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OTP Discharge Criteria in CMAM programme

This question was posted the Prevention and treatment of severe acute malnutrition forum area and has 1 replies. You can also reply via email – be sure to leave the subject unchanged.

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Anonymous 426

Emergency Nutrition Advisor

Normal user

12 Jun 2019, 05:32

Dear readers,

The ‘WHO- 2013 guidelines updates on the management of severe acute malnutrition in infant and children’ recommended beloow discharge criteria;

  •  weight-for-height/length is ≥–2 Z-score and they have had no oedema for at least 2 weeks,
  • or -mid-upper-arm circumference is ≥125 mm and they have had no oedema for at least 2 weeks.

My fellow colleagues could you please share your experience, if you are practicing the WHO’s 2013 recommended discharge criteria to discharge children (6-59 months old) from your OTP? Or you are using the old discharge criteria which is:

  • weight-for-height/length is≥ -3 Z -score and they have had no oedema for at least 2 weeks,
  • or — mid-upper-arm circumference is ≥115 mm and they have had no oedema for at least 2 weeks,

We are applying the old discharge criteria, but if resource permits we may follow WHO  2013 recommended criteria.  But before we move in, we need to know global practices. For example, Malawi, Somalia and Afghanistan national CMAM guidelines followed WHO recommendation in their guidelines but in practice which discharge criteria are you using currently.

Looking forward to hear from you.

Thanks,

Tamsin Walters

en-net moderator

Forum moderator

17 Jun 2019, 21:51

From Sayed Rahim Rastkar:

Hello

Afghanistan is using the ‘WHO- 2013 guidelines updates since 2014.

Thanks 

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