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pmid:35152906
Mapping the prevalence of severe acute malnutrition in Papua, Indonesia by using geostatistical models.
Paul Jasper · Warren C Jochem · Emma Lambert-Porter · Umer Naeem · Chigozie Edson Utazi
BMC nutrition · 2022 doi:10.1186/s40795-022-00504-z
Paper
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Experiment
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Data
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Analysis
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Execution
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Complete file
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The prevalence of child malnutrition is recorded through large-scale household surveys run at multi-year intervals. However, these surveys are expensive, yield estimates with high levels of aggregation, are run over large time intervals, and may show gaps in area coverage. Geospatial modelling approaches could address some of these challenges by combining geo-located survey data with geospatial data to produce mapped estimates that predict malnutrition risk in both surveyed and non-surveyed areas.\nMETHODS: A secondary analysis of cluster-level program evaluation data (n = 123 primary sampling units) was performed to map severe acute malnutrition (SAM) in Papuan children under 2 years (0-23 months) of age with a spatial resolution of 1 × 1 km in Papua, Indonesia. The approach used Bayesian geostatistical modelling techniques and publicly available geospatial data layers.\nRESULTS: In Papua, Indonesia, SAM was predicted in geostatistical models by using six geospatial covariates related primarily to conditions of remoteness and inaccessibility. The predicted 1-km spatial resolution maps of SAM showed substantial spatial variation across the province. By combining the predicted rates of SAM with estimates of the population under 2 years of age, the prevalence of SAM in late 2018 was estimated to be around 15,000 children (95% CI 10,209-26,252). Further tests of the predicted levels suggested that in most areas of Papua, more than 5% of Papuan children under 2 years of age had SAM, while three districts likely had more than 15% of children with SAM.\nCONCLUSIONS: Eradication of hunger and malnutrition remains a key development goal, and more spatially detailed data can guide efficient intervention strategies. The application of additional household survey datasets in geostatistical models is one way to improve the monitoring and timely estimation of populations at risk of malnutrition. Importantly, geospatial mapping can yield insights for both surveyed and non-surveyed areas and can be applied in low-income country contexts where data is scarce and data collection is expensive or regions are inaccessible.", "claims": [{"id": "claim-method", "statement": "The geostatistical model was estimated in a Bayesian framework using integrated nested Laplace approximations (INLA) for the latent Gaussian models [15].", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:35152906", "locator": "sections[4] \"Geostatistical model\" paragraph 3", "quote": "The geostatistical model was estimated in a Bayesian framework using integrated nested Laplace approximations (INLA) for the latent Gaussian models [15]."}], "state": "complete"}, {"id": "claim-data-access", "statement": "The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:35152906", "locator": "sections[16] \"Availability of data and materials\" paragraph 2", "quote": "The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request."}], "state": "complete"}, {"id": "claim-target-result", "statement": "At the province level, the geostatistical model estimated that 6.3% (95% CI 4.2–10.9%) of Papuan children under 2 years of age were experiencing SAM in late 2018.", "kind": "qualitative", "target": null, "evidence": [{"asset": "source:pmid:35152906", "locator": "sections[5] \"Results\" paragraph 5", "quote": "At the province level, the geostatistical model estimated that 6.3% (95% CI 4.2–10.9%) of Papuan children under 2 years of age were experiencing SAM in late 2018."}], "state": "complete"}], "gaps": []}, "experiment": {"state": "partial", "objective": "At the province level, the geostatistical model estimated that 6.3% (95% CI 4.2–10.9%) of Papuan children under 2 years of age were experiencing SAM in late 2018.", "steps": [{"id": "read_published_estimate", "order": 1, "name": "Read the published estimate from the source", "kind": "other", "state": "complete", "blocked_on": null, "description": "The claim, method and evidence span published with the source article.", "duration_hours": null, "parameters": {}, "inputs": ["source:pmid:35152906"], "outputs": ["the published estimate and its evidence"], "instruments": [], "reagents": []}, {"id": "obtain_source_data", "order": 2, "name": "Obtain the source data from the named repository", "kind": "data-preparation", "state": "blocked", "blocked_on": "data:accession_absent", "description": "The GEO series accession resolves and its sample accessions are listed. 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