IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v22y2025i3p378-d1606005.html

Evaluating the Performance of Integrated Management of Acute Malnutrition Programs in Somalia: A Systematic Review and Meta-Analysis

Author

Listed:
  • Andre M. N. Renzaho

    (School of Medicine, Translational Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith, NSW 2571, Australia)

  • Chandrakala Jaiswal

    (UNICEF Somalia, API Compound, Nairobi P.O. Box 44145, Kenya)

  • Annastancia Chineka

    (UNICEF Somalia, API Compound, Nairobi P.O. Box 44145, Kenya)

  • Musdafa Omar Aden

    (UNICEF Somalia, API Compound, Nairobi P.O. Box 44145, Kenya)

  • Abdikadir Dahir

    (UNICEF Somalia, API Compound, Nairobi P.O. Box 44145, Kenya)

  • Hanad Abdi Karie

    (UNICEF Somalia, API Compound, Nairobi P.O. Box 44145, Kenya)

  • Simon Karanja

    (UNICEF Somalia, API Compound, Nairobi P.O. Box 44145, Kenya)

  • Ajwang Fatuma

    (UNICEF Somalia, API Compound, Nairobi P.O. Box 44145, Kenya)

  • Bashir Abdi Shire

    (UNICEF Somalia, API Compound, Nairobi P.O. Box 44145, Kenya)

  • Kh Shafiur Rahaman

    (School of Medicine, Translational Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith, NSW 2571, Australia)

  • Mohamed Isse Mohamed

    (UNICEF Somalia, API Compound, Nairobi P.O. Box 44145, Kenya)

  • Farhan Mohamed

    (Somalian Ministry of Health, Corso Somalia, Mogadishu MC 13-1302, Somalia)

  • Nejmudin Kedir Bilal

    (UNICEF Somalia, API Compound, Nairobi P.O. Box 44145, Kenya)

  • Gabriel Ocom

    (UNICEF Somalia, API Compound, Nairobi P.O. Box 44145, Kenya)

  • Mohamed Ag Ayoya

    (UNICEF Somalia, API Compound, Nairobi P.O. Box 44145, Kenya)

  • Biram Ndiaye

    (World Bank, 1818 H Street, Washington, DC 20433, USA)

  • Eric Alain Ategbo

    (UNICEF Somalia, API Compound, Nairobi P.O. Box 44145, Kenya)

Abstract

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 (I 2 > 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.

