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|Title: ||Improved care and survival in severe malnutrition through eLearning|
|Authors: ||Choi, Sunhea|
Yuen, Ho Ming
|Issue Date: ||30-Jul-2019|
|Citation: ||Choi S, Yuen HM, Annan R, et al. Arch Dis Child 2019;105:32–39.|
|Abstract: ||Background Scaling up improved management of
severe acute malnutrition (SAM) has been identified as
the nutrition intervention with the greatest potential
to reduce child mortality but it requires improved
Objective To investigate whether an eLearning course,
which can be used at scale in resource-poor
leads to improved diagnosis, clinical management and
survival of children with SAM.
Design A 2-year
preintervention and postintervention
study between January 2015 and February 2017.
Setting Eleven healthcare facilities: nine in Ghana, one
in Guatemala, and one in El Salvador.
eLearning course ’Caring
for infants and young children with severe malnutrition’.
Main outcome measures Identification of children
with SAM, quality of care, case-fatality
Methods Medical record reviews of children aged
0–60 months attending eleven hospitals between August
2014 and July 2016, observations in paediatric wards,
and interviews with senior hospital personnel.
Results Postintervention there was a significant
improvement in the identification of SAM: more
children had the requisite anthropometric data (34.9%
(1300/3723) vs 15.9% (629/3953)) and more were
correctly diagnosed (58.5% (460/786) vs 47.1%
(209/444)). Improvements were observed in almost all
aspects of the WHO ’Ten Steps’ of case-management,
fell from 5.8% (26/449) to 1.9%
difference=−3.9%, 95% CI −6.6 to
Conclusions High quality, interactive eLearning can be
an effective intervention in scaling up capacity building
of health professionals to manage SAM effectively,
leading to a reduction in mortality.|
|Description: ||An article published by BMJ and also available at doi:10.1136/archdischild-2018-316539|
|Appears in Collections:||College of Science|
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