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SAM cases

This question was posted the Prevention and treatment of severe acute malnutrition forum area and has 4 replies. You can also reply via email – be sure to leave the subject unchanged.

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Normal user

5 Mar 2014, 13:17

we found in screening report high number of SAM cases comparing to MAM, in last quarter the proportion of SAM to MAM approximately 2:1, is this realistic or can be acceptable \, the normal is 1:4 or 1:3 SAM to MAM , What is the expected justification for such situation

Thank you

Anonymous 730

Nutrition and Food Security Officer

Normal user

5 Mar 2014, 13:26

With screening, you cant really expect a normal distribution of SAM:MAM cases, as the sampling is probably not representative, ie. children with SAM or MAM may form the greater number.
The reason is that your sampling method is non-probability sampling.

Anonymous 81

Public Health Nutritionist

Normal user

5 Mar 2014, 14:16

I think it is difficult to generalize the proportion of SAM to MAM. I don't think there is internationally agreed cutoff point regarding proportion of MAM to SAM. for example, if there is outbreak of diseases, there could be high case of SAM. Back to your question, there could be different factors. some of these could be;
1. The screening place or site - is it community/village level screening or health facility screening or CMAM sites?
2. what is the context of the area? - is there ongoing nutrition intervention programs? sometimes some agencies implement only SFP.
3. what the public health situation? - high prevalence of morbidities such as diarrheal disease could distort the normal pattern

Mark Myatt

Consultant Epideomiologist

Frequent user

5 Mar 2014, 18:11

The ratio you give is quite unexpected.

I have looked at a database of 500+ survey (SMART type) datasets and calculation the MAM:SAM ratio. There is quite a range:

