![]() There is controversial evidence on the effectiveness of the C-OTP. ![]() It is, therefore, vital to deliver C-OTP that is integrated with a facility-based approach and implemented on a large scale with competent HEWs. ![]() Parallel to this, the in-patient management approach could be the underlying cause for delay in receiving treatment which could further lead to multiple long and short-term complications, including but not limited to heart failure and marked immunosuppression resulting in infectious diseases. The traditional in-patient care model of therapeutic feeding centres (TFC) could not effectively respond to large-scale humanitarian crises, as poor access was the prime obstacle. Despite this, the caseload is still concentrated in secondary and tertiary level health facilities, making it challenging to provide appropriate service. Nearly three-quarters of the children diagnosed with SAM are uncomplicated (the majority have a good appetite for RUTF/diets and do not have co-morbidities) and can be managed in the outpatient program. The program has multiple indicators from input to impact that could be evaluated using various evaluation dimensions and model indicators. The community-based approach is home-based management of SAM that enables timely detection of malnutrition and is provided for those without medical complications using ready-to-use therapeutic feeding (RUTF) or other homemade nutrient-dense diets. The program was formulated with core operating principles such as maximum population coverage and access, timeliness, appropriate care, and care for as long as needed. In cognizance of the extent of the problem, Ethiopia has launched a community-based outpatient therapeutic program (C-OTP) to manage uncomplicated SAM by trained HEWs. The prevalence of wasting in Ethiopia is 7%. Severe acute malnutrition (SAM), in particular, is the most devastating and life-threatening form of malnutrition, with a 20–30% case fatality rate. Globally, malnutrition results in 3.1 million child deaths annually, accounting for 45% of all under-five mortality. The funders had and will not have a role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.Ĭompeting interests: The authors have declared that no competing interests exist. The data will be publicized once gathered and available at our hand.įunding: This work was supported by the International Institute for Primary Health care-Ethiopia (IPHC-E). This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.ĭata Availability: Since it's a protocol, we don't have data at the momment. Received: AugAccepted: SeptemPublished: October 11, 2022Ĭopyright: © 2022 Takele et al. Ebenso, University of Leeds, UNITED KINGDOM (2022) Evaluation of the community-based outpatient therapeutic feeding program implementation for managing children with severe acute malnutrition in Northwest Ethiopia: A mixed-method evaluation protocol. Binary logistic regression analysis will be conducted, while the qualitative data will be analyzed using thematic content analysis.Ĭitation: Takele WW, Ayele AD, Haile TG, Debie A, Amare AT, Tsehay CT, et al. ![]() Similarly, focus group discussions (FGDs), in-depth interviews, and observation checklists will be applied. The data will be collected using pretested self-administered and face-to-face interviewer-administered questionnaires. Besides, children’s medical records registered between 20 will be reviewed to determine the treatment outcome. Health extension workers, mothers/caregivers, supervisors, and healthcare administrators will be enrolled in the study. Likewise, knowledge of health extension workers about SAM diagnosis and management and their skills to diagnose and manage uncomplicated malnutrition will be determined. Availability of essential drugs and equipment, acceptability of the program by mothers/caregivers, health extension workers’ compliance to the treatment protocol, and treatment outcome will be assessed employing different methods. Multiple studies involving both qualitative and quantitative will be conducted. ![]()
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