{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T17:10:40Z","timestamp":1784308240612,"version":"3.55.0"},"reference-count":54,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2021,12,17]],"date-time":"2021-12-17T00:00:00Z","timestamp":1639699200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980021004894_as1\"><jats:title>Objective:<\/jats:title><jats:p>To assess the effectiveness of outpatient management with ready-to-use and supplementary foods for infants under 6 months (u6m) of age who were unable to be treated as inpatients due to social and economic barriers.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980021004894_as2\"><jats:title>Design:<\/jats:title><jats:p>Review of operational acute malnutrition treatment records.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980021004894_as3\"><jats:title>Setting:<\/jats:title><jats:p>Twenty-one outpatient therapeutic feeding clinics in rural Malawi.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980021004894_as4\"><jats:title>Participants:<\/jats:title><jats:p>Infants u6m with acute malnutrition treated as outpatients because of barriers to inpatient treatment. The comparison group consisted of acutely malnourished children 6\u20139 months of age who were being treated at the same time in the same location in the context of two different randomised clinical trials.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980021004894_as5\"><jats:title>Results:<\/jats:title><jats:p>A total of 323 infants u6m were treated for acute malnutrition (130 severe and 193 moderate). A total of 357 infants 6\u20139 months old with acute malnutrition (seventy-four severe and 283 moderate) were included as contemporaneous controls. Among infants u6m with severe acute malnutrition, 98 (75\u00b74 %) achieved nutritional recovery; in comparison, 56 (75\u00b77 %) of those with severe acute malnutrition 6\u20139 months old recovered. Among infants u6m with moderate acute malnutrition, 157 (81\u00b73 %) recovered; in comparison, 241 (85\u00b72 %) of those aged 6\u20139 months recovered.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980021004894_as6\"><jats:title>Conclusions:<\/jats:title><jats:p>In a rural Malawian population of infants u6m who had generally already stopped exclusive breast-feeding and were now acutely malnourished, treatment with therapeutic or supplementary foods under the community management of acute malnutrition model was safe and effective. In settings where social and financial factors make hospital admission challenging, consideration should be given to lowering the recommended age of ready-to-use therapeutic and supplementary foods to infants u6m.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1368980021004894","type":"journal-article","created":{"date-parts":[[2021,12,17]],"date-time":"2021-12-17T09:11:28Z","timestamp":1639732288000},"page":"246-255","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":5,"title":["Community-based management of acute malnutrition for infants under 6 months of age is safe and effective: analysis of operational data"],"prefix":"10.1017","volume":"26","author":[{"given":"Maeve M","family":"Woeltje","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastasia B","family":"Evanoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth 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