id          muac.sev   muac.mod   who.sev   whz.mod muac.ratio whz.ratio
----------  --------   --------   -------   ------- ---------- ---------
afgh01.csv      0.90       6.90      2.60      3.85       7.67      1.48
afgh02.csv      0.23      10.65      1.49      3.32      46.30      2.23
afgh04.csv      0.64       5.90      0.21      4.08       9.22     19.43
afgh05.csv      2.09      11.00      2.09      7.37       5.26      3.53
afgh06.csv      1.08      13.71      1.62      7.56      12.69      4.67
afgh07.csv      5.65      23.89      6.51     12.17       4.23      1.87
afgh08.csv      2.41      11.81      2.89      4.82       4.90      1.67
afgh09.csv      2.17      17.35      2.39      7.37       8.00      3.08
afgh10.csv      2.16       7.78      2.48      6.38       3.60      2.57
afgh11.csv      0.98       7.72      1.85      4.56       7.88      2.46
afgh12.csv      0.54       5.39      0.76      4.53       9.98      5.96
afgh13.csv      0.43       4.11      0.76      4.10       9.56      5.39
afgh14.csv      1.47      13.58      2.63      8.95       9.24      3.40
afgh15.csv      0.64       4.79      0.75      2.98       7.48      3.97
afgh16.csv      0.74       7.01      2.23      5.53       9.47      2.48
afgh17.csv      1.73      12.62      3.24      8.19       7.29      2.53
afgh18.csv      3.13      19.96      3.76     10.76       6.38      2.86
afgh20.csv      4.55      22.65      7.32     15.46       4.98      2.11
afgh21.csv      1.59       6.77      2.43      5.08       4.26      2.09
afgh22.csv      1.59      14.61      6.86     11.03       9.19      1.61
afgh23.csv      0.56       8.89      2.11      6.56      15.88      3.11
afgh24.csv      0.21       6.26      1.25      3.55      29.81      2.84
afgh25.csv      3.97      24.97      3.45     12.33       6.29      3.57
afgh26.csv      5.00      22.71      5.10     13.23       4.54      2.59
afgh27.csv      0.53       5.90      1.37      7.59      11.13      5.54
afgh28.csv      0.54       9.56      1.71      4.12      17.70      2.41
afgh29.csv      1.76      15.89      2.05      5.42       9.03      2.64
afgh30.csv      1.51      11.75      1.51      5.82       7.78      3.85
afgh31.csv      0.75       9.75      0.90      3.15      13.00      3.50
afgh32.csv      2.80      16.00      0.78      4.92       5.71      6.31
afgh33.csv      2.00      17.49      4.5      10.75       8.75      2.37
afgh34.csv      1.68      11.53      1.68      7.44       6.86      4.43
afgh35.csv      1.43       9.26      1.76      4.97       6.48      2.82
afgh37.csv      5.31      14.29      4.90      4.90       2.69      1.00
alba01.csv      0.10       2.21      0.55      3.98      22.10      7.24
ango01.csv      2.98      16.56      2.76      5.08       5.56      1.84
ango02.csv      1.38       7.06      1.20      3.62       5.12      3.02
ango03.csv      0.56       6.79      1.22      4.12      12.13      3.38
ango04.csv      0.81      11.07      2.93      5.70      13.67      1.95
ango05.csv      1.02       9.63      2.04      4.30       9.44      2.11
ango06.csv      0.62       5.56      1.23      5.07       8.97      4.12
ango07.csv      0.74       2.98      1.49      3.35       4.03      2.25
ango09.csv      0.62       4.02      0.93      1.55       6.48      1.67
ango10.csv     14.22      32.00     13.78     16.00       2.25      1.16
ango11.csv      4.34      13.59      3.56      7.13       3.13      2.00
ango12.csv      3.67      20.31      2.36      6.29       5.53      2.67
ango13.csv      2.38      14.21      2.03      5.38       5.97      2.65
ango14.csv      2.02      13.92      1.01      3.93       6.89      3.89
ango15.csv      0.66       2.53      1.10      1.43       3.83      1.30
ango16.csv      6.16      15.27      6.41      9.20       2.48      1.44
ango17.csv      1.54      13.42      2.31      4.70       8.71      2.03
ango18.csv     11.97      24.79     13.11     14.81       2.07      1.13
burm01.csv      1.51      11.41      1.83      6.46       7.56      3.53
burm02.csv      0.75       7.47      1.60      2.46       9.96      1.54
burm03.csv      0.64      11.56      0.75      4.60      18.06      6.13
burm04.csv      3.82      20.70      5.29     16.76       5.42      3.17
burm05.csv      2.47      21.44      6.73     12.91       8.68      1.92
burm06.csv      1.88      15.17      4.65     12.40       8.07      2.67
burm07.csv      2.00      17.20      3.66     10.55       8.60      2.88
burm08.csv      1.57      13.51      3.25     16.96       8.61      5.22
buru01.csv      0.11       6.86      0.10      1.03      62.36     10.30
buru02.csv      0.37       1.86      0.37      2.42       5.03      6.54
buru03.csv      0.19       2.87      0.96      2.11      15.11      2.20
buru04.csv      0.10       1.36      0.58      2.33      13.60      4.02
buru05.csv      1.11      13.68      2.11      5.90      12.32      2.80
buru06.csv      0.22       6.02      1.83      7.42      27.36      4.05
buru07.csv      5.24      20.28      4.55      9.09       3.87      2.00
buru08.csv      3.99      17.09      3.99      7.03       4.28      1.76
buru09.csv      2.94      15.51      3.21      5.35       5.28      1.67
buru11.csv      2.76      14.75      5.07      8.29       5.34      1.64
buru12.csv      1.32       9.62      1.71      6.33       7.29      3.70
buru13.csv      4.10      15.14      4.84     10.20       3.69      2.11
buru14.csv      3.36      16.55      4.56     10.07       4.93      2.21
buru15.csv      2.79      10.37      3.34      7.36       3.72      2.20
buru16.csv      0.39       5.92      1.16      4.63      15.18      3.99
cafr01.csv      0.33       5.67      1.00      3.67      17.18      3.67
cafr02.csv      0.23       5.24      2.28      5.46      22.78      2.39
cdiv01.csv      0.22       5.56      0.89      2.00      25.27      2.25
cdiv02.csv      0.30       4.80      0.80      3.60      16.00      4.50
