TY - JOUR
T1 - Evaluating the Performance of Integrated Management of Acute Malnutrition Programs in Somalia
T2 - A Systematic Review and Meta-Analysis
AU - Renzaho, Andre M.N.
AU - Jaiswal, Chandrakala
AU - Chineka, Annastancia
AU - Aden, Musdafa Omar
AU - Dahir, Abdikadir
AU - Kari, Hanad Abdi
AU - Karanja, Simon
AU - Fatuma, Ajwang
AU - Shire, Bashir Abdi
AU - Rahaman, Kh Shafiur
AU - Mohamed, Mohamed Isse
AU - Mohamed, Farhan
AU - Bilal, Nejmudin Kedir
AU - Ocom, Gabriel
AU - Ayoya, Mohamed Ag
AU - Ndiaye, Biram
AU - Ategbo, Eric Alain
N1 - Publisher Copyright:
© 2025 by the authors.
PY - 2025/3
Y1 - 2025/3
N2 - Background: Globally, acute malnutrition remains a significant public health challenge. Severe acute malnutrition (SAM) is the most lethal type of acute malnutrition. This study aimed to produce pooled estimates of the effectiveness of integrated management of acute malnutrition (IMAM) programs in addressing SAM in Somalia. Methods: Medline, Embase, Cochrane, Web of Science, CINAHL, ProQuest, Google Scholar, eLENA, and the UNICEF website were searched with no language or date restrictions. Random effect models were used to estimate the pooled estimates of outpatient therapeutic program (OTP) and stabilization centres (SC) performance outcomes (I2 > 50%). Results: Of 186 identified studies, three included data from IMAM programs in Somalia but were excluded, as they had incomplete data. Included were seven datasets identified through the authors’ list, which screened 36.34 million and admitted 2.31 million (6.35%) children aged 6–59 months. The pooled estimates of IMAM performance outcomes [%, (95% confidence interval)] for OTPs and SCs were, respectively, 2.45 (2.18, 2.56) and 4.11 (95%CI: 3.33, 4.90) for relapse, 95.39 (94.87, 95.90) and 80.81 (79.25, 82.37) for recovery, 0.18 (0.15, 0.21) and 1.73 (1.51, 1.95) for death, 2.57 (2.34, 2.79) and 2.75 (2.37, 3.12) for defaulter, 1.86 (1.55, 2.17), and 0.84 (0.66, 1.02) for non-recovery. Conclusions: OTP and SC performance outcomes in Somalia exceeded the Sphere Minimum Standards and compare favourably with results from the region. The adaptation of IMAM programs to meet multiple challenges in Somalia, supported by well-designed, coordinated, standardized, integrated, and harmonized implementation plans, is a strength.
AB - Background: Globally, acute malnutrition remains a significant public health challenge. Severe acute malnutrition (SAM) is the most lethal type of acute malnutrition. This study aimed to produce pooled estimates of the effectiveness of integrated management of acute malnutrition (IMAM) programs in addressing SAM in Somalia. Methods: Medline, Embase, Cochrane, Web of Science, CINAHL, ProQuest, Google Scholar, eLENA, and the UNICEF website were searched with no language or date restrictions. Random effect models were used to estimate the pooled estimates of outpatient therapeutic program (OTP) and stabilization centres (SC) performance outcomes (I2 > 50%). Results: Of 186 identified studies, three included data from IMAM programs in Somalia but were excluded, as they had incomplete data. Included were seven datasets identified through the authors’ list, which screened 36.34 million and admitted 2.31 million (6.35%) children aged 6–59 months. The pooled estimates of IMAM performance outcomes [%, (95% confidence interval)] for OTPs and SCs were, respectively, 2.45 (2.18, 2.56) and 4.11 (95%CI: 3.33, 4.90) for relapse, 95.39 (94.87, 95.90) and 80.81 (79.25, 82.37) for recovery, 0.18 (0.15, 0.21) and 1.73 (1.51, 1.95) for death, 2.57 (2.34, 2.79) and 2.75 (2.37, 3.12) for defaulter, 1.86 (1.55, 2.17), and 0.84 (0.66, 1.02) for non-recovery. Conclusions: OTP and SC performance outcomes in Somalia exceeded the Sphere Minimum Standards and compare favourably with results from the region. The adaptation of IMAM programs to meet multiple challenges in Somalia, supported by well-designed, coordinated, standardized, integrated, and harmonized implementation plans, is a strength.
KW - community-based management of acute malnutrition
KW - IMAM
KW - integrated management of acute malnutrition wasting
KW - OTP
KW - SAM
KW - scaling-up
KW - Somalia
UR - http://www.scopus.com/inward/record.url?scp=105002034501&partnerID=8YFLogxK
U2 - 10.3390/ijerph22030378
DO - 10.3390/ijerph22030378
M3 - Article
AN - SCOPUS:105002034501
SN - 1661-7827
VL - 22
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 3
M1 - 378
ER -
