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MAMI Evidence

There are a range of ongoing research activities by the MAMI Global Network and its partners. See below for a list of peer-reviewed publications. Upcoming research and publications include:

• Demographic & other characteristics of infants aged <6 months with anthropometric deficit: secondary analysis of Demographic & Health Survey datasets. Manuscript in preparation for publication.
• Infants less than six months in severe wasting guideline: overview and AGREE II appraisal. Manuscript in preparation for publication.
• Prevalence and factors associated with stunting in the first year of life; a birth cohort study. Manuscript in preparation for publication.
• Randomised controlled trial of the MAMI Care Pathway in Ethiopia to inform international guidance and national policy guidance in Ethiopia. Trial set to begin in November 2021.

If you would like more information on upcoming research, have relevant research across nutrition and health to highlight, or would like to discuss prospective research please contact mami@ennonline.net

Priority areas for research that guide the MAMI Global Network’s work (as defined in 2015 CHNRI prioritisation, Angood et al, 2015):

Research questions

1.   How should infants under 6 months of age with wasting* be defined?

2.   What are the key opportunities/timings where infant wasting management can be incorporated with other healthcare programmes?

3.   What are the priority components of a package of care for outpatient treatment of wasted infants under 6 months?

4.   Having detected wasting in the community, what is the efficacy of providing targeted skilled breastfeeding support to caregivers of stable infants?

5.   How can existing tools be adapted and/or linked together to better identify and manage wasted infants under six months?

*The term severe acute malnutrition (SAM) was originally used during the CHNRI process but has been updated here to reflect recent views on this terminology.

Peer reviewed publications

The articles below are listed in order of publication with the most recent appearing at the top of the list. 

Ramona Engler, Marie McGrath, Marko Kerac (2023). Training Packages and Patient Management Tools for Healthcare Staff Working with Small, Nutritionally At-Risk Infants Aged under 6 Months: A Mixed-Methods Study.

Kelsey Grey, Ritu Rana, Marie McGrath, Marko Kerac (2023). Key considerations for developing patient management tools for small and nutritionally at-risk infants: A scoping review.

Saranya Mohandas, Ritu Rana, Barkha Sirwani, Richard Kirubakaran, Shuby Puthussery (2023). Effectiveness of interventions to manage difficulties with breastfeeding for mothers of infants under six months with growth faltering: A systematic review update. 

Magdalena Engl, Paul Binns, Indi Trehan, Natasha Lelijveld, Chloe Angood, Marie McGrath, Nora Groce, Marko Kerac (2022). Children living with disabilities are neglected in severe malnutrition protocols: a guideline review.

Marko Kerac, Philip T James, Marie G McGrath, Eilise Brennan, Charles Opondo, Severine Frison (2021). Infant malnutrition in low- and middle-income countries: assessment and prevalence of small and nutritionally at-risk infants aged under 6 months in 54 Demographic & Health Survey datasets.

Christoph Hoehn, Natasha Lelijveld, Martha Mwangome, James A Berkley, Marie McGrath, Marko Kerac (2021). Anthropometric criteria for identifying infants under 6 months of age at risk of morbidity and mortality: a systematic review.

David Taylor Hendrixson, Kristie Smith, Patrick Lasowski, Meghan Callaghan-Gillespie, Jacklyn Weber, Peggy Papathakis, Per Ole Iversen, Aminata Shamit Koroma, Mark J. Manary (2021). A novel intervention combining supplementary food and infection control measures to improve birth outcomes in undernourished pregnant women in Sierra Leone: A randomized, controlled clinical effectiveness trial.

Victoria von Salmuth, Eilise Brennan, Marko Kerac, Marie McGrath, Severine Frison, Natasha Lelijveld (2021). Maternal-focused interventions to improve infant growth and nutritional status in low-middle income countries: A systematic review of reviews.

Carlos S. Grijalva-Eternod, Emma Beaumont, Ritu Rana, Nahom Abate, Hatty Barthorp, Marie McGrath, Ayenew Negesse, Mubarek Abera, Alemseged Abdissa, Tsinuel Girma, Elizabeth Allen, Marko Kerac, Melkamu Berhane (2021). Malnutrition in infants aged under 6 months attending community health centres: a cross sectional survey.

Martha Mwangome, Moses Ngari, Paluku Bahwere, Patrick Kabore, Marie McGrath, James A. Berkley (2021). Growth monitoring and mortality risk in low birthweight infants: a birth cohort study in Burkina Faso.