cdiv03.csv      0.48       5.76      1.63      4.61      12.00      2.83
chad01.csv      5.00      21.11      6.78     12.55       4.22      1.85
chad02.csv      2.09      14.65      4.96      9.03       7.01      1.82
chad03.csv      0.45       6.91      2.23      7.47      15.36      3.35
chad04.csv      2.33       9.11      4.11      9.33       3.91      2.27
chad05.csv      1.48      16.23      4.53     15.17      10.97      3.35
chad06.csv      1.75      13.10      5.57     15.50       7.49      2.78
chad07.csv      1.88      14.73      7.21     20.48       7.84      2.84
chad08.csv      2.31      15.86      3.89     15.23       6.87      3.92
chad09.csv      2.82      17.47      8.37     19.56       6.20      2.34
chad10.csv      1.05      13.01      4.72     16.27      12.39      3.45
chad11.csv      0.52       5.33      4.60     10.46      10.25      2.27
chad12.csv      0.57      13.11      4.84     17.67      23.00      3.65
chad13.csv      0.42       6.83      2.84      8.41      16.26      2.96
chad15.csv      4.82      27.55    12.40      24.22       5.72      1.95
chad16.csv      3.49      15.90      5.01     22.66       4.56      4.52
chad17.csv      1.15       9.01      2.54      9.24       7.83      3.64
chad18.csv      7.22      23.37     10.48     20.40       3.24      1.95
chad19.csv      1.80      18.67      4.50     13.61      10.37      3.02
chad20.csv      2.22      12.08      3.39      8.58       5.44      2.53
chad21.csv      0.84       9.28      2.43      7.59      11.05      3.12
chad22.csv      2.00      13.19      3.27     10.76       6.60      3.29
chad23.csv      0.88      13.61      5.26     21.28      15.47      4.05
chad24.csv      0.52      12.40      2.92     13.85      23.85      4.74
chad25.csv      1.88      12.32      6.05     18.69       6.55      3.09
chad26.csv      0.10       8.47      1.99     17.47      84.70      8.78
chad27.csv      5.00      23.95     15.26     27.63       4.79      1.81
chad28.csv      4.06      10.73      4.69     10.52       2.64      2.24
chad29.csv      0.21       8.23      3.44     16.77      39.19      4.88
chad30.csv      0.32       4.60      4.13     10.00      14.38      2.42
chad31.csv      0.63       5.16      3.07     10.81       8.19      3.52
chad32.csv      0.11       5.32      3.10     10.63      48.36      3.43
chad33.csv      0.10       2.84      1.14      5.68      28.40      4.98
drcz01.csv      0.80      10.40      1.26      4.34      13.00      3.44
drcz02.csv      2.68       6.03      3.58      4.69       2.25      1.31
drcz03.csv      0.33       2.12      1.00      2.67       6.42      2.67
drcz04.csv      0.45       5.47      0.89      3.13      12.16      3.52
drcz05.csv      2.46       5.58      3.12      5.14       2.27      1.65
drcz06.csv      6.80       8.62      7.14      5.90       1.27      0.83
drcz07.csv      1.36       8.60      0.79      2.94       6.32      3.72
drcz08.csv      1.22       5.67      3.23      4.89       4.65      1.51
drcz09.csv      2.34       9.58      3.67      8.58       4.09      2.34
drcz10.csv      1.01       6.59      2.79      5.81       6.52      2.08
drcz11.csv      1.45       8.04      3.12      8.60       5.54      2.76
drcz12.csv      1.10       9.91      6.06      7.93       9.01      1.31
drcz13.csv      2.36       4.60      2.69      6.29       1.95      2.34
drcz14.csv      1.49       7.34      1.38      2.88       4.93      2.09
drcz15.csv      1.95      12.34      1.30      5.73       6.33      4.41
drcz16.csv      1.40       9.72      0.86      5.40       6.94      6.28
drcz17.csv      7.10      10.93      6.28      2.19       1.54      0.35
drcz18.csv      3.14      13.33      3.90      5.63       4.25      1.44
drcz19.csv      2.84      13.09      2.73     10.14       4.61      3.71
drcz20.csv      1.63       6.40      1.63      3.47       3.93      2.13
drcz21.csv      3.78       3.89      4.00      3.33       1.03      0.83
drcz22.csv      0.89       6.12      0.67      3.45       6.88      5.15
drcz23.csv      1.22       7.91      4.90     12.47       6.48      2.54
drcz24.csv      3.04       7.24      5.77      4.09       2.38      0.71
drcz25.csv      3.02       7.72      5.01      6.04       2.56      1.21
drcz26.csv      2.94       5.67      4.10      6.93       1.93      1.69
drcz27.csv      1.65       8.38      1.03      3.21       5.08      3.12
drcz28.csv      2.31       6.70      7.39     12.47       2.90      1.69
drcz29.csv      10.43      6.99      9.88      3.44       0.67      0.35
drcz30.csv      4.19      12.36      4.30      5.96       2.95      1.39
drcz31.csv      8.17       7.42      7.63      2.15       0.91      0.28 *
drcz32.csv      2.20       1.21      2.53      0.77       0.55      0.30 *
drcz33.csv      8.26       7.40      7.62      2.25       0.90      0.30 *
erit01.csv      0.33      11.67      1.65      6.50      35.36      3.94
erit02.csv      0.78       9.81      3.01      9.25      12.58      3.07
ethi01.csv      0.33       5.23      0.67      6.01      15.85      8.97
ethi02.csv      3.16      20.24      5.01     14.03       6.41      2.80
ethi03.csv      0.44       8.45      1.56      5.67      19.20      3.63
ethi04.csv      0.62       2.77      1.23      4.22       4.47      3.43
ethi05.csv      0.89      13.01      2.11      7.68      14.62      3.64
ethi06.csv      0.77      12.43      1.54      9.24      16.14      6.00
ethi13.csv      0.10       7.02      1.34      7.44      70.20      5.55
ethi14.csv      2.66      11.36      4.40      9.52       4.27      2.16
ethi15.csv      2.38      12.20      3.93      9.31       5.13      2.37
ethi18.csv      0.62       3.23      0.83      5.00       5.21      6.02
ethi19.csv      2.16       9.59      3.30      7.22       4.44      2.19
ethi20.csv      2.26       9.14      2.26      8.42       4.04      3.73
ethi21.csv      1.30       9.62      1.70      7.92       7.40      4.66
