{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T17:14:39Z","timestamp":1791393279933,"version":"4.3.3"},"reference-count":29,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2008,12,1]],"date-time":"2008-12-01T00:00:00Z","timestamp":1228089600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2008,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980008003297_abs1\" sec-type=\"general\"><jats:title>Objectives<\/jats:title><jats:p>To determine (i) the extent of malnutrition and the risk factors for severe malnutrition in Guinea Bissau, a post-conflict country experiencing long-term consequences of civil war; and (ii) the feasibility and effectiveness of a short-term intervention characterized by outpatient treatment with locally produced food for the treatment of severe malnutrition during the rainy season.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980008003297_abs2\" sec-type=\"general\"><jats:title>Design and setting<\/jats:title><jats:p>Social, clinical, nutritional information were collected for children reaching the paediatric outpatient clinic of the Hospital \u2018Comunit\u00e0 di Sant\u2019Egidio\u2019 in Bissau, Guinea Bissau, from 1 July to 12 August 2003. Severely malnourished children (weight-for-age &lt;\u22123<jats:sc>sd<\/jats:sc>) in poor health status were admitted for daily nutritional and pharmacological treatment until complete recovery. Social and health indicators were analysed to define risk factors of severe malnutrition.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980008003297_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>In total, 2642 children were visited (age range: 1 month\u201317 years). Fever, cough and dermatological problems were the main reasons for access. Social data outlined poor housing conditions: 86\u00b74 % used water from unprotected wells, 97\u00b73 % did not have a bathroom at home, 78\u00b72 % lived in a mud house. Weight-for-age was &lt;\u22122<jats:sc>sd<\/jats:sc>in 23\u00b70 % of the children and &lt;\u22123<jats:sc>sd<\/jats:sc>in 10\u00b73 %; thirty-seven children (1\u00b74 %) were severely malnourished and admitted for day care. All recovered with a weight gain of 4\u00b745 g\/kg per d, none died or relapsed after 1 year. Severely malnourished children were mainly infants, part of large families and had illiterate mothers.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980008003297_abs4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>Short-term interventions performed in post-conflict countries during seasons of high burden of disease and malnutrition are feasible and successful at low cost; day-care treatment of severe malnutrition with locally produced food is an option that can be tested in other settings.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1368980008003297","type":"journal-article","created":{"date-parts":[[2008,7,24]],"date-time":"2008-07-24T12:50:23Z","timestamp":1216903823000},"page":"1357-1364","source":"Crossref","is-referenced-by-count":16,"title":["A short-term intervention for the treatment of severe malnutrition in a post-conflict country: results of a survey in Guinea Bissau"],"prefix":"10.1017","volume":"11","author":[{"given":"Raffaella","family":"Colombatti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Coin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piero","family":"Bestagini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cesaltina 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