembo 6,Antonio Vargas 1,Ruth Gil 7 andAndré Briend 8,9 1 Action Against Hunger, C/Duque de Sevilla no. 3, 28002 Madrid, Spain 2 Doctorate Program in Epidemiology and Public Health, Rey Juan Carlos University, 28002 Madrid, Spain 3 EPINUT Research Group (ref. 920325), Complutense University of Madrid, 28040 Madrid, Spain 4 Nutrition Direction of the Ministry of Hygiene and Public Health, 1771 Bamako, Mali 5 Institut National de Recherche en Santé Publique, 1771 Bamako, Mali 6 Action against Hunger, 2562 Bamako, Mali 7 Department of Public Health, Rey Juan Carlos University of Madrid, 28933 Madrid, Spain 8 Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, 1870 Copenhagen, Denmark 9 Faculty of Medicine and Medical Technology, Center for Child Health Research, Tampere University, 33014 Tampere, Finland * Author to whom correspondence should be addressed. Nutrients 2021, 13(2), 367; https://doi.org/10.3390/nu13020367Test Submission received: 30 December 2020 / Revised: 16 January 2021 / Accepted: 21 January 2021 / Published: 26 January 2021 (This article belongs to the Section Nutrition and Public Health) Downloadkeyboard_arrow_down Browse Figures Review Reports Versions Notes Abstract (1) Background: The Ministry of Health in Mali included the treatment of severe acute malnutrition (SAM) into the package of activities of the integrated community case management (iCCM). This paper evaluates the most effective model of supervision for treating SAM using community health workers (CHWs). Methods (2): This study was a prospective non-randomized community intervention trial with two intervention groups and one control group with different levels of supervision. It was conducted in three districts in rural areas of the Kayes Region. In the high supervision group, CHWs received supportive supervision for the iCCM package and nutrition-specific supervision. In the light supervision group, CHWs received supportive supervision based on the iCCM package. The control group had no specific supervision. (3) Results: A total of 6112 children aged 6–59 months with SAM without medical complications were included in the study. The proportion of cured children was 81.4% in those treated by CHWs in the high supervision group, 86.2% in the light supervision group, and 66.9% in the control group. Children treated by the CHWs who received some supervision had better outcomes than those treated by unsupervised CHWs (p < 0.001). There was no difference between areas with light and high supervision, although those with high supervision performed better in most of the tasks analyzed. (4) Conclusions: Public policies in low-income countries should be adapted, and their model of supervision of CHWs for SAM treatment in the community should be evaluated. Keywords: severe acute malnutrition (SAM); community health workers (CHW); integrated community case management (iCCM); supportive supervision; scaling-up interventions 1. Introduction In Africa, 14 million children suffer from severe acute malnutrition (SAM), a form of malnutrition with an increased risk of death [1,2]. The use of appropriate prevention and management interventions for SAM could prevent 61% of SAM cases and almost 350,000 deaths per year globally [3]. To address these high rates of acute malnutrition, the community management of acute malnutrition (CMAM) approach was developed in the 2000s. This approach involves the timely detection of SAM in the community and outpatient treatment at health facilities (HFs) with ready-to-use therapeutic foods (RUTFs) for cases without medical complications [4]. In most low and middle-income countries, geographic and economic barriers to HF access are responsible for the low coverage of CMAM programs [5]. In Mali, the prevalence of global acute malnutrition, which is defined as a weight-for-height z-score (WHZ) of less than −2 or the presence of edema, is 10% (95% CI: 9.1–11.0), and the prevalence of SAM, which is defined as a WHZ of less than −3 or edema, is 2.0% (95% CI: 1.6–2.4), showing a serious situation. It is estimated that 34% of children’s deaths in Mali are related to malnutrition. The annual cost per child with malnutrition is estimated at 265.5 billion of CFA francs, corresponding to 4.06% of the gross domestic product [6]. The World Health Organization (WHO) supports universal health coverage, meaning that all individuals and communities should receive the health services they need without suffering financial hardship. The objective is to double health coverage by 2030 while ensuring the quality of services and cost-effectiveness of interventions [7]. To contribute to this target, WHO has made a strong recommendation to support the integration of community health workers (CHWs) into health systems as human resources that contribute to reducing infant mortality [8]. The results of a systematic review suggest that CHWs reduce inequity in health related to the place of residence, gender, education, and socio-economic status [9]. There is evidence regarding the effect that CHWs within the integrated community case management (iCCM) initiative have on the reduction in infant mortality related to malaria, diarrhea, and respiratory infections and on the treatment coverage of these diseases [10]. Evidence of how these CHWs can treat SAM and their effect on treatment coverage, effectiveness, and mortality is emerging. A review evaluating the effectiveness and coverage of SAM treatment with CHWs concluded that most of the interventions reached a cured ratio of approximately 90% [11]. These results have generally been achieved by small projects supported by non-governmental organizations (NGOs), and there is limited evidence at the regional or national level. Another systematic review of the use of middle-upper arm circumference (MUAC) by frontline workers to detect SAM cases concluded that the use of MUAC by CHWs increases the diagnosis and treatment coverage of SAM [12]. However, there is a need to identify factors that influence the performance of CHWs when scaling up this intervention [13]. In 2014–2016, a pilot study in Mali developed by the Direction de Nutrition of the Ministry of Health (MoH), the “Institut National de Recherche en Santé Publique” of Bamako, Action against Hunger (AAH), and The Innocent Foundation concluded that allowing CHWs to treat SAM reduces the defaulter ratio without compromising treatment outcomes and can lead to improved access to treatment [14]. This study showed that well trained and supervised CHWs are capable of managing cases of uncomplicated SAM and suggested that such a strategy could increase access to the quality of treatment in the country [15]. The intervention is cost-effective, and households receiving CHW-delivered care spent nearly half the amount of time and three times less money than those with SAM treatment received at an HF [16]. With this evidence, in 2015, the MoH of Mali included the treatment of SAM as part of the package of activities to be implemented by CHWs in his policy “Soins Essentiels dans la Communauté, Guide National de la Mise en Oeuvre” [17]. There is little evidence on the best approach to train and supervise CHWs in large-scale treatment programs integrated with other health activities. The objective of this research was to define the most effective level of supervision when scaling up SAM treatment using CHWs in Mali. 2. Materials and Methods This was a prospective non-randomized community intervention trial with two intervention groups and one control group that compared the outcomes obtained with community treatment of SAM childr; https://www.mdpi.com/2072-6643/13/2/367Test

