{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T10:34:59Z","timestamp":1787913299729,"version":"build-2784847793"},"reference-count":21,"publisher":"Wiley","issue":"S5","license":[{"start":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T00:00:00Z","timestamp":1648512000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The management of wasting in Ethiopia is heavily reliant on the Community\u2010based Management of Acute Malnutrition (CMAM) programme that has been implemented in more than 18,000 service delivery points scattered across the country. Despite the full\u2010scale implementation of the CMAM, the number of child death averted, and the cost per child death averted remains unknown. This study aimed to estimate the cost and the number of child death averted by the CMAM programme between 2008 and 2020. Using data from routine monitoring of the CMAM programme, we estimated the excess mortality averted by the programme and estimated the cost per averted child death based on supply and labour. Over the past 13 years between 2008 and 2020, 3.6 million children under 5 years were admitted to the Ethiopian CMAM programme. The yearly average admission of 317,228 was achieved since 2011. On average, ~34,000 child deaths were averted yearly. The CMAM programme was estimated to have saved 437,654 (95% confidence interval [CI]: 320,161; 469,932) child deaths between 2008 and 2020, approximately 12% of the admitted cases. The average cost of the programme per adverted death was estimated at US$762\/child death averted (95% CI\u2009=\u2009639; 1001). The CMAM programme in Ethiopia is cost\u2010effective and has continued to avert a significant number of child death. Given the high short\u2010 and long\u2010term economic and health consequences of child wasting, concerted multi\u2010sectoral efforts are needed to accelerate progress not only in its treatment but also in its prevention.<\/jats:p>","DOI":"10.1111\/mcn.13349","type":"journal-article","created":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T15:47:01Z","timestamp":1648568821000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Estimating the number of deaths averted from 2008 to 2020 within the Ethiopian CMAM programme"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2315-223X","authenticated-orcid":false,"given":"Arnaud","family":"Laillou","sequence":"first","affiliation":[{"name":"Nutrition Section UNICEF Ethiopia Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7298-1096","authenticated-orcid":false,"given":"Kaleab","family":"Baye","sequence":"additional","affiliation":[{"name":"Center for Food Science and Nutrition Addis Ababa University Addis Ababa Ethiopia"},{"name":"Research center for Inclusive Development in Africa (RIDA) Addis Ababa  Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saul I.","family":"Guerrero Oteyza","sequence":"additional","affiliation":[{"name":"Nutrition Section UNICEF Headquarter New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frezer","family":"Abebe","sequence":"additional","affiliation":[{"name":"Nutrition Case Team Federal Ministry of Health  Addis Abeba Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tewoldeberha","family":"Daniel","sequence":"additional","affiliation":[{"name":"Nutrition Section UNICEF ESARO regional office Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Banchiliyew","family":"Getahun","sequence":"additional","affiliation":[{"name":"Nutrition Section UNICEF Ethiopia Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0915-333X","authenticated-orcid":false,"given":"Stanley","family":"Chitekwe","sequence":"additional","affiliation":[{"name":"Nutrition Section UNICEF Ethiopia Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,29]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"64","article-title":"Experiences of implementing CMAM in Yemen and number of deaths averted","volume":"58","author":"Al\u2010Dheeb N.","year":"2018","journal-title":"Field Exchange"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12992-019-0470-1"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1478-7547-7-2"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(87)91084-1"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0271-5317(86)80129-4"},{"key":"e_1_2_9_7_1","article-title":"How many lives do our CMAM programmes save? A sampling\u2010based approach to estimating the number of deaths averted by the Nigerian CMAM programme","volume":"50","author":"Bulti A.","year":"2015","journal-title":"Field Exchange"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69443-9"},{"key":"e_1_2_9_9_1","unstructured":"Ethiopian Public Health Institute (EPHI). (2016). ICF. Ethiopia Demographic and Health Survey; Ministry of Health Addis Ababa: Addis Ababa Ethiopia; The DHS Program ICF: Rockville MD 2016."},{"key":"e_1_2_9_10_1","unstructured":"Federal Democratic Republic of Ethiopia. (2016). Growth and Transformation Plan II (GTP II). Addis Ababa Ethiopia. Retrieved August 15 2020."},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60032-4"},{"key":"e_1_2_9_12_1","volume-title":"Scaling up Nutrition: What will it Cost?","author":"Horton S.","year":"2010"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu12123698"},{"key":"e_1_2_9_14_1","first-page":"15","article-title":"CMAM rollout in Ethiopia: The \u2018way in\u2019 to scale up nutrition","volume":"43","author":"Lemma F.","year":"2012","journal-title":"Field Exchange"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph8061817"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1101\/2020.06.09.20126979"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1596\/978-1-4648-1010-7"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40795-017-0186-7"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.83.11.1616"},{"issue":"3","key":"e_1_2_9_20_1","first-page":"189","article-title":"Anthropometry as a predictor for mortality among Ugandan children, allowing for socio\u2010economic variables","volume":"48","author":"Vella V.","year":"1994","journal-title":"European Journal of Clinical Nutrition"},{"key":"e_1_2_9_21_1","unstructured":"WHO. (2021). Levels and trends in child malnutrition: UNICEF\/WHO\/The World Bank Group joint child malnutrition estimates: Key findings of the 2021 edition. In Levels and trends in child malnutrition: UNICEF\/WHO\/The World Bank Group joint child malnutrition estimates: Key findings of the 2021 edition. Retrieved August 15 2020."},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czr017"}],"container-title":["Maternal &amp; Child Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/mcn.13349","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/mcn.13349","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/mcn.13349","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T12:01:12Z","timestamp":1721390472000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/mcn.13349"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,29]]},"references-count":21,"journal-issue":{"issue":"S5","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1111\/mcn.13349"],"URL":"https:\/\/doi.org\/10.1111\/mcn.13349","archive":["Portico"],"relation":{},"ISSN":["1740-8695","1740-8709"],"issn-type":[{"value":"1740-8695","type":"print"},{"value":"1740-8709","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,29]]},"assertion":[{"value":"2021-10-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13349"}}