Effect of adherence to follow-up on recovery from moderate acute malnutrition among under-fives in a supplementary feeding programme

Udoh, Ekong Emmanuel and Umoh, Rosemary Augustine and Edem, Kevin Bassey and Okpokowuruk, Frances Samue and Udo, Ekemini Nsikan and Nwazuluoke, Blessing Njideka and Motilewa, Olugbemi Oluseyi (2022) Effect of adherence to follow-up on recovery from moderate acute malnutrition among under-fives in a supplementary feeding programme. Malaysian Journal of Nutrition (Malaysia), 28 (2). pp. 295-303. ISSN 1394 – 035X

Introduction: Supplementary feeding programme is a strategy for managing underfives with moderate acute malnutrition (MAM). This study aimed to determine the effect of adherence to follow-up on recovery from MAM among under-fives. Methods: A clinical trial to evaluate the effectiveness of daily supplementary rations of a standardised milk-based formulation (SMBF), standardised non-milk-based formulation (SNMBF), and hospital-based formulation (HBF) on recovery from MAM over a four months period was conducted among eligible children aged 6 – 59 months. Recovery from MAM among participants was determined based on their status of adherence to follow-up at week 16. It was deemed statistically significant if p-value was <0.05. Results: Of the 157 children evaluated, 41/54 (75.9%) who received the SMBF, 32/57 (56.1%) who received the SNMBF, and 22/46 (47.8%) who received the HBF had good adherence. Adherence to follow-up was significantly higher with SMBF than SNMBF and HBF (χ²=8.923; p=0.012). In all, 95/157 (60.5%) had good adherence to follow-up with 73/95 (76.8%) recovery from MAM against 42/62 (67.7%) recovery in those with poor adherence (p=0.208). Conclusion: The status of adherence to scheduled follow-up was not significantly associated with recovery from MAM among under-fives enrolled in the supplementary feeding programme. Nevertheless, efforts at promoting adherence to scheduled follow-up visits should be sustained.

Full text available from: Official URL: https://www.nutriweb.org.my/mjn/publication/28-2/V...

Abstract

Introduction: Supplementary feeding programme is a strategy for managing underfives with moderate acute malnutrition (MAM). This study aimed to determine the effect of adherence to follow-up on recovery from MAM among under-fives. Methods: A clinical trial to evaluate the effectiveness of daily supplementary rations of a standardised milk-based formulation (SMBF), standardised non-milk-based formulation (SNMBF), and hospital-based formulation (HBF) on recovery from MAM over a four months period was conducted among eligible children aged 6 – 59 months. Recovery from MAM among participants was determined based on their status of adherence to follow-up at week 16. It was deemed statistically significant if p-value was <0.05. Results: Of the 157 children evaluated, 41/54 (75.9%) who received the SMBF, 32/57 (56.1%) who received the SNMBF, and 22/46 (47.8%) who received the HBF had good adherence. Adherence to follow-up was significantly higher with SMBF than SNMBF and HBF (χ²=8.923; p=0.012). In all, 95/157 (60.5%) had good adherence to follow-up with 73/95 (76.8%) recovery from MAM against 42/62 (67.7%) recovery in those with poor adherence (p=0.208). Conclusion: The status of adherence to scheduled follow-up was not significantly associated with recovery from MAM among under-fives enrolled in the supplementary feeding programme. Nevertheless, efforts at promoting adherence to scheduled follow-up visits should be sustained.

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Item Type:	Article
AGROVOC Term:	children
AGROVOC Term:	supplementary feeding
AGROVOC Term:	malnutrition
AGROVOC Term:	child nutrition
AGROVOC Term:	diet
AGROVOC Term:	milk
AGROVOC Term:	functional foods
AGROVOC Term:	nutritional status
AGROVOC Term:	health care
Geographical Term:	Nigeria
Uncontrolled Keywords:	adherence, clinical, follow-up, malnutrition, nutrition, trial
Depositing User:	Ms. Azariah Hashim
Date Deposited:	19 Mar 2026 02:22
Last Modified:	19 Mar 2026 02:22
URI:	http://webagris.upm.edu.my/id/eprint/2869

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