ethi22.csv      0.66       8.65      0.88      4.49      13.11      5.10
ethi23.csv      0.66       4.65      0.66      2.22       7.05      3.36
ethi24.csv      0.99      16.52      3.08     12.67      16.69      4.11
ethi25.csv      0.55       9.18      0.44      3.60      16.69      8.18
ethi26.csv      1.07       7.06      0.96      4.07       6.60      4.24
ethi27.csv      0.87       7.07      0.37      3.60       8.13      9.73
ethi28.csv      0.37       5.55      0.62      2.34      15.00      3.77
ethi29.csv      1.11       8.46      2.12      9.13       7.62      4.31
ethi30.csv      0.55       8.43      2.11      7.42      15.33      3.52
ethi31.csv      1.93      16.11      2.69     12.99       8.35      4.83
ethi32.csv      0.99      12.67      1.80     11.59      12.80      6.44
ethi33.csv      0.57      11.45      1.53      8.68      20.09      5.67
ethi34.csv      0.97      13.44      2.26     11.18      13.86      4.95
ethi35.csv      0.55      12.29      1.54     10.97      22.35      7.12
ethi36.csv      0.29       6.97      0.79      6.97      24.03      8.82
ethi37.csv      0.11       7.12      1.78      9.01      64.73      5.06
ethi38.csv      0.11      11.62      1.77     12.17     105.64      6.88
ethi39.csv      0.22       7.73      0.66      7.19      35.14     10.89
ethi40.csv      0.22      12.61      2.10      9.74      57.32      4.64
ethi41.csv      0.44      12.17      1.64     11.30      27.66      6.89
ethi42.csv      0.74       5.32      2.34      9.26       7.19      3.96
ethi43.csv      0.33       7.33      1.11      5.33      22.21      4.80
ethi44.csv      0.39       5.46      1.56      6.82      14.00      4.37
ethi45.csv      1.39      10.73      2.58      7.83       7.72      3.03
ethi46.csv      3.47      16.27      4.34     10.09       4.69      2.32
ethi47.csv      2.89      15.41      4.82     12.91       5.33      2.68
ethi48.csv      1.27       8.06      2.65     13.89       6.35      5.24
ethi49.csv      0.52      10.90      0.42      4.93      20.96     11.74
ethi50.csv      8.95      28.37      6.43     14.88       3.17      2.31
ethi51.csv      4.20      22.42      1.91      8.15       5.34      4.27
ethi52.csv      1.42      12.27      2.71      9.05       8.64      3.34
ethi53.csv      0.36       8.50      1.58      8.13      23.61      5.15
eths07.csv      0.11       2.89      1.66     14.10      26.27      8.49
eths08.csv      0.44       2.18      1.31      8.72       4.95      6.66
eths09.csv      0.66       4.53      3.42     16.12      6.86      4.71
eths10.csv      0.22       5.02      3.06     15.72     22.82      5.14
eths11.csv      0.99       9.79      3.74     15.84      9.89      4.24
eths12.csv      0.88       3.51      4.39     13.48      3.99      3.07
eths16.csv      0.22       9.87      4.45     18.33     44.86      4.12
eths17.csv      1.00       9.79      6.02     15.06      9.79      2.50
guin01.csv      2.16       7.65      2.69      5.07      3.54      1.88
guin02.csv      0.24       8.84      0.72      3.94     36.83      5.47
hait01.csv      0.88       7.73      0.66      5.08      8.78      7.70
hait02.csv      0.22       3.66      0.33      2.77     16.64      8.39
hait03.csv      0.12       2.37      0.12      2.25     19.75     18.75
hait04.csv      0.54       4.86      0.86      3.57      9.00      4.15
hait05.csv      0.24       3.18      0.61      1.84     13.25      3.02
hait06.csv      0.44       4.09      0.11      3.43      9.30     31.18
hait07.csv      1.23       4.24      2.12      3.23      3.45      1.52
hait08.csv      0.54       3.37      0.87      2.50      6.24      2.87
hait09.csv      0.25       4.79      0.25      1.51     19.16      6.04
hait10.csv      0.61       4.27      0.98      2.93      7.00      2.99
hait11.csv      1.13      10.52      1.70      2.71      9.31      1.59
hait12.csv      0.67       3.24      0.89      3.24      4.84      3.64
hait13.csv      0.43       2.58      0.86      3.65      6.00      4.24
hait14.csv      1.30       6.30      1.74      4.12      4.85      2.37
hait15.csv      0.36       6.07      0.71      2.15     16.86      3.03
hait16.csv      1.00       1.71      0.29      1.71      1.71      5.90
hait17.csv      0.11       2.43      0.33      3.42     22.09     10.36
hait18.csv      0.78       6.44      1.00      4.44      8.26      4.44
hait19.csv      0.59       3.40      0.89      2.81      5.76      3.16
hait20.csv      0.26       3.33      0.38      1.92     12.81      5.05
hait21.csv      0.97       5.07      0.86      3.78      5.23      4.40
hait22.csv      0.77       7.90      0.77      4.17     10.26      5.42
hait23.csv      0.25       3.91      0.76      5.17     15.64      6.80
hait24.csv      0.33       2.93      0.22      2.49      8.88     11.32
hait25.csv      2.13       5.61      2.24      5.61      2.63      2.50
hait26.csv      0.45       9.29      1.90      7.06     20.64      3.72
hait27.csv      2.34       7.43      5.94      7.44      3.18      1.25
hait28.csv      0.10       4.35      0.47      2.95     43.50      6.28
hait29.csv      0.33       2.08      0.55      3.06      6.30      5.56
hait30.csv      0.11       2.71      0.54      4.33     24.64      8.02
indo02.csv      1.02      14.21      2.28      8.63     13.93      3.79
keny01.csv      0.87       7.58      6.72     20.04      8.71      2.98
keny02.csv      5.11       7.54      6.86     15.08      1.48      2.20
keny03.csv      1.00       3.54      3.43     17.17      3.54      5.01
keny04.csv      0.99       2.97      4.40     15.18      3.00      3.45
keny05.csv      1.89       8.10      5.33     12.87      4.29      2.41
keny06.csv      0.80       7.74      2.73     13.67      9.68      5.01
keny07.csv      0.98       4.89      7.60     20.74      4.99      2.73
libe02.csv      3.11      12.22      4.76      5.90      3.93      1.24
libe03.csv      0.27       5.96      2.71      4.61     22.07      1.70
