Uptake of HIV testing and outcomes within a Community-based Therapeutic Care (CTC) programme to treat Severe Acute Malnutrition in Malawi: a descriptive study

Table 4 Nutritional status at enrolment and the impact of CTC in HIV-positive and HIV-negative children

	HIV positive			HIV negative			P-value
	n	%		n	%
Prospective cohort
Admission category
Oedema	14	63.6		583	84.4		0.017†
Maramus	1	4.5		50	7.2
MUAC < 110 mm	5	22.7		41	5.9
Others criteria	2	9.2		17	2.5
Total	22	100.0		691	100.0
WHM% mean(SD)			80.5(8.9)			83.3(12.6)	0.3
> = 70%	20	90.9		564	86.1		0.755
< 70%	2	9.1		91	13.9
Total	22	100.0		655	100.0
MUAC mean (SD)			109.2(16.4)			118.3(16.9)	0.025
> = 110 mm	7	38.9		435	71.3		0.003
< 110 mm	11	61.1		175	28.7
Total	18	100.0		610	100.0
CTC Outcomes
Recovered	13	59.1		523	83.4		0.002
Defaulted	5	22.7		89	14.2		< 0.001
Died	4	18.2		11	1.8		< 0.001
Transfer or still in programme				4	0.7		-
Median weight gain (IQR) g/kg/day	20		2.8 (1.3–3.9)	614		4.7(2.9–6.7)	0.007
Median MUAC change (IQR) mm/day	9		0.11(-0.03–0.31)	361		0.21(0.05–0.39)	0.223
Median LoS (IQR) days	20		56(36–68)	622		42(28–63)	0.25
Retrospective cohort
Admission category
Oedema	16	55.2		643	67.8		0.154†
Marasmus	6	20.7		154	16.2
MUAC < 110 mm	5	17.2		70	7.4
Others criteria‡	2	6.9		82	8.6
Total	29	100.0		949	100.0
WHM% (SD)			81.0(15.7)			84.3(14.4)	0.26
> = 70	17	68.0		721	80.5		0.130
< 70%	8	32.0		175	19.5
Total	25	100.0		896	100.0
CTC Outcomes
Median Weight gain (IQR) g/kg/day	24		2.2 (1.6–4.0)	880		3.1(1.1–5.9)	0.309
Median MUAC change (IQR)mm/day	11		0.22(0.01–0.45)	476		0.25(0.03–0.48)	0.891
Median LOS (IQR) days	25		63(42–128)	912		42(28–67)	0.002

† Comparison % oedematous malnutrition; ‡ others criteria = age above 6 months and weight less than 4 kg, child with visible wasting but not meeting marasmus and MUAC criteria and less than 6 months children.

ISSN: 1471-2334