Prevention of Acute Malnutrition During the Lean Season:Comparison of a Lipid-Based Nutrient Supplement and an Improved Dry Ration, South Darfur,Sudan. A Quasi-Experimental Study
|Leisel Talley1*, ErinBoyd2, Fawzia el Sharief3, Curti Blanton4, Mohamed OmerAli5 and Maha Mohamed Omer AbdEl rahman6|
|1Centers for Disease Control and Prevention, 1600 Clifton Road, MS F60 Atlanta, GA 30333, USA|
|2United Nations Children’s Fund, UNICEF HQ Room 842, 3 UN Plaza, New York City, New York 10017, USA|
|3United Nations Children’s Fund- Nyala Office, P.O. Box 1358 - Khartoum Sudan, Sudan|
|4Centers for Disease Control and Prevention, 1600 Clifton Road, MS F60 Atlanta, GA 30333, USA|
|5Nutrition Diploma,State Ministry of Health, Nutrition Directorate Office, opposite Nyala Teaching Hospital, Nyala, South Darfur, Sudan|
|Corresponding Author :||Leisel Talley
International Emergency and Refugee Health Branch
Center for Global Health Centers for Disease Control and Prevention. 1600 Clifton Road
MS F60 Atlanta, GA 30333
Tel: 1 770.488.0696
Fax: +1 770. 488.3266
E-mail: [email protected]
|Received June 20, 2012; Accepted July 12, 2012; Published July 14, 2012|
|Citation: Talley L, Boyd E, el Sharief F, Blanton C, OmerAli M, et al. (2012) cche Lean Season: Comparison of a Lipid- Based Nutrient Supplement and an Improved Dry Ration, South Darfur, Sudan. A quasi-Experimental Study. J Nutr Disorders Ther 2:117. doi:10.4172/2161-0509.1000117|
|Copyright: © 2012 Talley L, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Objective: To assess the nutritional impact of a Lipid-Based Nutrient Supplement (LNS) and an Improved Dry Ration (IDR) in blanket supplementary feeding programs.
Design: Longitudinal, quasi experimental non-randomized study
Setting: Otash and Al Salaam internally displaced persons camps, South Darfur, Sudan
Subjects: Children aged 6-36 months were randomly selected for inclusion in the study based on height cut-off of 95 cm and were anthropometrically assessed (weight-for-height z scores [WHZ] based on WHO standards, edema presence, and midupper arm circumference) monthly. IDR was distributed in Otash camp and LNS in Al Salaam.
Main findings: At baseline, 658 and 893 children were enrolled and 159 and 187 children were assessed at all 4 distributions in Otash and Al Salaam camps, respectively; There was no significant difference in mean WHZ between the two groups at baseline, (Otash=-1.18 and Al Salaam=-1.03, p=0.17). Children receiving LNS had higher mean WHZ than those receiving IDR. Significant differences were detected at months 2-4, for the mean WHZ of the LNS cohort, and at 4 months, for the difference of the difference in mean WHZ (-0.23) between camps, p= 0.02.
Conclusions: LNS may be an option for preventing acute malnutrition in humanitarian settings, however research is needed on the timing, duration of use and cost effectiveness.