Volume 28, Supplement—December 2022
SUPPLEMENT ISSUE
Clinical
Outcomes after Acute Malnutrition Program Adaptations to COVID-19, Uganda, Ethiopia, and Somalia
Talya Shragai
, Leisel Talley, Aimee Summers, Hannah Behringer, Maria Wrabel, Heather Stobaugh, Eva Leidman, and Action Against Hunger USA Research Field Team–Ethiopia and Action Against Hunger USA Research Field Team–Somalia and Action Against Hunger USA Research Field Team–Uganda
, Leisel Talley, Aimee Summers, Hannah Behringer, Maria Wrabel, Heather Stobaugh, Eva Leidman, and Action Against Hunger USA Research Field Team–Ethiopia and Action Against Hunger USA Research Field Team–Somalia and Action Against Hunger USA Research Field Team–Uganda
Table 2
Summary of child-level interrupted time-series models showing correlation between program indicators and adaptations, lean seasons, COVID-19 lockdown at 8 Somalia community-based management of acute malnutrition facility outpatient therapeutic programs, Jan 2019 – Nov 2020*
| Time in relation to program adaptation | Mid–upper arm circumference at admission, cm |
Mid–upper arm circumference at discharge, cm |
Weight at admission, kg |
Weight at discharge, kg |
Average length of stay, d |
|||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Estimate (95% CI) | p value | Estimate (95% CI) | p value | Estimate (95% CI) | p value | Estimate (95% CI) | p value | Estimate (95% CI) | p value | |||||
| Months since start |
0.0076 (−0.0040 to 0.019) |
0.20 |
0.0082 (−0.019 to 0.036) |
0.56 |
−0.012 (−0.017 to −0.0079) |
<0.001 |
−0.014 (−0.020 to −0.0089) |
<0.001 |
−0.17 (−0.29 to −0.044) |
0.0084 |
||||
| Months since program adaptations |
0.0038 (−0.093 to 0.10) |
0.94 |
−0.23 (−0.47 to 0.0039) |
0.050 |
0.049 (0.011 to 0.087) |
0.013 |
0.0077 (−0.040 to 0.055) |
0.75 |
−3.80 (−4.84 to −2.76) |
<0.001 |
||||
| Before/after program adaptations |
0.12 (−0.47 to 0.71) |
0.69 |
0.99 (−0.41 to 2.39) |
0.17 |
0.14 (−0.089 to 0.37) |
0.24 |
0.28 (−0.0017 to 0.57) |
0.055 |
12.30 (5.99 to 18.63) |
<0.001 |
||||
| COVID-19 mitigations in place |
−0.41 (−1.04 to 0.23) |
0.21 |
0.23 (−1.28 to 1.73) |
0.77 |
−0.26 (−0.51 to −0.053) |
0.043 |
−0.12 (−0.43 to 0.18) |
0.44 |
9.60 (2.81 to 16.40) |
0.0067 |
||||
| Lean season in place |
−0.26 (−0.51 to −0.017) |
0.039 |
−0.20 (−0.79 to 0.38) |
0.50 |
0.044 (−0.14 to 0.053) |
0.38 |
−0.088 (−0.21 to 0.032) |
0.16 |
−0.44 (−3.08 to 2.21) |
0.75 |
||||
| Constant | 111.26 (110.01 to 112.48) |
<0.001 | 120.86 (118.88 to 122.86) | <0.001 | 7.08 (6.82 to 7.34) |
<0.001 | 8.44 (8.11 to 8.75) |
<0.001 | 53.54 (45.96 to 61.33) |
<0.001 | ||||
*Season refers to months of the year with increased food insecurity. COVID-19 mitigations in place refers to months with COVID-19 mitigating lockdowns and/or curfews in place. Boldface indicates statistical significance.
Page created: May 27, 2022
Page updated: December 11, 2022
Page reviewed: December 11, 2022
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