Socioeconomic Factors Affecting Utilization of Ready-to-Use Therapeutic Food in Management of Severe Acute Malnutrition in Kinango Sub-County, Kwale County

Authors

  • Angela Kasyoka Kithua Jomo Kenyatta University of Agriculture and Technology
  • Prof. Simon Karanja, PhD Jomo Kenyatta University of Agriculture and Technology
  • Dr. Cromwell Kibiti, PhD Technical University of Mombasa

DOI:

https://doi.org/10.70619/vol5iss3pp60-73643

Keywords:

Socioeconomic Factors, Utilization of Ready to Use Therapeutic Food, Severe Acute Malnutrition

Abstract

The issue of malnutrition, encompassing both overnutrition and undernutrition, remains a significant global challenge with severe consequences, especially for children under the age of five. Severe Acute Malnutrition (SAM) is particularly detrimental, leading to high morbidity and mortality rates among affected children. Despite progress in reducing the global burden of SAM, it continues to affect millions of children worldwide, with Sub-Saharan Africa bearing a significant portion of the burden. This study aimed to investigate the socioeconomic factors affecting utilization of ready-to-use therapeutic food in the management of severe acute malnutrition in Kinango sub-county, Kwale County, Kenya. Adopting a longitudinal cross-sectional study design, the study enrolled 220 severely malnourished children receiving RUTF and followed them for three months. Several external factors can influence the effectiveness of RUTF. These include: co-existing illnesses, such as infections or chronic conditions which hinder recovery and reduce the efficacy of RUTF, inadequate food at home limit the overall nutritional recovery, as RUTF alone cannot address broader food insecurity, prolonged waiting times at the health facility can discourage caregivers from seeking treatment, leading to incomplete recovery, insufficient follow-up by health workers can result in missed opportunities to address complications, monitor progress, and ensure adherence to treatment protocols. Recommendations include multifaceted approaches to improve caregiver practices, comprehensive training for health workers, and ensuring consistent RUTF supply at health facilities.

Author Biographies

Angela Kasyoka Kithua, Jomo Kenyatta University of Agriculture and Technology

Department of Environmental Health and Disease Control

Prof. Simon Karanja, PhD, Jomo Kenyatta University of Agriculture and Technology

School of Public Health

Dr. Cromwell Kibiti, PhD, Technical University of Mombasa

School of Applied and Health Sciences

References

Alflah, Y. M., & Alrashidi, M. A. (2023). Severe acute malnutrition and its consequences among malnourished children. Journal of Clinical Pediatrics Research, 2(1), 1-5.

Anato, A. (2022). Severe acute malnutrition and associated factors among children under five years: A community-based cross-sectional study in Ethiopia. Heliyon, 8(10).

Ayana, A. B., Hailemariam, T. W., & Melke, A. S. (2015). Determinants of acute malnutrition among children aged 6–59 months in public hospitals, Oromia region, West Ethiopia: a case–control study. BMC Nutrition, 1(1), 1-11.

Cichon, B., Das, J. K., Salam, R.A., Padhani, Z.A., Stobaugh, H.C.H.C., Mughal, M., ... & Black, R.E.R.E. (2023). Effectiveness of Dietary Management for Moderate Wasting among Children> 6 Months of Age—A Systematic Review and Meta-Analysis Exploring Different Types, Quantities, and Durations. Nutrients, 15(5), 1076

Dah, C., Ourohire, M., Sié, A., Ouédraogo, M., Bountogo, M., Boudo, V., ... & Oldenburg, C. E. (2022). How does baseline anthropometry affect anthropometric outcomes in children receiving treatment for severe acute malnutrition? A secondary analysis of a randomized controlled trial. Maternal & child nutrition, 18(3), e13329.

Dukhi, N. (2020). Global prevalence of malnutrition: evidence from literature. Malnutrition, 1, 1-16.

Ezezika, O., Gong, J., Abdirahman, H., & Sellen, D. (2021). Barriers and facilitators to the implementation of large-scale nutrition interventions in Africa: a scoping review. Global Implementation Research and Applications, 1, 38-52.

Heymsfield, G., Radin, E., Biotteau, M., Kangas, S., Ndumi, A., Tausanovitch, Z., ... & Bilukha, O. (2023). Estimating program coverage in the treatment of acute malnutrition using population-based cluster survey methods: Results from surveys in five countries in the Horn, Sahel, and the African Great Lakes regions.

Hossain, M. I., Huq, S., Islam, M. M., & Ahmed, T. (2020). Acceptability and efficacy of ready-to-use therapeutic food using soy protein isolate in under-5 children suffering from severe acute malnutrition in Bangladesh: a double-blind randomized non-inferiority trial. European journal of nutrition, 59, 1149-1161.

Jackson, A., & Ashworth, A. (2023). Capacity-building in the management of moderate acute malnutrition. Food and nutrition bulletin, 36(1_suppl1), S47-S52.

