{
  "abstract": "Background\n\nCommunity-based management of acute malnutrition (CMAM) often lacks context-specific evidence regarding the scaling and age-stratification of Take-Home Rations (THR). This study evaluates the association of nutritional recovery at four-month follow-up with this age-appropriate augmented THR (\"Shishu Shakti\"), delivering 490 kcal and 17 g of protein per 100 g versus standard uniform THR, which yielded 432.27 kcal and 13.95 g of protein per 100 g among children with uncomplicated severe acute malnutrition (SAM) in Southern Jharkhand.Methods\n\nA community-based prospective cohort study enrolled 205 children aged 6-59 months with uncomplicated SAM. Group A (n= 139) received the age-stratified augmented Shishu Shakti THR (90-160 g/day), while Group B (n = 66) received the uniform standard THR (180 g/day). Anthropometric parameters and nutritional classifications were tracked over a four-month longitudinal follow-up.Results\n\nSignificant baseline disparities existed between cohorts: Group A children were younger (26.85 ± 14.41 months vs. 35.48 ± 15.33 months; t = -3.924, p < 0.001) and presented with lower baseline weight (7.71 ± 2.03 kg vs. 9.26 ± 2.29 kg; t = -4.899, p < 0.001). At the four-month follow-up, Group A achieved a significantly higher nutritional recovery rate (75.5%, n = 105) compared to Group B (60.6%, n = 40) (χ2 = 11.15, p = 0.011). Persistent Moderate Acute Malnutrition (MAM) at discharge was lower in Group A (13.7%, n = 19) than in Group B (33.3%, n = 22). Age-stratified tracking confirmed superior normalization across all younger age tiers in the intervention cohort.Conclusion\n\nChildren receiving the age-stratified augmented THR had a higher crude proportion of nutritional recovery at four months than children receiving the standard uniform THR.",
  "abstract_shown": true,
  "affiliations": [
    "Community Medicine, Rajendra Institute of Medical Sciences, Ranchi, IND.",
    "Preventive Medicine, Rajendra Institute of Medical Sciences, Ranchi, IND.",
    "Pediatric Surgery, Rajendra Institute of Medical Sciences, Ranchi, IND."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Shalini Sundram"
    },
    {
      "affs": [
        0
      ],
      "name": "Anit Kujur"
    },
    {
      "affs": [
        1
      ],
      "name": "Manisha Kujur"
    },
    {
      "affs": [
        1
      ],
      "name": "Kumari Asha Kiran"
    },
    {
      "affs": [
        1
      ],
      "name": "Vidya Sagar"
    },
    {
      "affs": [
        2
      ],
      "name": "Hirendra Birua"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/94gh7ensvn1sy.bib",
  "cited_by": 0,
  "doi": "10.7759/cureus.116521",
  "fulltext_url": "https://europepmc.org/articles/PMC13679995",
  "id": "94gh7ensvn1sy",
  "issns": [
    "2168-8184"
  ],
  "landing_url": "https://europepmc.org/article/MED/42899044",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2916|Child Nutrition and Water Access"
    ]
  ],
  "openalex": "W7213674401",
  "pdf_url": "https://europepmc.org/articles/PMC13679995?pdf=render",
  "pmcid": "PMC13679995",
  "pmid": "42899044",
  "published": "2026-09-19",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/94gh7ensvn1sy.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:41Z",
      "native_id": "MED:42899044",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42899044"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:F27",
      "subfield": "general"
    }
  ],
  "title": "Impact of an Age-Stratified Augmented Take-Home Ration on Nutritional Recovery in Under-Five Children With Uncomplicated SAM: A Community-Based Prospective Study in Southern Jharkhand.",
  "title_text": "Impact of an Age-Stratified Augmented Take-Home Ration on Nutritional Recovery in Under-Five Children With Uncomplicated SAM: A Community-Based Prospective Study in Southern Jharkhand.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:41Z",
  "url": "https://research.draconitic.com/paper/94gh7ensvn1sy",
  "venue": "Cureus",
  "versions": []
}