libe04.csv      0.67       8.03      1.00      7.03     11.99      7.03
libe05.csv      0.32       6.82      1.30      6.82     21.31      5.25
libe06.csv      1.04       6.57      1.38      3.81      6.32      2.76
libe07.csv      0.44      11.78      1.11      6.89     26.77      6.21
libe08.csv      1.02       8.65      1.27      4.84      8.48      3.81
libe09.csv      0.75       8.99      0.37      7.50     11.99     20.27
libe10.csv      0.25       8.35      1.23      4.67     33.40      3.80
libe11.csv      0.71       5.65      1.65      3.06      7.96      1.85
libe12.csv      1.95       9.21      4.98     10.19      4.72      2.05
libe13.csv      1.87      12.82      5.07     10.68      6.86      2.11
libe14.csv      3.68      17.10      4.22     11.15      4.65      2.64
libe15.csv      0.43       6.07      1.84      3.69     14.12      2.01
libe16.csv      9.05      18.21    11.83      13.69      2.01      1.16
libe17.csv      3.40      10.32      6.46     10.09      3.04      1.56
libe18.csv      2.11       8.43      3.40      6.20      4.00      1.82
libe19.csv      0.25       3.23      0.50      1.49     12.92      2.98
libe20.csv      1.70       6.04      2.65      5.52      3.55      2.08
libe21.csv      1.25       8.10      1.60      4.22      6.48      2.64
libe22.csv      0.99      10.35      1.87      7.93     10.45      4.24
libe23.csv      0.89       8.36      1.17      5.92      9.39      5.06
libe24.csv      1.11       7.91      0.99      6.18      7.13      6.24
libe25.csv      1.71      11.14      1.95      5.29      6.51      2.71
libe26.csv      2.25       6.52      2.84      5.93      2.90      2.09
libe27.csv      1.70      10.40      2.55      5.52      6.12      2.16
libe28.csv      0.70       5.92      1.62      2.90      8.46      1.79
libe29.csv      0.33       4.98      1.66      4.32     15.09      2.60
libe30.csv      5.94      15.52     14.79     13.82      2.61      0.93 *
libe31.csv      1.79       6.71      2.24      3.91      3.75      1.75
libe32.csv      0.49       2.81      0.98      3.29      5.73      3.36
mace01.csv      0.57       1.14      0.91      1.37      2.00      1.51
mala01.csv      2.28       3.20      3.65      2.97      1.40      0.81
mala02.csv      2.41       3.61      3.72      3.07      1.50      0.83
mala03.csv      5.28      16.29      9.66     10.23      3.09      1.06
mala04.csv      3.57      12.86      5.73      7.24      3.60      1.26
mala05.csv      3.18      10.82      4.67      5.83      3.40      1.25
mala06.csv      4.57       8.94      5.80      4.95      1.96      0.85
mala07.csv      3.40      10.10      5.23      6.98      2.97      1.33
mala08.csv      1.26       7.34      0.85      1.97      5.83      2.32
mala09.csv      1.45      10.05      1.22      2.74      6.93      2.25
moza01.csv      0.71       6.00      0.57      1.57      8.45      2.75
moza02.csv      2.24      12.31      1.87      5.97      5.50      3.19
moza03.csv      3.05      12.69      2.54      6.09      4.16      2.40
moza04.csv      4.76      12.70      8.57     10.80      2.67      1.26
moza05.csv      0.42       1.26      1.26      1.67      3.00      1.33
moza06.csv      1.83       4.57      1.37      5.02      2.50      3.66
moza07.csv      5.20       9.20      7.20      8.40      1.77      1.17
moza08.csv     10.10      18.82     10.10     12.55      1.86      1.24
moza10.csv      4.52       7.74      3.87      2.26      1.71      0.58 *
nica01.csv      0.67       0.67      0.89      1.11      1.00      1.25
nica02.csv      1.23       1.06      1.41      0.53      0.86      0.38
nige01.csv      0.82       7.20      1.95      8.47      8.78      4.34
nige02.csv      2.59      13.35      4.50     13.76      5.15      3.06
nige03.csv      4.59      19.43      9.38     17.08      4.23      1.82
nige04.csv      4.71      18.27      7.79     12.98      3.88      1.67
paki01.csv      1.10       6.04      2.52      4.29      5.49      1.70
paki02.csv      1.90      10.70      3.57      6.13      5.63      1.72
paki03.csv      1.65      14.25      1.77      5.77      8.64      3.26
paki04.csv      0.34       5.94      1.71      4.80     17.47      2.81
paki05.csv      2.52      10.76      3.52      4.73      4.27      1.34
paki06.csv      1.33       6.67      4.56     13.44      5.02      2.95
paki07.csv      0.65       5.44      2.61      4.68      8.37      1.79
paki08.csv      1.74       7.63      1.85      3.38      4.39      1.83
paki09.csv      0.87       4.33      1.73      1.74      4.98      1.01
rwan01.csv      6.32      15.43     10.01     11.05      2.44      1.10
rwan02.csv      0.71       1.96      1.07      0.98      2.76      0.92 *
rwan03.csv      0.64       4.01      1.12      0.97      6.27      0.87 *
rwan04.csv      0.22       1.34      1.23      3.56      6.09      2.89
rwan05.csv      4.45      16.69      4.17      8.90      3.75      2.13
rwan06.csv      2.12      13.97      2.65      6.28      6.59      2.37
rwan07.csv      7.48      24.68      7.48     10.67      3.30      1.43
rwan08.csv      1.70      17.01      1.70      5.78     10.01      3.40
rwan09.csv      2.32      15.30      4.17      9.50      6.59      2.28
rwan10.csv      4.52      20.65      1.61      7.10      4.57      4.41
rwan11.csv      5.73      20.38      2.87      7.00      3.56      2.44
rwan12.csv      3.33      19.63      1.85      2.96      5.89      1.60
rwan13.csv      5.07      14.86      6.87      9.23      2.93      1.34
sier01.csv      1.78       8.99      1.54      5.68      5.05      3.69
sier02.csv     12.26      37.42     16.98     23.27      3.05      1.37
sier03.csv      7.73      23.91    11.44      14.58      3.09      1.27
sier04.csv      1.63      14.71      1.31      5.23      9.02      3.99
sier05.csv      7.52      24.01    11.24      14.75      3.19      1.31
sier06.csv      1.82       7.49      2.14      4.81      4.12      2.25
