Ahmadu Bello University shall be a world-class university comparable to any other, engaged in imparting contemporary knowledge, using high quality facilities and multi-disciplinary approaches, to men and women of all races, as well as generating new ideas and intellectual practices relevant to the needs of its immediate community, Nigeria and the world at large.
MISSION
To advance the frontiers of learning and break new grounds, through teaching, research and the dissemination of knowledge of the highest quality; to establish and foster national and international integration, development and the promotion of African traditions and cultures; to produce high-level human power and enhance capacity-building through retaining, in order to meet the needs and challenges of the catchment area, Nigeria and the rest of the world.
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Department of Community Medicine at Ahmadu Bello University receives grant for research on
long-term outcomes following treatment in a Community-based Management of Acute
Malnutrition (CMAM) programme
In April 2015, the Department of Community Medicine of Ahmadu Bello University Zaria, received
the first tranche of monies for a new research project to study long-term outcomes following
treatment in a Community-based Management of Acute Malnutrition (CMAM) programme in
Katsina State.
The grant was awarded by ORIE (Operations Research and Impact Evaluation), a DFIDfunded
consortium of UK and Nigerian organisations [http://www.heart-resources.org/tag/orie/].
ORIE undertakes nutrition research and evaluation to generate evidence on the operationalization,
cost-effectiveness and impact of a major DFID-funded six-year programme to implement and scaleup
nutrition interventions in Northern Nigeria, called WINNN
[http://devtracker.dfid.gov.uk/projects/GB-1-201874/]. ORIE also invests in strengthening the
capacity of nutrition researchers working in Northern Nigeria, by providing funding to enable
researchers to design and undertake their own research project with the on-going support and
guidance of a group of experienced international researchers. The Department of Community
Medicine, ABU Zaria, was one of three successful bidders in a competitive bidding process in late
2014, which attracted thirty-two applications.
The project will generate valuable research findings on long-term outcomes following treatment in
a Community-based Management of Acute Malnutrition (CMAM) programme
Every year about one million children under five years of age die in Nigeria. Malnutrition contributes
to nearly half of these deaths. The CMAM (Community-based Management of Acute Malnutrition)
programme is recognised as a cost-effective way of treating large numbers of children with severe
acute malnutrition (SAM) without needing to admit them to a health facility or therapeutic feeding
centre. It allows for proactive case-finding in the community, early treatment before medical
complications develop, and high population coverage. As such, it has the potential to avert the
deaths of hundreds of thousands of children in the Northern Nigerian context. But there is a lack of
data on long-term outcomes and rising concerns over high post-discharge relapse and mortality
rates.
The ABU team will examine the short- and long-term survival, health and growth outcomes of a
sample of approximately 600 children treated in a CMAM programme in a randomly-selected LGA
(Bakori) in the state of Katsina. Survey data including information on maternal, paternal and
household characteristics, child anthropometry, health status and feeding practices will be collected
for each child at discharge from the out-patient clinic and then again in the home, six months after
discharge. The data will allow for the analysis of risk factors associated with good and poor shortand
long-term outcomes. Interviews will be conducted with health workers and community leaders
to assess their level of knowledge and understanding about the programme. Focus group discussions
will be conducted with service users to explore the accessibility and acceptability of the programme,
and factors in the home which may contribute to good or poor long-term outcomes. Data collection
activities started in August 2015. Findings are expected to be disseminated around the end of 2016.
The team will use a targeted dissemination strategy to ensure that its findings are widely
communicated. The dissemination plan includes activities targeted at three kinds of audiences: (1)
the general public, through ‘town hall meetings’; (2) state and LGA-level policymakers, programme
managers and other key nutrition stakeholders; and (3) the scientific community, via presentations
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at scientific conferences and at least one article in an international peer-reviewed journal. Contextspecific
evidence like this, generated by high quality research, is essential to underpin the Scaling-up
Nutrition agenda in Nigeria.
Developing new research skills
The grant is accompanied by support activities, including on-going informal support and guidance
and formal training provided by ORIE’s researchers. These support activities are designed to
strengthen data collection and analysis and to provide a forum for trouble-shooting as and when
problems arise. The formal program includes training in qualitative and quantitative research
methods, the use of specialised software packages for data analysis, and general research skills such
as writing research grant applications and scientific papers, and using electronic literature.
The team
Dr Professor MN Sambo is the Principal Investigator. The other team members are: Dr SH Idris, Dr
S.S. Bashir, Dr B.P. Zakariyya, and Dr H.N. Kera. All are based in the department of Community
Medicine. Please direct any queries about the research to Dr SH Idris at
idrissuleman2003@yahoo.com. For more information on ORIE please contact Dr Vincent Ahonsi on
vincent.ahonsi@orie-ng.org.
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