James, P. T., Van den Briel, N., Rozet, A., Israël, A. D., Fenn, B., & Navarro‐Colorado, C. (2020). Low‐dose RUTF protocol and improved service delivery lead to good programme outcomes in the treatment of uncomplicated SAM: a programme report from Myanmar. Maternal & child nutrition, 11(4), 859-869.

Jibat, N., Rana, R., Negesse, A., Abera, M., Abdissa, A., Girma, T., ... & Berhane, M. (2022). Carers’ and health workers’ perspectives on malnutrition in infants aged under six months in rural Ethiopia: A qualitative study. PloS one, 17(7), e0271733.

King, S., D’Mello-Guyett, L., Yakowenko, E., Riems, B., Gallandat, K., Mama Chabi, S., ... & Stobaugh, H. (2022). A multi-country, prospective cohort study to measure the rate and risk of relapse among children recovered from severe acute malnutrition in Mali, Somalia, and South Sudan: a study protocol. BMC nutrition, 8(1), 90.

Kralova, Z., Jakubcova, D., Okech, V. O., & Ondrusova, A. (2021). An Analysis of Anthropometric Measurements of Children Enrolled in Programs for Managing Acute Malnutrition, in Kwale County, Kenya. Clinical Social Work and Health Intervention, 12(1), 44-53.

Mwene-Batu, P., Bisimwa, G., Baguma, M., Chabwine, J., Bapolisi, A., Chimanuka, C., ... & Donnen, P. (2020). Long-term effects of severe acute malnutrition during childhood on adult cognitive, academic, and behavioural development in African fragile countries: The Lwiro cohort study in the Democratic Republic of the Congo. PLoS One, 15(12), e0244486.

Nikièma, V., Fogny, N. F., Kangas, S. T., Lachat, C., & Salpéteur, C. (2022). Availability, use, and consumption practices of ready-to-use therapeutic foods prescribed to children with uncomplicated severe acute malnutrition aged 6–59 months during outpatient treatment in Burkina Faso. Appetite, 168, 105751.

Nyakundi, D. O., & Cleophas, P. (2021). Harnessing Nutritional Benefits of Spirulina platensis: Standardization of Cultivating Conditions of Spirulina in Kilimanjaro. Tanzania Journal of Science, 47(4), 1412-1423.

Potani, I. (2024). The Role, Limitations, and Optimization of Ready-To-Use Therapeutic Food in Treating Severe Acute Malnutrition (Doctoral dissertation, University of Toronto (Canada)).

Rebecca, G. N., James, A. B., Julie J. (2020). Cost and cost-effectiveness analysis of treatment for child under-nutrition in low- and middle-income countries: A systematic review

Roy, M., Biswas, B., & Jenny, A. (2021). Medical tourism in Bangladesh: Present scenario and strategic model for one-stop service. Tourism Products and Services in Bangladesh: Concept Analysis and Development Suggestions, 45-85.

Selvaraj, K., Mamidi, R. S., Peter, R., & Kulkarni, B. (2022). Acceptability of locally produced ready-to-use therapeutic food (RUTF) in malnourished children: a randomized, double-blind, crossover study. Indian Journal of Pediatrics, 89(11), 1066-1072.

Takele, W. W., Ayele, A. D., Haile, T. G., Debie, A., Amare, A. T., Tsehay, C. T., & Mekonnen, E. G. (2022). Evaluation of the community-based outpatient therapeutic feeding program implementation for managing children with severe acute malnutrition in Northwest Ethiopia: A mixed-method evaluation protocol. Plos one, 17(10), e0275964.

Uddin, M. F., Molyneux, S., Muraya, K., Jemutai, J., Berkley, J. A., Walson, J. L., ... & Sarma, H. (2022). Treatment-seeking and recovery among young undernourished children post-hospital discharge in Bangladesh: A qualitative study. Plos one, 17(9), e0274996.

UNICEF, & WHO, W. (2020). Levels and trends in child malnutrition: key findings of the 2019 Edition of the Joint Child Malnutrition Estimates. Geneva: World Health Organization.

Verma, D. K., Varghese, A., Agarwal, M., Singh, V. K., & Chandrakanta, C. (2022). Outcome of nutritional rehabilitation centre-based care for children with severe acute malnutrition in Uttar Pradesh, India: cross-sectional Study. International Journal of Health and Allied Sciences, 11(1), 3.

Downloads

Published

2025-10-20

How to Cite

Kithua, A. K. ., Karanja, PhD, P. S. ., & Kibiti, PhD, D. C. . (2025). Socioeconomic Factors Affecting Utilization of Ready-to-Use Therapeutic Food in Management of Severe Acute Malnutrition in Kinango Sub-County, Kwale County. Journal of Medicine, Nursing and Public Health, 5(3), 60–73. https://doi.org/10.70619/vol5iss3pp60-73643

Issue

Section

Articles