CHAIN NETWORK

The Childhood Acute Illness & Nutrition Network

A group of clinical experts, scientists and advisors worldwide seeking to optimize care for vulnerable children in limited resource settings

Recent Research

Plasma lipopolysaccharide levels predict mortality in acutely ill children in Low- and Middle-Income Countries

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Childhood mortality remains high in low-resource settings, where environmental enteric dysfunction (EED) is prevalent. Peripheral blood bacterial lipopolysaccharides (LPS) are potential biomarkers of intestinal microbial translocation and inflammation; however, the…

Inflammation impairs post-hospital discharge growth among children hospitalised with acute illness in sub-Saharan Africa and south Asia

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Abstract In resource-limited settings, children often experience poor growth following illness, but the mechanisms are poorly understood. This cohort study in six countries in sub-Saharan Africa and south Asia investigates…

Strengthening the paediatric clinical trial ecosystem to better inform policy and programmes

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The first WHO Global Clinical Trials Forum was convened in November 2023 to develop a shared vision of an effective global clinical trial infrastructure. In this paper, the Paediatric Clinical…

Catastrophic expenditure associated with childhood hospitalisation for acute illness in Kenya and Uganda: a cross-sectional study

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Abstract Introduction Childhood illness and hospitalisation result in both direct and indirect costs to families before, during and after admission. We aimed to estimate the catastrophic expenditure during hospitalisation for children…

Differentiating mortality risk of individual infants and children to improve survival: opportunity for impact

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Children are not born equal in their likelihood of survival. The risk of mortality is highest during and shortly after birth. In the immediate postnatal period and beyond, perinatal events,…

Barriers and enablers to the effective implementation of omics research in low- and middle-income countries

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Abstract Addressing the hurdles and opportunities associated with omics research in low- and middle-income countries may inform strategies for its effective execution, and thus increase our ability to tackle health…

Highlights 

After Hospitalization

Breaking Barriers: Dr. Caroline Tigoi’s Journey in Science and Research

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CHAIN Webinar

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CHAIN Results

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The CHAIN cohort study found that young children in sub-Saharan Africa and South Asia who become sick or malnourished continue to have a high risk of death in the six…

African researchers training to develop large-scale genomics projects

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Child Health Task Force panel discussion on CHAIN with representatives from WHO, UNICEF & USAAID.

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The CHAIN Network is  focused on optimizing the management and care of the sick and undernourished child in  resource-limited settings to improve survival, growth and development.

The CHAIN Network aims to identify the biological mechanisms and the socio-economic factors that determine a child’s risk of mortality in the six months following presentation to medical care with an acute illness.

Clinical Sites

Partner Sites

Coordination Sites

 

The CHAIN Network aims to identify the biological mechanisms and the socio-economic factors that determine a child’s risk of mortality.

 

The Network will serve as a platform for substantive clinical trials that are led within the group in order to inform policy

The CHAIN Network is funded by the
All Partners