sier07.csv      0.63      10.55      0.95      5.80     16.75      6.11
sier08.csv      0.74       8.17      2.23      6.69     11.04      3.00
sier09.csv      0.33       6.79      2.67      5.01     20.58      1.88
sier10.csv      0.33       8.71      1.74      4.68     26.39      2.69
sier11.csv      0.47       9.68      1.75      6.18     20.60      3.53
sier12.csv      3.89       6.96      4.25      5.30      1.79      1.25
sier13.csv      0.31       5.56      1.34      7.00     17.94      5.22
sier14.csv      1.06      10.55      1.29      5.16      9.95      4.00
sier15.csv      2.12       8.03      1.67      5.24      3.79      3.14
sier16.csv      4.52      22.69      7.98     11.24      5.02      1.41
sier17.csv      3.44      20.11      5.44     12.23      5.85      2.25
sier18.csv      2.59      11.35      4.58      9.17      4.38      2.00
sier19.csv      9.88      27.16      9.65     19.87      2.75      2.06
sier20.csv      6.11      24.61      5.41     11.69      4.03      2.16
sier21.csv      1.06      13.18      1.63      6.18     12.43      3.79
sier22.csv      3.01      18.84      6.01     15.23      6.26      2.53
sier23.csv      1.56       8.44      2.00      7.78      5.41      3.89
sier24.csv      1.54       6.85      4.79      6.34      4.45      1.32
sier25.csv      4.03      14.83      4.66      8.90      3.68      1.91
sier26.csv      2.41      13.60      5.48     10.75      5.64      1.96
sier27.csv      0.89       9.78      1.33      4.11     10.99      3.09
sier28.csv      2.06       9.95      1.26      3.20      4.83      2.54
sier29.csv      0.79       9.59      1.35      3.73     12.14      2.76
sier30.csv      0.96       6.08      1.28      5.87      6.33      4.59
sier31.csv      1.46       9.94      1.99      5.65      6.81      2.84
sier32.csv      1.16      11.67      3.47      8.94     10.06      2.58
sier33.csv      2.47      21.93      6.97     15.98      8.88      2.29
sier34.csv      0.78      12.44      2.02      7.62     15.95      3.77
sier35.csv      1.59      15.11      2.73     10.45      9.50      3.83
sier36.csv      9.86      28.56      8.49     19.61      2.90      2.31
sier37.csv      4.86      15.82      3.62     10.39      3.26      2.87
sier38.csv      4.52      25.99      7.34     13.68      5.75      1.86
soma01.csv      1.38       1.80      4.76     11.64      1.30      2.45
soma02.csv      2.34      14.05      3.46      9.14      6.00      2.64
soma03.csv      8.60      28.45     11.69     17.64      3.31      1.51
soma04.csv     10.94      25.08     12.49     14.58      2.29      1.17
soma05.csv      1.41      13.74      2.42      9.30      9.74      3.84
soma06.csv      0.44       4.44      1.11      7.78     10.09      7.01
soma07.csv      0.97       6.80      2.75      7.77      7.01      2.83
soma08.csv      1.68       5.03      1.40      2.51      2.99      1.79
soma09.csv      1.79      22.47      6.56     12.92     12.55      1.97
soma10.csv      1.34      13.06      3.12     12.31      9.75      3.95
soma11.csv      0.61       5.49      1.83      1.52      9.00      0.83 *
soma12.csv      2.53      18.99      3.38     10.97      7.51      3.25
soma13.csv      6.11      21.67      8.11     14.22      3.55      1.75
soma14.csv      6.48      28.75      9.79     11.69      4.44      1.19
soma15.csv      9.65      23.28    11.58      12.42      2.41      1.07
soma16.csv      3.33      16.27      6.84     12.20      4.89      1.78
soma17.csv      4.98      12.05      6.49      9.85      2.42      1.52
sril01.csv      0.78       8.80      3.12     15.70     11.28      5.03
sril02.csv      0.07       2.93      1.79     13.66     41.86      7.63
sril03.csv      1.37       3.75      5.12     15.70      2.74      3.07
sudd02.csv      0.53       4.86      0.85      5.92      9.17      6.96
sudd03.csv      0.44       2.83      1.74      5.67      6.43      3.26
sudd04.csv      0.11       4.25      0.78      7.60     38.64      9.74
sudd05.csv      0.24      10.15      5.13     16.51     42.29      3.22
sudd06.csv      1.78      17.39      8.03     15.72      9.77      1.96
sudd07.csv      1.79      17.00      5.70     16.78      9.50      2.94
sudd08.csv      1.45      16.46      3.00     16.91     11.35      5.64
sudd09.csv      1.56      21.43      7.92     19.87     13.74      2.51
sudd10.csv      0.21       5.36      2.84     10.93     25.52      3.85
sudd11.csv      0.10       2.98      1.34      5.45     29.80      4.07
sudd12.csv      0.42      10.01      2.74     14.86     23.83      5.42
sudd13.csv      0.32       3.68      0.97      3.79     11.50      3.91
sudd14.csv      0.24       4.28      0.59      4.76     17.83      8.07
sudd15.csv      1.88      13.54      5.10     11.67      7.20      2.29
sudd16.csv      0.62       2.29      1.35      8.86      3.69      6.56
sudd17.csv      0.73       9.29      3.55     14.93     12.73      4.21
sudd18.csv      0.31       4.38      1.77      9.06     14.13      5.12
sudd19.csv      1.67      15.15      6.17     18.70      9.07      3.03
sudd20.csv      0.10       6.05      1.77      9.92     60.50      5.60
sudd21.csv      1.68       9.04      4.73     11.04      5.38      2.33
sudd22.csv      0.73       5.00      2.56     13.78      6.85      5.38
sudd23.csv      0.31       5.10      2.29     15.73     16.45      6.87
sudd24.csv      0.21       6.77      2.40     15.31     32.24      6.38
sudd25.csv      1.88       9.79      4.27     15.11      5.21      3.54
sudd26.csv      2.61      14.72      7.72     19.63      5.64      2.54
sudd27.csv      0.72      16.47      4.53     19.81     22.88      4.37
sudd28.csv      0.22      13.05      3.98     18.59     59.32      4.67
sudd29.csv      4.68      19.47     15.11     22.55      4.16      1.49
sudn16.csv      0.53       5.07      1.80      4.64      9.57      2.58
sudn17.csv      0.31       5.42      1.98      8.23     17.48      4.16
