Prevention of wasting and nutritional oedema: Evidence gaps identified during WHO guideline development
Inclusion of prevention in the 2023 WHO guideline on wasting and nutritional oedema is a significant and timely addition, aligning with the global development goal of reducing current wasting prevalence from 6.6% to less than 3% by 2030. We identified three key evidence gaps in wasting prevention: L...
| Main Authors: | , , , , , , , , , |
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| Format: | Journal Article |
| Language: | Inglés |
| Published: |
BMJ
2025
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| Subjects: | |
| Online Access: | https://hdl.handle.net/10568/176146 |
| _version_ | 1855534433271021568 |
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| author | Ruel, Marie T. Ashorn, Per Berkley, James A. Dewey, Kathryn G. Golden, Kate Huybregts, Lieven McCaul, Michael Naude, Celeste E. Prinzo, Zita Weise Daniel, Allison I. |
| author_browse | Ashorn, Per Berkley, James A. Daniel, Allison I. Dewey, Kathryn G. Golden, Kate Huybregts, Lieven McCaul, Michael Naude, Celeste E. Prinzo, Zita Weise Ruel, Marie T. |
| author_facet | Ruel, Marie T. Ashorn, Per Berkley, James A. Dewey, Kathryn G. Golden, Kate Huybregts, Lieven McCaul, Michael Naude, Celeste E. Prinzo, Zita Weise Daniel, Allison I. |
| author_sort | Ruel, Marie T. |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Inclusion of prevention in the 2023 WHO guideline on wasting and nutritional oedema is a significant and timely addition, aligning with the global development goal of reducing current wasting prevalence from 6.6% to less than 3% by 2030.
We identified three key evidence gaps in wasting prevention:
Limited evidence on the effectiveness of wasting prevention interventions.
Poor understanding of the challenges in implementing wasting prevention programmes.
The absence of effective criteria for targeting wasting prevention interventions.
As for stunting prevention, wasting prevention programmes should adopt multisectoral strategies that address the root causes of the problem. These programmes should integrate interventions from health, food, water, sanitation, and hygiene (WASH), and social protection, and be rigorously evaluated to inform on what works, how and at what cost.
Embedding implementation research within effectiveness studies is crucial to identify and resolve operational bottlenecks that may hinder programme effectiveness. This is particularly important for complex, multisectoral programmes in resource-poor settings, where most of the wasting occurs.
Research is needed to develop and test simple criteria for targeting wasting prevention programmes, including household, individual, or seasonal or community factors associated with high wasting rates.
While continuing to target areas with a high burden of wasting, wasting prevention programmes should be tailored to address context-specific drivers of wasting. Programme design, including targeting criteria, should consider available resources and the capacity of health, food, water, sanitation and hygiene, and social protection systems to support wasting prevention. |
| format | Journal Article |
| id | CGSpace176146 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | BMJ |
| publisherStr | BMJ |
| record_format | dspace |
| spelling | CGSpace1761462025-10-26T12:55:35Z Prevention of wasting and nutritional oedema: Evidence gaps identified during WHO guideline development Ruel, Marie T. Ashorn, Per Berkley, James A. Dewey, Kathryn G. Golden, Kate Huybregts, Lieven McCaul, Michael Naude, Celeste E. Prinzo, Zita Weise Daniel, Allison I. wasting disease (nutritional disorder) nutrition oedema stunting WHO Inclusion of prevention in the 2023 WHO guideline on wasting and nutritional oedema is a significant and timely addition, aligning with the global development goal of reducing current wasting prevalence from 6.6% to less than 3% by 2030. We identified three key evidence gaps in wasting prevention: Limited evidence on the effectiveness of wasting prevention interventions. Poor understanding of the challenges in implementing wasting prevention programmes. The absence of effective criteria for targeting wasting prevention interventions. As for stunting prevention, wasting prevention programmes should adopt multisectoral strategies that address the root causes of the problem. These programmes should integrate interventions from health, food, water, sanitation, and hygiene (WASH), and social protection, and be rigorously evaluated to inform on what works, how and at what cost. Embedding implementation research within effectiveness studies is crucial to identify and resolve operational bottlenecks that may hinder programme effectiveness. This is particularly important for complex, multisectoral programmes in resource-poor settings, where most of the wasting occurs. Research is needed to develop and test simple criteria for targeting wasting prevention programmes, including household, individual, or seasonal or community factors associated with high wasting rates. While continuing to target areas with a high burden of wasting, wasting prevention programmes should be tailored to address context-specific drivers of wasting. Programme design, including targeting criteria, should consider available resources and the capacity of health, food, water, sanitation and hygiene, and social protection systems to support wasting prevention. 2025-08 2025-08-19T13:35:24Z 2025-08-19T13:35:24Z Journal Article https://hdl.handle.net/10568/176146 en Open Access BMJ Ruel, Marie T.; Ashorn, Per; Berkley, James A.; Dewey, Kathryn G.; Golden, Kate; Huybregts, Lieven; et al. 2025. Prevention of wasting and nutritional oedema: Evidence gaps identified during WHO guideline development. BMJ Global Health 10 (Supplement 5): e016314. https://doi.org/10.1136/bmjgh-2024-016314 |
| spellingShingle | wasting disease (nutritional disorder) nutrition oedema stunting WHO Ruel, Marie T. Ashorn, Per Berkley, James A. Dewey, Kathryn G. Golden, Kate Huybregts, Lieven McCaul, Michael Naude, Celeste E. Prinzo, Zita Weise Daniel, Allison I. Prevention of wasting and nutritional oedema: Evidence gaps identified during WHO guideline development |
| title | Prevention of wasting and nutritional oedema: Evidence gaps identified during WHO guideline development |
| title_full | Prevention of wasting and nutritional oedema: Evidence gaps identified during WHO guideline development |
| title_fullStr | Prevention of wasting and nutritional oedema: Evidence gaps identified during WHO guideline development |
| title_full_unstemmed | Prevention of wasting and nutritional oedema: Evidence gaps identified during WHO guideline development |
| title_short | Prevention of wasting and nutritional oedema: Evidence gaps identified during WHO guideline development |
| title_sort | prevention of wasting and nutritional oedema evidence gaps identified during who guideline development |
| topic | wasting disease (nutritional disorder) nutrition oedema stunting WHO |
| url | https://hdl.handle.net/10568/176146 |
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