{"id":2102,"date":"2025-11-04T15:12:57","date_gmt":"2025-11-04T14:12:57","guid":{"rendered":"https:\/\/nsgh.nl\/?page_id=2102"},"modified":"2025-11-13T11:20:52","modified_gmt":"2025-11-13T10:20:52","slug":"tabitha-van-immerzeel-2021","status":"publish","type":"page","link":"https:\/\/nsgh.nl\/nl\/otto-kranendonk-fonds\/tabitha-van-immerzeel-2021","title":{"rendered":"Research Improving the case definition of small and nutritionally at-risk infants under six months of age and their mothers in Senegal"},"content":{"rendered":"\n

Tabitha van Immerzeel 2021<\/h2>\n\n\n\n

Growth failure in infants from 0 to 6 months: health facility opportunities for better  care in Senegal<\/h4>\n\n\n\n

In global action to reduce maternal and child malnutrition, infants from birth to six months have been left behind in public health interventions 1<\/sup>. In this so-called \u201cexclusive breastfeeding window\u201d around one in five infants suffers from growth failure in a recent review in 54 high- prevalence countries2<\/sup>. Nutritional deficits during this phase of rapid growth and development increase risk of mortality3<\/sup>, poor development 4<\/sup> and chronic diseases later in life5<\/sup>.<\/p>\n\n\n\n

Although in most countries routine care such as vaccination and growth monitoring takes place for young infants, those with growth failure are often not detected and fall through the cracks of the health system6<\/sup>. A novel Care Pathway has been developed to bridge this gap in detection and care, using a community-focussed, outpatient approach, including (breast)feeding counselling, and close follow-up7<\/sup>.<\/p>\n\n\n\n

This research project aims to identify health facility opportunities to implement the MAMI Care Pathway in Senegal. We use primary health facility cross- sectional survey, assessing current detection and care for nutrition and growth in infants from 0 to 6 months in Senegal as well as interviews and focus group discussions with stakeholders, to assess feasibility of the MAMI Care Pathway in the context of Senegal.<\/p>\n\n\n\n

We expect that results of this study will inform health workers and policy makers of opportunities for better care for growth infant failure in Senegal and beyond. <\/p>\n\n\n\n

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References:<\/h2>\n\n\n\n
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  1. Park JJH, Fang ML, Harari O, et al. Association of Early Interventions With Birth Outcomes and Child Linear Growth in Low-Income and Middle-Income Countries: Bayesian Network Meta-analyses of Randomized Clinical Trials. JAMA Netw Open<\/em> 2019; 2<\/strong>(7): e197871.<\/li>\n\n\n\n
  2. Kerac M, Frison S, Connell N, Page B, McGrath M. Informing the management of acute malnutrition in infants aged under 6 months (MAMI): risk factor analysis using nationally-representative demographic & health survey secondary data. PeerJ<\/em> 2019; 6<\/strong>: e5848.<\/li>\n\n\n\n
  3. Grijalva-Eternod CS, Kerac M, McGrath M, et al. Admission profile and discharge outcomes for infants aged less than 6 months admitted to inpatient therapeutic care in 10 countries. A secondary data analysis. Matern Child Nutr<\/em> 2017; 13<\/strong>(3).<\/li>\n\n\n\n
  4. Walker SP, Wachs TD, Gardner JM, et al. Child development: risk factors for adverse outcomes in developing countries. The lancet<\/em> 2007; 369<\/strong>(9556): 145-57.<\/li>\n\n\n\n
  5. Grey K, Gonzales GB, Abera M, et al. Severe malnutrition or famine exposure in childhood and cardiometabolic non-communicable disease later in life: a systematic review. BMJ Glob Health<\/em> 2021; 6<\/strong>(3).<\/li>\n\n\n\n
  6. Kerac M, Mwangome M, McGrath M, Haider R, Berkley JA. Management of acute malnutrition in infants aged under 6 months (MAMI): Current issues and future directions in policy and research. Food and Nutrition Bulletin<\/em> 2015; 36<\/strong>(1).<\/li>\n\n\n\n
  7. Network MG. MAMI Care Pathway Package. https:\/\/www.ennonline.net\/attachments\/4004\/MAMI-Care-Pathway-Package-Document-_07June2021.pdf<\/a>, 2021.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    Tabitha van Immerzeel 2021 Growth failure in infants from 0 to 6 months: health facility opportunities for better  care in Senegal In global action to reduce maternal and child malnutrition, infants from birth to six months have been left behind in public health interventions 1. In this so-called \u201cexclusive breastfeeding window\u201d around one in five infants […]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":161,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-2102","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/nsgh.nl\/nl\/wp-json\/wp\/v2\/pages\/2102","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nsgh.nl\/nl\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nsgh.nl\/nl\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nsgh.nl\/nl\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/nsgh.nl\/nl\/wp-json\/wp\/v2\/comments?post=2102"}],"version-history":[{"count":0,"href":"https:\/\/nsgh.nl\/nl\/wp-json\/wp\/v2\/pages\/2102\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/nsgh.nl\/nl\/wp-json\/wp\/v2\/pages\/161"}],"wp:attachment":[{"href":"https:\/\/nsgh.nl\/nl\/wp-json\/wp\/v2\/media?parent=2102"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}