sudn18.csv      2.20       6.16      4.95     10.34      2.80      2.09
sudn19.csv      2.63      18.11      4.11     13.15      6.89      3.20
sudn20.csv      9.58      28.41     14.12     19.00      2.97      1.35
sudn21.csv      2.40      11.23      5.49     13.72      4.68      2.50
sudn22.csv      0.96       7.46      3.30      8.96      7.77      2.72
sudn23.csv      0.51       5.01      1.53      8.08      9.82      5.28
sudn24.csv      1.07       7.24      5.09     13.94      6.77      2.74
sudn25.csv      0.85       8.70      5.31     11.25     10.24      2.12
sudn26.csv      0.74       8.55      2.60     12.27     11.55      4.72
sudn27.csv      1.23      10.98      4.64     17.24      8.93      3.72
sudn28.csv      0.74       4.68      3.20      9.61      6.32      3.00
sudn29.csv      0.36       9.11      3.04     12.32     25.31      4.05
sudn30.csv      0.51      10.66      2.54     13.70     20.90      5.39
sudn31.csv      0.21       5.56      1.68      5.66     26.48      3.37
sudn32.csv      0.52       7.13      2.62     11.11     13.71      4.24
sudn33.csv      0.56       7.01      2.11      9.68     12.52      4.59
sudn34.csv      0.88       9.68      3.81     14.37     11.00      3.77
sudn35.csv      0.84      15.27      3.56     19.56     18.18      5.49
sudn36.csv      0.94       9.83      4.39     16.64     10.46      3.79
sudn37.csv      0.10       9.11      4.08     12.36     91.10      3.03
sudn38.csv      0.73       6.82      2.62     13.22      9.34      5.05
sudn39.csv      0.64      10.29      3.75     17.47     16.08      4.66
sudn40.csv      0.52       8.71      2.41     17.21     16.75      7.14
sudn41.csv      0.43       9.70      3.09     16.21     22.56      5.25
sudn42.csv      1.00      13.27      6.02     16.50     13.27      2.74
sudn43.csv      0.89      10.90      4.78     15.69     12.25      3.28
sudn44.csv      0.78      10.57      4.78     19.14     13.55      4.00
sudn45.csv      1.00       9.33      5.11     16.00      9.33      3.13
sudn46.csv      1.64      17.42      9.42     20.48     10.62      2.17
sudn47.csv      5.60      23.20     12.20     25.40      4.14      2.08
sudn48.csv      1.95      11.69      8.01     20.99      5.99      2.62
sudn49.csv      1.32      11.31      8.01     23.82      8.57      2.97
sudn50.csv      3.81      13.77     10.38     18.43      3.61      1.78
sudn51.csv      0.94       8.92      1.68      7.55      9.49      4.49
sudn52.csv      0.92      13.35      1.53      7.03     14.51      4.59
sudn53.csv      0.93       9.28      1.03      6.81      9.98      6.61
sudn54.csv      0.51      10.05      1.62      6.81     19.71      4.20
sudn55.csv      1.84      12.77      1.84      5.92      6.94      3.22
sudn56.csv      1.67      11.00      3.11      7.78      6.59      2.50
sudn57.csv      1.72      11.72      2.69      8.92      6.81      3.32
sudn58.csv      2.60      20.93      5.97     18.43      8.05      3.09
sudn59.csv      0.83       9.47      2.60      9.00     11.41      3.46
sudn61.csv      1.12      12.79      3.15      7.61     11.42      2.42
sudn63.csv      1.25       8.34      4.31     11.96      6.67      2.77
sudn64.csv      2.22       3.73      3.63      9.76      1.68      2.69
suds01.csv      1.58      11.74      2.93     12.19      7.43      4.16
suds02.csv      2.20      12.53      4.40     17.14      5.70      3.90
suds03.csv      0.25       5.15      2.21     11.03     20.60      4.99
suds04.csv      2.05       8.22      5.71     10.73      4.01      1.88
suds05.csv      0.26       9.50      1.19     10.82     36.54      9.09
suds06.csv      0.63       9.15      2.00      9.04     14.52      4.52
suds07.csv      1.34      21.94      7.35     25.72     16.37      3.50
suds08.csv      2.21      10.66      4.41     18.75      4.82      4.25
suds09.csv      1.06       6.05      1.97      6.50      5.71      3.30
suds10.csv      0.97       9.96      4.33     17.21     10.27      3.97
suds11.csv      0.76      11.03      8.73     23.91     14.51      2.74
suds12.csv      0.45      11.88      5.83     18.39     26.40      3.15
suds13.csv      1.01       9.24      8.23     20.92      9.15      2.54
suds14.csv      0.71      18.59      2.59     13.65     26.18      5.27
suds15.csv      8.38      20.08      8.77     14.82      2.40      1.69
suds16.csv      0.93      20.68      6.48     22.07     22.24      3.41
suds17.csv      1.09       6.23      2.73      6.89      5.72      2.52
suds18.csv      5.85      25.60     11.49     19.76      4.38      1.72
suds19.csv      4.43      26.25      8.63     24.86      5.93      2.88
suds20.csv      0.87      15.03      3.49     13.72     17.28      3.93
suds21.csv      6.48      19.22      5.83      9.94      2.97      1.70
suds22.csv      1.12      10.01      4.16     10.69      8.94      2.57
suds23.csv      1.00      10.63      2.44     11.29     10.63      4.63
suds24.csv      2.77      16.34      6.59     13.83      5.90      2.10
suds25.csv      0.78      10.40      2.86      8.06     13.33      2.82
suds26.csv      2.18      24.16     16.11     27.01     11.08      1.68
suds27.csv      0.21       7.23      4.26     17.65     34.43      4.14
suds28.csv      1.42       9.43      2.36     10.38      6.64      4.40
suds29.csv      2.56      12.89      6.22     16.22      5.04      2.61
suds30.csv      7.56      17.89     10.33     15.56      2.37      1.51
suds31.csv      2.22       8.50      7.02     17.38      3.83      2.48
suds32.csv      2.33      12.33     11.22     21.56      5.29      1.92
suds33.csv      1.09      11.62      6.73     20.85     10.66      3.10
suds34.csv      1.45       5.07      4.59     14.25      3.50      3.10
suds35.csv      3.36      12.06     10.32     16.05      3.59      1.56
suds36.csv      2.66      16.95      8.23     13.92      6.37      1.69
suds37.csv      2.58      16.88      8.09     13.95      6.54      1.72
