{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T07:47:06Z","timestamp":1790408826361,"version":"4.1.0"},"reference-count":29,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2021,1,26]],"date-time":"2021-01-26T00:00:00Z","timestamp":1611619200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Innocent Foundation","award":["No especific grant number"],"award-info":[{"award-number":["No especific grant number"]}]},{"name":"Post Code Lottery Foundation","award":["No especific grant number"],"award-info":[{"award-number":["No especific grant number"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>(1) Background: The Ministry of Health in Mali included the treatment of severe acute malnutrition (SAM) into the package of activities of the integrated community case management (iCCM). This paper evaluates the most effective model of supervision for treating SAM using community health workers (CHWs). Methods (2): This study was a prospective non-randomized community intervention trial with two intervention groups and one control group with different levels of supervision. It was conducted in three districts in rural areas of the Kayes Region. In the high supervision group, CHWs received supportive supervision for the iCCM package and nutrition-specific supervision. In the light supervision group, CHWs received supportive supervision based on the iCCM package. The control group had no specific supervision. (3) Results: A total of 6112 children aged 6\u201359 months with SAM without medical complications were included in the study. The proportion of cured children was 81.4% in those treated by CHWs in the high supervision group, 86.2% in the light supervision group, and 66.9% in the control group. Children treated by the CHWs who received some supervision had better outcomes than those treated by unsupervised CHWs (p &lt; 0.001). There was no difference between areas with light and high supervision, although those with high supervision performed better in most of the tasks analyzed. (4) Conclusions: Public policies in low-income countries should be adapted, and their model of supervision of CHWs for SAM treatment in the community should be evaluated.<\/jats:p>","DOI":"10.3390\/nu13020367","type":"journal-article","created":{"date-parts":[[2021,1,26]],"date-time":"2021-01-26T08:29:16Z","timestamp":1611649756000},"page":"367","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Impact of Different Levels of Supervision on the Recovery of Severely Malnourished Children Treated by Community Health Workers in Mali"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4784-5003","authenticated-orcid":false,"given":"Pilar","family":"Charle-Cu\u00e9llar","sequence":"first","affiliation":[{"name":"Action Against Hunger, C\/Duque de Sevilla no. 3, 28002 Madrid, Spain"},{"name":"Doctorate Program in Epidemiology and Public Health, Rey Juan Carlos University, 28002 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1310-0134","authenticated-orcid":false,"given":"Noem\u00ed","family":"L\u00f3pez-Ejeda","sequence":"additional","affiliation":[{"name":"Action Against Hunger, C\/Duque de Sevilla no. 3, 28002 Madrid, Spain"},{"name":"EPINUT Research Group (ref. 920325), Complutense University of Madrid, 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamadou","family":"Traore","sequence":"additional","affiliation":[{"name":"Nutrition Direction of the Ministry of Hygiene and Public Health, 1771 Bamako, Mali"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adama Balla","family":"Coulibaly","sequence":"additional","affiliation":[{"name":"Nutrition Direction of the Ministry of Hygiene and Public Health, 1771 Bamako, Mali"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aly","family":"Landour\u00e9","sequence":"additional","affiliation":[{"name":"Institut National de Recherche en Sant\u00e9 Publique, 1771 Bamako, Mali"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatou","family":"Diawara","sequence":"additional","affiliation":[{"name":"Institut National de Recherche en Sant\u00e9 Publique, 1771 Bamako, Mali"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magloire","family":"Bunkembo","sequence":"additional","affiliation":[{"name":"Action against Hunger, 2562 Bamako, Mali"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Vargas","sequence":"additional","affiliation":[{"name":"Action Against Hunger, C\/Duque de Sevilla no. 3, 28002 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Gil","sequence":"additional","affiliation":[{"name":"Department of Public Health, Rey Juan Carlos University of Madrid, 28933 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9","family":"Briend","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, 1870 Copenhagen, Denmark"},{"name":"Faculty of Medicine and Medical Technology, Center for Child Health Research, Tampere University, 33014 Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,1,26]]},"reference":[{"key":"ref_1","unstructured":"(2020, April 06). 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