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Integrating acute malnutrition interventions into national health systems: lessons from Niger

Overview of attention for article published in BMC Public Health, March 2016
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  • Above-average Attention Score compared to outputs of the same age (51st percentile)
  • Average Attention Score compared to outputs of the same age and source

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Title
Integrating acute malnutrition interventions into national health systems: lessons from Niger
Published in
BMC Public Health, March 2016
DOI 10.1186/s12889-016-2903-6
Pubmed ID
Authors

Hedwig Deconinck, Mahaman Hallarou, Bart Criel, Philippe Donnen, Jean Macq

Abstract

Since 2007, integrated care of acute malnutrition has been promoted in Niger, a country affected by high burden of disease. This policy change aimed at strengthening capacity and ownership to manage the condition. Integration was neither defined nor planned but assumed to have been achieved. This paper studied the level and progress of integration of acute malnutrition interventions into key health system functions. The qualitative study method involved literature searches on acute malnutrition interventions for children under 5 in low-income countries to develop a matrix of integration. Integration indicators defined three levels of integration of acute malnutrition interventions into health system functions-full, partial or none. Indicators of health services and health status were added to describe health system improvements. Data from qualitative and quantitative studies conducted in Niger between 2007 and 2013 were used to measure the indicators for the years under study. Results showed a mosaic of integration levels across key health system functions. Four indicators showed full integration, 22 showed partial integration and three showed no integration. Two-thirds of system functions showed progress in assimilating acute malnutrition interventions, while six persistently stagnated over time. There was variation within and across health system domains, with governance and health information functions scoring highest and financing lowest. Steady improvements were noted in geographic coverage, access and under-5 mortality risk. This study provided useful information to inform policy makers and guide strategic planning to improve integration of acute malnutrition interventions in Niger. The proposed method of assessing the extent of integration and monitoring progress may be adapted and used in Niger and other low-income countries that are integrating or intending to integrate acute malnutrition interventions.

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The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 76 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 1%
Belgium 1 1%
Unknown 74 97%

Demographic breakdown

Readers by professional status Count As %
Student > Master 18 24%
Researcher 11 14%
Student > Ph. D. Student 8 11%
Other 4 5%
Student > Bachelor 3 4%
Other 11 14%
Unknown 21 28%
Readers by discipline Count As %
Medicine and Dentistry 17 22%
Nursing and Health Professions 13 17%
Social Sciences 7 9%
Agricultural and Biological Sciences 3 4%
Environmental Science 3 4%
Other 9 12%
Unknown 24 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 March 2016.
All research outputs
#13,859,387
of 23,881,329 outputs
Outputs from BMC Public Health
#9,657
of 15,466 outputs
Outputs of similar age
#143,936
of 302,680 outputs
Outputs of similar age from BMC Public Health
#135
of 222 outputs
Altmetric has tracked 23,881,329 research outputs across all sources so far. This one is in the 41st percentile – i.e., 41% of other outputs scored the same or lower than it.
So far Altmetric has tracked 15,466 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.3. This one is in the 36th percentile – i.e., 36% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 302,680 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 51% of its contemporaries.
We're also able to compare this research output to 222 others from the same source and published within six weeks on either side of this one. This one is in the 38th percentile – i.e., 38% of its contemporaries scored the same or lower than it.