C OMBATING C HILD M ALNUTRITION IN P OST -C ONFLICT Z ONES : - - PowerPoint PPT Presentation

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C OMBATING C HILD M ALNUTRITION IN P OST -C ONFLICT Z ONES : - - PowerPoint PPT Presentation

Dec 10, 2022 113 likes •387 views

C OMBATING C HILD M ALNUTRITION IN P OST -C ONFLICT Z ONES : Assessing an Intervention in the Democratic Republic of Congo Skyler Barlow . Gavin Finnegan . Brandon Pichanick Diego Pinzon . Cait Stadler . Julie Swensen . Kishore Gawande Summary

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SLIDE 1

COMBATING CHILD MALNUTRITION IN POST-CONFLICT ZONES: Assessing an Intervention in the Democratic Republic of Congo Skyler Barlow . Gavin Finnegan . Brandon Pichanick Diego Pinzon . Cait Stadler . Julie Swensen . Kishore Gawande

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SLIDE 2

Summary

  • Background
  • Partners and Pre‐Survey
  • Research Design
  • Results
  • Conclusion
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SLIDE 3

The Democratic Republic of the Congo

Butembo

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SLIDE 4

Conflict in North Kivu

  • Crossroads for armed groups
  • Butembo population
  • Stability of Butembo

Butembo

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SLIDE 5

Partner Background

– Giorgio Cerruto Therapeutic Nutrition Center Personnel – Our Team

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SLIDE 6

Pre‐Survey

  • Purpose

– Train enumerators – Identify potential weaknesses of the surveys

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SLIDE 7

Methodology

  • Research Questions

– Prevalence of child malnutrition in Bunyuka Parish? – Does the nutrition treatment positively affect health

  • utcomes in children?
  • Evidence

– Prevalence: Graphical

  • WHO Standardized Measurements

– Average Treatment on the Treated (ATT)

  • Dependent Variables: Height, Weight
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SLIDE 8

Control Survey

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SLIDE 9

Treatment Survey

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SLIDE 10

Nutrition Sample

Untreated

  • 714 mothers surveyed
  • 1,750 children measured

Treated

  • 215 mothers surveyed
  • 351 children measured
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SLIDE 11

io

Prevalence of Malnutrition

Control Sample

Comparison of Below Average WHO Outcomes w/ Above Average Bunyuka Outcomes

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SLIDE 12

Results

  • Height as outcome
  • Weight can overstate health (cassava is

main food)

  • Treatment effects: By Gender, Age
  • ATT
  • Lower Quartile
  • Upper Quartile
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SLIDE 13

ATT: FEMALES

50 65 80 95 110 125 Height (cm.)

Below 3 yrs. [3, 6) years [6, 9) years [9, 12) years

C T C T C T C T

Average Treatment Effect. FEMALES: By Age Group

GOOD NOT SO GOOD 1

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SLIDE 14

Slide 13 1 Does this imply that the treatment does not work? Except for the first age group, all control groups have better nutritional status than the treatment group.

zchen.tamu,

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SLIDE 15

Lowest Quartile: FEMALES

50 65 80 95 110 125 Height (cm.)

Below 3 yrs. [3, 6) years [6, 9) years [9, 12) years

C T C T C T C T

Lower Quartile Treatment Effect. FEMALES: By Age Group

NOT SO GOOD GOOD 1

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SLIDE 16

Slide 14 1 Does this imply that the treatment does not work? Except for the first age group, all control groups have better nutritional status than the treatment group.

zchen.tamu,

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SLIDE 17

Highest Quartile: FEMALES

50 65 80 95 110 125 Height (cm.)

Below 3 yrs. [3, 6) years [6, 9) years [9, 12) years

C T C T C T C T

Upper Quartile Treatment Effect. FEMALES: By Age Group

NOT SO GOOD GOOD 1

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SLIDE 18

Slide 15 1 Does this imply that the treatment does not work? Except for the first age group, all control groups have better nutritional status than the treatment group.

zchen.tamu,

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SLIDE 19

ATT: MALES

50 65 80 95 110 125 Height (cm.)

Below 3 yrs. [3, 6) years [6, 9) years [9, 12) years

C T C T C T C T

Average Treatment Effect. MALES: By Age Group

NOT SO GOOD 1

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SLIDE 20

Slide 16 1 Does this imply that the treatment does not work? Except for the first age group, all control groups have better nutritional status than the treatment group.

zchen.tamu,

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SLIDE 21

Lowest Quartile: MALES

50 65 80 95 110 125 Height (cm.)

Below 3 yrs. [3, 6) years [6, 9) years [9, 12) years

C T C T C T C T

Lower Quartile Treatment Effect. MALES: By Age Group

NOT SO GOOD 1

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SLIDE 22

Slide 17 1 Does this imply that the treatment does not work? Except for the first age group, all control groups have better nutritional status than the treatment group.

zchen.tamu,

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SLIDE 23

Highest Quartile: MALES

50 65 80 95 110 125 Height (cm.)

Below 3 yrs. [3, 6) years [6, 9) years [9, 12) years

C T C T C T C T

Upper Quartile Treatment Effect. MALES: By Age Group

NOT SO GOOD 1

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SLIDE 24

Slide 18 1 Does this imply that the treatment does not work? Except for the first age group, all control groups have better nutritional status than the treatment group.

zchen.tamu,

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SLIDE 25

One Explanation: Early Treatment Helps

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SLIDE 26

Bottom Line

  • Research Questions

– Prevalence of child malnutrition in Bunyuka Parish?

  • Very prevalent

– Does the treatment positively affect child health?

  • Yes, especially for Female children
  • However, only for children under 3 years
  • Reason is poverty and inability to sustain

treatment

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SLIDE 27

Future Steps

  • Limitations of current Study:
  • Not a perfect control
  • Post‐treatment survey only
  • Future Design
  • Randomization
  • Across villages
  • Experiments with better treatments
  • Economic help to sustain treatment