Menu ENN Search

Putting Child Kwashiorkor on the Map

Author: Jose Luis Alvarez, Nicky Dent, Lauren Browne, Mark Myatt and André Briend
Year: 2016
Resource type: Report

This report highlights the importance of kwashiorkor as a public health problem, as reflected by its prevalence and also by the proportion of SAM cases it represents in surveys. Kwashiorkor, is an acute condition, and standard cross-sectional surveys are not adapted to assess the real importance of this problem. The high proportion of kwashiorkor reported among SAM children admitted for treatment in some areas where its prevalence is low shows the difficulty in assessing the extent of this problem.

This report gives, for the first time, a representation of the geographic distribution of kwashiorkor, based on 2,515 datasets with information on more than 1,736,000 individual children collected from 55 countries during the time period 1992 to 2015. It shows that this form of malnutrition occurs most frequently in some parts of Africa, specifically around the equator. 

This report also highlights the high variation of malnutrition associated with oedema. Many oedematous children would not be classified as having SAM if only MUAC or WHZ were considered.

Download

Putting-Kwashiorkor-on-the-Map.pdf (PDF, 2.6mb)

More like this

FEX: Putting Child Kwashiorkor on the Map

Jose Luis Alvarez, Nicky Dent, Lauren Browne, Mark Myatt and André Briend Putting Kwashiorkor on the Map started as a call for sharing data to give an idea of...

en-net: Highest SAM rate

I've just got the report of a nutrition survey. Severe acute malnutrition figure is extremely high (above 20%, OMS2006) and I was wondering whether this is a plausible result...

en-net: Proportion of SAM - oedema

Have findings from nutrition surveys found oedema cases to be 50% or higher of total SAM cases? Is this feasible in a country such as DRC?

Many thanks - very...

en-net: Is MAM treatment still relevant ?

Given the available knowledge on the impact of MAM treatment vs nutrition prevention activities on the reduction of child undernutrition and mortality, and the huge investment...

en-net: Thresholds for CMAM response based on SAM prevalence

I am wondering if anyone is using or has come across any guidelines (perhaps in draft form) for the level of SAM prevalence (in NCHS or new WHO standards) that indicate a...

FEX: Managing severe acute malnutrition in India: prospects and Challenges

By Biraj Patnaik Biraj Patnaik is the Principal Adviser to the Commissioners of the Supreme Court of India in the right to food case. He is also associated with the Right to...

FEX: Improving the quality of nutritional survey data worldwide: Putting Child Kwashiorkor on the Map Initiative

By Lauren Browne Lauren Browne is the Data Manager for the Kwashiorkor Mapping project and joined the team after interning with ACF-UK and Save the Children UK. She completed...

en-net: SMART flags vs WHO flags in SMART surveys

Hello, we are currently doing a SMART survey. Our results show very low levels of Malnutrition, our curve is almost the same of WHO standards with a mean value close to 0. In...

en-net: INICIO Y PROGRESION DEL EDEMA EN KWASHIORKOR

Buenos días. El edema es el signo cardinal del kwashiorkor. La literatura disponible, al referirse al inicio del edema, dice "usualmente inicia en los...

en-net: MUAC and Mortality relationship

I have found a nutritional survey report conducted in Sudan with GAM of 27.0% and SAM of 7.5%, while the U5MR IS 1.19/10 000/day using ENA for SMART software. Does this result...

en-net: Prévalence de la malnutrition aigue selon 3 critères (Z-score Poids-Taille et / ou PB et / ou œdème)

Dear Expert,

As the gold standard method, SMART survey permits to estimate accurately and with precision Acute Malnutrition prevalences.
ENA software permits to...

en-net: Single two-stage cluster survey in multiple livelihood zones

The current approach is to have single two-stage cluster survey by agro-ecology. If a given district has two agro-ecological zone, this means there should be two independent...

en-net: Triggers for deciding on CMAM programming

From Peter Antony: Dear Friends I would like to get your opinion about coming up with a guidance on deciding a CMAM programming in the communities. As you know that...

en-net: Causality Analysis

Does someone know where I can get resources or information on experiences and standard design for conducting causal analysis of malnutrition?

Hello,

as far as I know,...

FEX: Letter on inadequate coverage of SAM in Lancet Undernutrition Series, by Susan Shepherd

SAM inadequately addressed in the Lancet Undernutrition Series Dear Editor, In 2003, The Lancet captured and focused attention on saving children’s lives with the publication...

en-net: Plumpy nut Vis-à-vis Supplementary plumpy

Based on the nutritional information of the two products, there is no difference in nutritional composion (energy,protein, Fat, and micronutritient) except plumy nut has animal...

FEX: MUAC versus weight-for-height debate in the Philippines

By Bernardette Cichon Bernardette is a Public Health Nutritionist who at the time of the work described in this article, worked with Action Contre la Faim (ACF). She is...

FEX: Death of children with SAM diagnosed by WHZ or MUAC: Who are we missing?

Summary of presentation1 View this article as a pdf By Michael H. Golden and Emmanuel Grellety Michael Golden is a retired professor of medicine with 45 years' experience of...

FEX: Antibiotics as part of the management of severe acute malnutrition

Summary of published research1 Mothers receive instruction on how to adminster antibiotics Location: Malawi What we know already: There is a high prevalence of clinically...

FEX: OptiMA study in Burkina Faso: Emerging findings and additional insights

View this article as a pdf By Kevin PQ Phelan Kevin PQ Phelan is Nutrition Advisor at ALIMA, the Alliance for International Medical Action based in Paris. Before joining...

Close

Reference this page

Jose Luis Alvarez, Nicky Dent, Lauren Browne, Mark Myatt and André Briend (2016). Putting Child Kwashiorkor on the Map. www.ennonline.net/childkwashiorkor

(ENN_5210)

Close

Download to a citation manager

The below files can be imported into your preferred reference management tool, most tools will allow you to manually import the RIS file. Endnote may required a specific filter file to be used.