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Post a reply: Administering Folic Acid for MAM children with Anemia

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I am working in a setting where childhood anemia is 40 to 60% for total anemia and 15 to 25% for Moderate and severe anemia. CMAM program is running in the area for quite a long time.

While there are clear guidelines on administration of folic acid for SAM children with Anemia (WHO 2013, National SAM protocols) it is not clear how to manage MAM children in TSFP with Anemia. We are considering to do the same (provide FA for Anemic cases) for MAM children. Does any one have similar experience? What will be the likely dangers or unwanted effects? What hemoglobin cut-off point should we use to guide the supplementation for children on RUSF?

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