Publications by authors named "Fierenantsoa Ranjaharinony"
A cross-sectional analysis of the effectiveness of a nutritional support programme for people with tuberculosis in Southern Madagascar using secondary data from a non-governmental organisation.
Mara Anna Franke Julius Valentin Emmrich Fierenantsoa Ranjaharinony Onja Gabrielle Ravololohanitra Harizaka Emmanuel Andriamasy
Infect Dis Poverty
February 2024
Article Synopsis
- There is a significant connection between tuberculosis (TB) and undernutrition, where each condition exacerbates the other, leading to a nutritional support program for TB patients in Madagascar.
- The study analyzed data from 1,310 TB patients, highlighting the high rates of undernutrition among them, particularly 81.3% of adults and 42.3% of children under five experiencing severe acute malnutrition at the start of treatment.
- Although the average BMI of adults improved during the program, many still remained undernourished after completing their TB treatment.
Despite a free TB care policy, access to TB care in rural Madagascar is limited due to a markedly underfunded health care system. The World Health Organization estimated the yearly TB incidence in Madagascar at 238 cases per 100,000 people in 2020; only half of the patients with TB are being notified and treated. We describe the development, implementation, and lessons learned of an intervention to improve TB care services in a remote, rural district in southern Madagascar.
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