Suggested Citation

  • Andre M. N. Renzaho & Chandrakala Jaiswal & Annastancia Chineka & Musdafa Omar Aden & Abdikadir Dahir & Hanad Abdi Karie & Simon Karanja & Ajwang Fatuma & Bashir Abdi Shire & Kh Shafiur Rahaman & Moha, 2025. "Evaluating the Performance of Integrated Management of Acute Malnutrition Programs in Somalia: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 22(3), pages 1-17, March.
    • Handle: RePEc:gam:jijerp:v:22:y:2025:i:3:p:378-:d:1606005
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/22/3/378/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/22/3/378/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Roger M. Harbord & Ross J. Harris & Jonathan A. C. Sterne, 2009. "Updated tests for small-study effects in meta-analyses," Stata Journal, StataCorp LLC, vol. 9(2), pages 197-210, June.
    2. Levitt, Emily J. & Pelletier, David L. & Pell, Alice N., 2009. "Revisiting the UNICEF malnutrition framework to foster agriculture and health sector collaboration to reduce malnutrition: A comparison of stakeholder priorities for action in Afghanistan," Food Policy, Elsevier, vol. 34(2), pages 156-165, April.
    3. Hanna Demelash Desyibelew & Mulat Tirfie Bayih & Adhanom Gebreegziabher Baraki & Abel Fekadu Dadi, 2020. "The recovery rate from severe acute malnutrition among under-five years of children remains low in sub-Saharan Africa. A systematic review and meta-analysis of observational studies," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-18, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nick Freemantle, 2008. "Biostatistical aspects for the use of evidence based medicine in health technology assessment," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 9(1), pages 31-43, November.
    2. Evans O. Mudibo & Jasper Bogaert & Caroline Tigoi & Moses M. Ngari & Benson O. Singa & Christina L. Lancioni & Abdoulaye Hama Diallo & Emmie Mbale & Ezekiel Mupere & John Mukisa & Johnstone Thitiri & , 2024. "Systemic biological mechanisms underpin poor post-discharge growth among severely wasted children with HIV," Nature Communications, Nature, vol. 15(1), pages 1-17, December.
    3. Catarina Gonçalves & Armando Raimundo & Ana Abreu & Jorge Bravo, 2021. "Exercise Intensity in Patients with Cardiovascular Diseases: Systematic Review with Meta-Analysis," IJERPH, MDPI, vol. 18(7), pages 1-19, March.
    4. Meng-Bo Hu & Sheng-Hua Liu & Hao-Wen Jiang & Pei-De Bai & Qiang Ding, 2014. "Obesity Affects the Biopsy-Mediated Detection of Prostate Cancer, Particularly High-Grade Prostate Cancer: A Dose-Response Meta-Analysis of 29,464 Patients," PLOS ONE, Public Library of Science, vol. 9(9), pages 1-10, September.
    5. Allison Milner & Andrew Page & Anthony D LaMontagne, 2013. "Long-Term Unemployment and Suicide: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-6, January.
    6. Sevigny, Eric L. & Fuleihan, Brian K. & Ferdik, Frank V., 2013. "Do drug courts reduce the use of incarceration?: A meta-analysis," Journal of Criminal Justice, Elsevier, vol. 41(6), pages 416-425.
    7. Shan Liu & Qing Li & Ying Zhang & Qiushuang Li & Baodong Ye & Dijiong Wu & Li Wu & Hanti Lu & Conghua Ji, 2016. "Association of Human Leukocyte Antigen DRB1*15 and DRB1*15:01 Polymorphisms with Response to Immunosuppressive Therapy in Patients with Aplastic Anemia: A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(9), pages 1-15, September.
    8. Yuan Yuan Hu & Hua Yuan & Guang Bing Jiang & Ning Chen & Li Wen & Wei Dong Leng & Xian Tao Zeng & Yu Ming Niu, 2012. "Associations between XPD Asp312Asn Polymorphism and Risk of Head and Neck Cancer: A Meta-Analysis Based on 7,122 Subjects," PLOS ONE, Public Library of Science, vol. 7(4), pages 1-6, April.
    9. Temesgen Ayenew & Mihretie Gedfew & Mamaru Getie Fetene & Belayneh Shetie Workneh & Animut Takele Telayneh & Afework Edmealem & Bekele Getenet Tiruneh & Guadie Tewabe Yinges & Addisu Getie & Mengistu , 2024. "Prevalence of mortality among mechanically ventilated patients in the intensive care units of Ethiopian hospitals and the associated factors: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 19(7), pages 1-18, July.
    10. Sanghyun Hong & W. Robert Reed, 2020. "Using Monte Carlo Experiments to Select Meta-Analytic Estimators," Working Papers in Economics 20/10, University of Canterbury, Department of Economics and Finance.
    11. Tseday Jemaneh Mekasha & Finn Tarp, 2013. "Aid and Growth: What Meta-Analysis Reveals," Journal of Development Studies, Taylor & Francis Journals, vol. 49(4), pages 564-583, April.
    12. Viechtbauer, Wolfgang, 2010. "Conducting Meta-Analyses in R with the metafor Package," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 36(i03).
    13. Ngamaba, Kayonda Hubert & Armitage, Christopher & Panagioti, Maria & Hodkinson, Alexander, 2020. "How closely related are financial satisfaction and subjective well-being? Systematic review and meta-analysis," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 85(C).
    14. Jonathan Stokes & Maria Panagioti & Rahul Alam & Kath Checkland & Sudeh Cheraghi-Sohi & Peter Bower, 2015. "Effectiveness of Case Management for 'At Risk' Patients in Primary Care: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-42, July.
    15. Tseday Jemaneh Mekasha & Finn Tarp, 2013. "Aid and Growth: What Meta-Analysis Reveals," Journal of Development Studies, Taylor & Francis Journals, vol. 49(4), pages 564-583, April.
    16. Maamar Sebri, 2014. "A meta-analysis of residential water demand studies," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 16(3), pages 499-520, June.
    17. Marta Liliana Musskopf & Amanda Finger Stadler & Ulf ME Wikesjö & Cristiano Susin, 2022. "The minipig intraoral dental implant model: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 17(2), pages 1-17, February.
    18. Mohammad O Dahl, 2020. "Brucellosis in food-producing animals in Mosul, Iraq: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-16, July.
    19. Thow, Anne Marie & Verma, Garima & Soni, Deepa & Soni, Divya & Beri, Deepti Kumar & Kumar, Poorvaja & Siegel, Karen R. & Shaikh, Nida & Khandelwal, Shweta, 2018. "How can health, agriculture and economic policy actors work together to enhance the external food environment for fruit and vegetables? A qualitative policy analysis in India," Food Policy, Elsevier, vol. 77(C), pages 143-151.
    20. Qurat-ul-Ann, Abre-Rehmat & Mirza, Faisal Mehmood, 2020. "Meta-analysis of empirical evidence on energy poverty: The case of developing economies," Energy Policy, Elsevier, vol. 141(C).

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:22:y:2025:i:3:p:378-:d:1606005. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.