Nutrition and Health Department, Action Contre la Faim, mission in Burkina Faso, France; School of Nutrition and Food Sciences and Technologies, Faculty of Agronomic Sciences, University of Abomey-Calavi, Benin.
School of Nutrition and Food Sciences and Technologies, Faculty of Agronomic Sciences, University of Abomey-Calavi, Benin.
Appetite. 2022 Jan 1;168:105751. doi: 10.1016/j.appet.2021.105751. Epub 2021 Oct 11.
Ready-to-use-therapeutic-foods (RUTF) was designed for the nutritional management of children with uncomplicated severe acute malnutrition (SAM) treated as outpatients. However, to our knowledge, no study has evaluated the availability, use and consumption of RUTF within the beneficiary household in programs and in the context of a reduction in the dose of RUTF. This study, assessed the effect of a reduction in RUTF dose on the availability, use, consumption, and perceptions of caregivers on RUTF prescribed to 516 children treated for SAM, aged 6-59 months in Burkina Faso. Children received a weekly dose of RUTF according to their treatment arm until recovery. Data were collected by structured individual in-depth interviews, with caregivers one month and two months post-admission. Differences between children receiving reduced RUTF (intervention arm) and those receiving standard RUTF (control arm) were assessed by Poisson, logistic, and ordered logistic regression model. RUTF was available for the whole week in 95% in intervention arm compared to about 98% in control arm (p > 0.05). Starting from week 3 onwards, children in intervention arm consumed an average of 9 sachets of RUTF per week compared to 15 sachets in control arm (p < 0.001) and 5% of children in intervention arm reported leftover compared to 11% in control arm (p < 0.05). About 40% of children in intervention arm consumed RUTF at least 3-times per day compared to 82% in control arm (p < 0.001). The amount of RUTF prescribed was perceived as sufficient in 93% by caregivers in intervention arm against 97% in control arm (p > 0.05). In conclusion, reducing the dose of RUTF did not affect the availability of RUTF during treatment but did reduce leftover and the frequency of consumption of RUTF.
现成的治疗食品（RUTF）是专为门诊治疗无并发症严重急性营养不良（SAM）儿童设计的营养管理方法。然而，据我们所知，在减少 RUTF 剂量的方案和背景下，没有研究评估 RUTF 在受益家庭中的供应、使用和消耗情况。本研究评估了减少 RUTF 剂量对 516 名在布基纳法索接受 SAM 治疗的 6-59 个月大儿童的 RUTF 供应、使用、消耗和护理人员认知的影响。儿童根据治疗组每周接受一次 RUTF 剂量，直到康复。数据通过结构化的个人深入访谈收集，在入院后一个月和两个月对护理人员进行访谈。通过泊松、逻辑和有序逻辑回归模型评估接受减少 RUTF（干预组）和接受标准 RUTF（对照组）的儿童之间的差异。干预组有 95%的时间 RUTF 可以供整个星期使用，而对照组约有 98%（p>0.05）。从第 3 周开始，干预组的儿童平均每周消耗 9 包 RUTF，而对照组则消耗 15 包（p<0.001），干预组有 5%的儿童报告有剩余，而对照组则有 11%（p<0.05）。干预组约有 40%的儿童每天至少食用 RUTF 3 次，而对照组则有 82%（p<0.001）。干预组 93%的护理人员认为规定的 RUTF 量足够，而对照组则有 97%（p>0.05）。结论是，减少 RUTF 剂量不会影响治疗期间 RUTF 的供应情况，但会减少剩余量和 RUTF 的消耗频率。
