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Identification terminology for the Management of small and nutritionally At-risk Infants under 6 months and their Mothers (MAMI): A qualitative study. MSc project report.

Author: Emily Blake
Year: 2021
Resource type: Report

Background: The MAMI Care pathway is a novel approach to tackle undernutrition in infants under 6 months of age to help them survive and thrive. To effectively identify at-risk infants u6m for MAMI services, it is essential to have clear terminology which accurately describes the target population and encompasses all infants eligible for MAMI services. ‘Small & Nutritionally at-risk’ is the current terminology that has evolved from consultations within the MAMI Global Network however no formal research has been undertaken to date. This study aims to inform the current debate of MAMI identification terminology in order to improve the management of small and nutritionally at-risk infants under 6 months and their mothers.

Methods: This mixed methods study collected quantitative and qualitative data via an online survey and semi-structured interviews with professionals that have knowledge and/or experience of MAMI. Data was analysed using a framework analysis approach.

Results: Results showed that ‘Small & Nutritionally at-risk’ was the most preferred terminology and highlighted four other preferable terms; Nutritionally at risk, Malnourished, Failure to Thrive and Growth Faltering. Discussions around these terms helped to form a ten-point criterion of factors that should be considered when choosing the most appropriate term for the identification of the MAMI target group.

Conclusion: Although ‘Small & Nutritionally at-risk’ was the most preferred terminology from our quantitative analysis, the qualitative analysis has highlighted conflicting opinions on some key aspects of the terminology which need further investigation and clarification. Further consultation with a wider group of MAMI stakeholders is required to ensure the current terminology is sending the correct message and not causing unintended consequences.

This research was carried out as a final project for the MSc Nutrition for Global Health at the London School of Hygiene and Tropical Medicine.

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Emily Blake (2021). Identification terminology for the Management of small and nutritionally At-risk Infants under 6 months and their Mothers (MAMI): A qualitative study. MSc project report.. www.ennonline.net/identificationterminologyforthemanagementofsmallandnutritionallyatriskinfantsmscprojectreport

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