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Cost-effectiveness of decentralising acute malnutrition treatment with a standard or simplified treatment protocol: an economic evaluation in the region of Gao, Mali.
BMC Public Health
January 2025
Nutrition and Health Department, Action Against Hunger, Madrid, Spain.
Background: Acute malnutrition treatment coverage remains low worldwide, causing significant morbidity and mortality. Decentralisation of treatment to Community Health Worker (CHW) sites has shown to be an effective strategy to improve access and increase coverage, but evidence on the cost and cost-effectiveness of this approach as well the use of simplified treatment protocols in conflict settings is lacking. The objective of this study was to determine cost per child treated as well as the cost-effectiveness of the hybrid model of treatment delivery (where treatment is provided at both health facilities and CHW sites) using either a standard protocol (Intervention 1) or simplified protocol (Intervention 2) compared to standard treatment at health facilities only (Control) in the conflict affected region of Gao in Northern Mali.
View Article and Find Full Text PDFHunger remains a prevalent issue worldwide, and with a changing climate, it is expected to become an even greater problem that our food systems are not adapted to. There is therefore a need to investigate strategies to fortify our foods and food systems. Underutilized crops are farmed regionally, are often adapted to stresses, including droughts, and have great nutritional profiles, potentially being key for food security.
View Article and Find Full Text PDFClimate change and food security nexus in Ghana: The role of renewable energy.
Sci Total Environ
January 2025
Department of Agribusiness Management and Consumer Studies, University of Energy and Natural Resources, Sunyani, Ghana; Department of Applied Agriculture, Central University of Punjab, India.
Climate change is aggravating hunger, which is miserable in Sub-Saharan African nations like Ghana. Yet evidence of the effect of climatic variables on hunger, particularly multidimensional food security, is less illuminated in Ghana. Moreover, the decoupling effect of renewable energy on emissions and food security is rare in the Ghanaian context.
View Article and Find Full Text PDFThe association between childhood hunger experiences and health in middle and old age: a longitudinal study over 10 years.
BMC Public Health
January 2025
School of Public Management, Inner Mongolia University, Zhaojun Road, Yuquan District, Hohhot, 010070, Inner Mongolia, China.
Background: A significant relationship is present between childhood hunger experiences (CHEs) and health, but explorations of the longitudinal persistence of this relationship and its mediating mechanisms are still lacking. This study aims to evaluate the effects of CHEs on health in middle and old age and determine the underlying mechanisms.
Methods: Using data from the five 2011-2020 China Health and Retirement Longitudinal Study (CHARLS) and the 2014 China Life History Survey Questionnaire, a sample of 9,909 individuals aged 45 years and older who participated in all six surveys was obtained.
Illuminating the multidimensional contributions of small-scale fisheries.
Nature
January 2025
WorldFish, Penang, Malaysia.
Sustainable development aspires to "leave no one behind". Even so, limited attention has been paid to small-scale fisheries (SSF) and their importance in eradicating poverty, hunger and malnutrition. Through a collaborative and multidimensional data-driven approach, we have estimated that SSF provide at least 40% (37.
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