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首页> 外文期刊>Food and Nutrition Bulletin >Community-based management of acute malnutrition (CMAM) in sub-Saharan Africa: case studies from Ghana, Malawi, and Zambia.
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Community-based management of acute malnutrition (CMAM) in sub-Saharan Africa: case studies from Ghana, Malawi, and Zambia.

机译：撒哈拉以南非洲基于社区的急性营养不良管理：来自加纳，马拉维和赞比亚的案例研究。

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Background. Recent success with community-based management of acute malnutrition (CMAM) has spurred interest on how to improve coverage while maintaining treatment outcomes. Objective. To document, as case studies, the experience of three African countries, Malawi, Ghana, and Zambia, in scaling up CMAM. Methods. Desk review using published and unpublished data and country programmatic data and key informant interviews. Results. All three countries, with different motivations for startup, have successfully integrated CMAM into their essential health packages for children under 5 years of age, at least in their policy and strategic documents. Strong leadership by the ministries of health has been instrumental, complemented by key stakeholders and donor partners. Implementation is at variable stages, depending on when the program rolled out, with Malawi having achieved the most integration, followed by Ghana and Zambia. Using CMAM, the three countries have significantly extended service coverage and improved treatment outcomes, with cure rates ranging from 73% in Ghana to 90% in Malawi, while maintaining very low death rates: 1.7% in Malawi, 2% in Ghana, and 5% in Zambia. Conclusions. CMAM is a viable option to improve service coverage and outcomes in health systems where inpatient therapeutic care alone cannot suffice.
机译：背景。基于社区的急性营养不良管理（CMAM）的最新成功激发了人们对如何在保持治疗结果的同时提高覆盖率的兴趣。目的。作为案例研究，记录三个非洲国家（马拉维，加纳和赞比亚）扩大CMAM的经验。方法。使用已发布和未发布的数据以及国家/地区计划数据和关键信息提供者访谈进行案头审查。结果。这三个国家都有不同的创业动机，至少在其政策和战略文件中，已经成功地将CMAM纳入了5岁以下儿童的基本保健计划。卫生部的强有力领导发挥了重要作用，主要利益相关者和捐助伙伴也对此起到了补充作用。实施阶段处于可变阶段，具体取决于该计划何时推出，其中马拉维实现了最大程度的整合，其次是加纳和赞比亚。通过使用CMAM，这三个国家显着扩展了服务范围并改善了治疗效果，治愈率从加纳的73％到马拉维的90％不等，同时保持极低的死亡率：马拉维为1.7％，加纳为2％，而5 ％在赞比亚。结论在仅靠住院治疗无法满足的卫生系统中，CMAM是提高服务覆盖率和结果的可行选择。

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