suds38.csv      5.07      17.20     18.07     23.39      3.39      1.29
suds39.csv      1.13       8.59      6.34     13.38      7.60      2.11
suds40.csv      9.82      18.75      9.15     21.99      1.91      2.40
suds41.csv      6.33      24.78     18.67     17.00      3.91      0.91 *
suds42.csv      1.72      15.48     14.50     23.46      9.00      1.62
suds43.csv      0.80       4.39      3.59     12.50      5.49      3.48
suds44.csv      0.76       4.35      3.21     13.80      5.72      4.30
suds45.csv      0.80       4.91      3.45     13.95      6.14      4.04
suds46.csv      3.89       8.33      5.28     13.47      2.14      2.55
suds47.csv      2.22      17.89     12.33     26.00      8.06      2.11
suds48.csv      3.82      25.33     12.99     29.91      6.63      2.30
suds49.csv      2.87      22.72     10.11     22.22      7.92      2.20
suds50.csv     10.01      18.13      8.90     17.24      1.81      1.94
suds51.csv      0.69       3.58      2.19     14.67      5.19      6.70
suds52.csv      1.36      15.28      3.27      9.14     11.24      2.80
suds53.csv      0.22       5.67      1.74     10.80     25.77      6.21
suds54.csv      1.11       4.46      2.35      9.28      4.02      3.95
suds55.csv      3.57      10.03      5.80     11.15      2.81      1.92
suds56.csv     12.89      12.52     14.99     10.91      0.97      0.73 *
suds57.csv      2.55      10.63      7.64     18.05      4.17      2.36
suds58.csv      1.74      14.21      7.16     17.24      8.17      2.41
suds60.csv      0.85       7.66      4.04     16.39      9.01      4.06
suds61.csv      1.00       5.44      2.89     12.33      5.44      4.27
suds62.csv      1.49       6.67      2.53      7.24      4.48      2.86
suds63.csv      0.13       3.93      3.05     11.54     30.23      3.78
suds64.csv      0.43       9.57      3.33     15.59     22.26      4.68
suds65.csv      0.21      16.70      3.70     16.91     79.52      4.57
suds66.csv      0.22      10.64      3.73     18.42     48.36      4.94
suds67.csv      3.10       6.21      6.87      9.32      2.00      1.36
taji01.csv      2.78       9.23      3.45      5.23      3.32      1.52
taji02.csv      9.57      20.47    10.90       7.12      2.14      0.65
taji03.csv      2.89      12.44      4.11      4.89      4.30      1.19
taji04.csv      6.40      14.00      6.93      8.67      2.19      1.25
taji05.csv      2.70      14.06      4.39      5.51      5.21      1.26
tanz01.csv      1.69       6.86      1.35      3.49      4.06      2.59
tanz02.csv      1.69       6.85      1.35      3.37      4.05      2.50
tanz03.csv      1.95       3.90      2.71      4.01      2.00      1.48
tanz04.csv      1.12       9.26      1.56      6.59      8.27      4.22
tanz05.csv      0.98       8.81      1.31      5.33      8.99      4.07
tanz06.csv      3.64       6.55      5.45      7.64      1.80      1.40
ugan01.csv      3.00      11.21      2.89      6.54      3.74      2.26
ugan02.csv      2.58      10.05      2.84      5.92      3.90      2.08
ugan03.csv      2.33      12.84      2.33      5.60      5.51      2.40
ugan04.csv      6.17      15.74      4.16      6.42      2.55      1.54
ugan05.csv      2.84       8.25      4.33      8.53      2.90      1.97
ugan07.csv      1.43       7.51      2.03      4.76      5.25      2.34
ugan08.csv      0.10       6.69      0.01      0.83     66.90     83.00
ugan09.csv      0.67       7.80      0.67      4.01     11.64      5.99
ugan10.csv      1.08      10.78      0.65      1.29      9.98      1.98
ugan11.csv      1.51       8.56      2.52      5.29      5.67      2.10
ugan12.csv      1.75      12.38      2.06      6.04      7.07      2.93
ugan13.csv      2.16      12.88      1.73      5.41      5.96      3.13
ugan14.csv      0.94      10.39      1.05      6.09     11.05      5.80
ugan15.csv      1.39       5.72      0.77      2.94      4.12      3.82
ugan16.csv      1.61      11.02      1.88      5.92      6.84      3.15
ugan17.csv      0.75       8.54      0.75      6.03     11.39      8.04
ugan18.csv      1.78       5.45      2.20      2.93      3.06      1.33
ugan19.csv      1.31      7.38       1.77      3.74      5.63      2.11
ugan20.csv      1.16       7.08      1.37      3.28      6.10      2.39
ugan21.csv      0.83       5.39      1.14      1.24      6.49      1.09
ugan22.csv      0.72       4.20      0.94      1.38      5.83      1.47
ugan23.csv      3.11       8.55      3.11      4.92      2.75      1.58
ugan24.csv      0.40       4.83      0.80      3.49     12.08      4.36
ugan25.csv      1.00       7.44      1.00      4.78      7.44      4.78
ugan26.csv      0.89       7.45      1.11      4.12      8.37      3.71
ugan27.csv      0.74       6.91      1.60      5.19      9.34      3.24
ugan28.csv      0.77       3.33      1.28      2.82      4.32      2.20
ugan29.csv      0.99      12.41      1.99      7.44     12.54      3.74
ugan30.csv      2.33      10.33      2.78      4.78      4.43      1.72
ugan31.csv      0.92       5.94      1.84      2.36      6.46      1.28
zamb01.csv      1.42       5.47      1.82      3.04      3.85      1.67
----------  --------   --------   -------   ------- ---------- ---------

Your 2:1 SAM:MAM ratio is 0.5 in the table above. There are only a handful of surveys with that ratio.

I think that the reasons given by Anon730 and Kirros are correct. You are probably seeing the most wasted children coming for screening.

I hope this helps.

Anonymous 490

SMART Survey Consultant

Normal user

6 Mar 2014, 04:03

This is very funny situation. It is the MAM cases that graduate into SAM. There is no way MAM cases can be less than the SAM cases. If the supervision was not done well, enumerators might have been measuring SAM cases only to make look like the area was not doing good nutritionally. I have done surveys for the last 7 years but I have never a case of the kind.

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