Controlled trial of three approaches to the treatment of severe malnutrition.
Domiciliary treatment of severely malnourished children could have economic and practical advantages over other methods.
We compared three approaches in a controlled trial, 437 children in Dhaka (<60% weight-for-height, and/or oedema) aged 12-60 months were sequentially allocated to treatment as inpatients, to day-care, or to care at home after one week of day-care.
Institutional and parental costs incurred to reach 80% weight-for-height were compared.
Costs for inpatient, day-care, and at-home groups averaged 6363,2517, and 1552 taka (60 taka=UK£1).
Mortality was low (<5%) in all three groups.
Day-care treatment approached inpatient care for speed of recovery at less than half the cost, but it was unpopular with parents.
Mots-clés Pascal : Réanimation, Economie santé, Traitement, Enfant, Homme, Malnutrition, Bengla Desh, Asie
Mots-clés Pascal anglais : Resuscitation, Health economy, Treatment, Child, Human, Malnutrition, Bangladesh, Asia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0176797
Code Inist : 002B27B07. Création : 09/06/1995.