Ranadip Chowdhury, Nitika, Tarun Shankar Choudhary, Sunita Taneja, Jose Martines, Nita Bhandari, Rajiv Bahl (2021). Diagnostic measures for severe acute malnutrition in Indian infants under 6 months of age: a secondary data analysis.

Timothy J. Campion-Smith, Marko Kerac, Marie McGrath, James A. Berkley (2020). Antimicrobial and micronutrient interventions for the management of infants under 6 months of age identified with severe malnutrition: a literature review.

Ritu Rana, Marie McGrath, Paridhi Gupta, Ekta Thakur and Marko Kerac (2020). Feeding interventions for infants with growth failure in the first six months of life: a systematic review.

Kerac M, Frison S, Connell N, Page B, McGrath, M (2019). Informing the management of acute malnutrition in infants aged <6 months: risk factor analysis using nationally-representative Demographic and Health Survey secondary data. 

Martha Mwangome, Moses Ngari, Paluku Bwahere, Patrick Kabore, Marie McGrath, Marko Kerac, James A. Berkley (2018). Anthropometry at birth and at age of routine vaccination to predict mortality in the first year of life: A birth cohort study in Burkina Faso.

M. Munirul Islam, Yasir Arafat, Nichola Connell, Golam Mothabbir, Marie McGrath, James A. Berkley, Tahmeed Ahmed, Marko Kerac M Munirul (2018). Prevalence, risk factors and outcomes of severe acute malnutrition among infants aged <6 months in Bangladesh: A prospective cohort study.

Yasir Arafat, M Munirul Islam, Nicki Connell, Golam Mothabbir, Marie McGrath, James A Berkley, Tahmeed Ahmed, Marko Kerac (2018). Perceptions of acute malnutrition and its management in infants under 6 months of age: a qualitative study in rural Bangladesh.

Natasha Lelijveld, Marko Kerac, Marie McGrath, Martha Mwangome, James A Berkley (2017). A review of methods to detect cases of severely malnourished infants less than 6 months for their admission into therapeutic care.  

Carlos S. Grijalva-Eternod, Marko Kerac, Marie McGrath, Caroline Wilkinson, June C. Hirsch, Pascale Delchevalerie, Andrew J. Seal (2016). Admission profile and discharge outcomes for infants aged less than 6 months admitted to inpatient therapeutic care in 10 countries. A secondary data analysis.

Angood et al (2015). Research priorities to improve the management of acute malnutrition in infants aged less than six months (MAMI). 

Marko Kerac, Hannah Blencowe, Carlos Grijalva-Eternod, Marie McGrath, Jeremy Shoham, Tim J Cole, Andrew Seal (2011). Prevalence of wasting among under 6-month-old infants in developing countries and implications of new case definitions using WHO growth standards: a secondary data analysis.

Kelsey Grey, Eilise Brennan, Marko Kerac, Marie McGrath (2021). The MAMI Care Pathway Package: A resource to support the management of small and nutritionally at-risk infants under six months of age and their mothers (MAMI).

Research Projects 

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.

Michelle Alvarez (2021). Implementing policies & programmes for small and nutritionally at-risk infants u6m and their mothers, from a UNICEF perspective: a key informant qualitative study. MSc project report.

Astrid Klomp (2021). Opportunities and barriers in scale-up of Management of small and nutritionally At-risk Infants under six months and their Mothers (MAMI) in four humanitarian settings: a qualitative study. MSc project report.

Barbara Andreuzzi (2019). Integrating Infant and Young Child Feeding Interventions into immunization programmes in children under two: a Systematic Review. MSc project.

Victoria von Salmuth (2019). Maternal focused interventions to improve infant feeding and nutrition: a review of the evidence. MSc project.

Ramona Engler (2019). Training packages and patient management tools for staff working with mothers and nutritionally at-risk infants aged under 6 months: a qualitative study. MSc project report.   

Joana Hebil (2019). Perception of infant Health & Nutrition and Determinants of Health Seeking Behaviour in Ethiopia: A Systematic Review. MSc project report. 

Chipo Chalila (2013). An Exploration of the attitudes, beliefs, care practices and experiences of caregivers and healthcare workers in relation to children with disabilities treated for severe acute malnutrition in a nutritional rehabilitation unit in Malawi. MSc project report.

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