الإتاحة: https://doi.org/20.500.14352/97457Test
https://doi.org/10.3390/nu13020367Test
https://hdl.handle.net/20.500.14352/97457Test
https://www.mdpi.com/2072-6643/13/2/367Test

المؤلفون: Raymundo, Anabela, Torres Pérez, María Dolores, Sousa, Isabel

مصطلحات موضوعية: 3309.03 Antioxidantes en Los Alimentos, 3206.06 Necesidades Alimenticias, 3303 Ingeniería y Tecnología Químicas

العلاقة: Foods, 9(11): 1517 (2020); http://hdl.handle.net/11093/2237Test; https://www.mdpi.com/2304-8158/9/11/1517Test

الإتاحة: https://doi.org/10.3390/foods9111517Test
http://hdl.handle.net/11093/2237Test
https://www.mdpi.com/2304-8158/9/11/1517Test

المؤلفون: Sousa, Isabel, Raymundo, Anabela, Torres Pérez, María Dolores

مصطلحات موضوعية: 5308.02 Comportamiento del Consumidor, 3309.20 Propiedades de Los Alimentos, 3206.06 Necesidades Alimenticias

العلاقة: Applied Sciences, 10(13): 4641 (2020); http://hdl.handle.net/11093/1744Test; https://www.mdpi.com/2076-3417/10/13/4641Test

الإتاحة: https://doi.org/10.3390/app10134641Test
http://hdl.handle.net/11093/1744Test
https://www.mdpi.com/2076-3417/10/13/4641Test