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treatment of wasting

This question was posted the Simplified Approaches for the Management of Acute Malnutrition forum area and has 2 replies.

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Sher Singh Dahit

Nutrition Expert_Freelancer

Normal user

20 Jun 2020, 05:37

I am looking for 2020 WHO consultation meeting statement on Simplified approaches for the treatment of child wasting.

Tamsin Walters

en-net moderator

Forum moderator

22 Jun 2020, 15:33

Dr Maty Diagne Camara

Médecin Nutritionniste /Ministère de la Santé

Normal user

22 Jun 2020, 18:23

For the treatment of acute malnutrition we have three scenarios:

- for severe malnutrition with complications, care will be taken at the level of recovery and nutritional education centers:

Respect the SAM management protocol with complication (Cf. IMAM/CMAM protocol)

Make available all the inputs for the management of SAM with complications (F100, F75, RESOMAL and essential drugs)

Continue supplying hygiene kits to SAM children and raising awareness of compliance with treatment by avoiding mass gatherings

Refer all stabilized children to URENs (complete the reference sheet and call the health post before the referral)

Teach the mother / companion to take MUAC and to look for edema in children during hospitalization at NRU to allow them to participate in monitoring the patient who will be discharged for management at UREN

For the treatment of severe acute malnutrition without complications: at the level of recovery units and nutritional education

Screen by taking MUAC and assessing edema

  • Increase the MUAC threshold for SAM <120 mm to be more sensitive and / or
  • Edema at + and ++

Respect the protocol for systematic and nutritional treatment and call the mother / caregiver weekly for follow-up

Reduce the frequency of follow-up visits to once every 2 weeks and strengthen follow-up by telephone

Give the specific nutritional ration for two weeks

to take away (plumpynut) respecting the protocol (number of sachets depending on the child's weight)

Teach mom / caregiver to take MUAC

Encourage community actors during VAD to systematically carry out MUAC and edema assessments + or ++

Encourage the mother / carer of children monitored at UREN to take MUAC and to look for edema + or ++ between two follow-ups

Continue supplying hygiene kits to SAM children and raising awareness of compliance with treatment by avoiding mass gatherings

For the management of moderate acute malnutrition

Strengthen screening for Acute Malnutrition (AD) by taking MUAC and looking for edemas

  • SAM : MUAC <120 mm and / or presence of Edema + or ++
  • MAM: MUAC between 120 mm and 130mm

Reduce the frequency of follow-up visits to once every 4 weeks

Give the specific nutritional ration for 4 weeks (plumpysup or compound flour and other products for the management of MAM)

Ensure regular and secure VAD by relays for good monitoring of malnourished children (use and consumption of plumpysup (MAM) and plumpynut (SAM), the existence of danger signs)

Ask the mother to take the MUAC regularly and look for edema between two follow-ups

Reinforce nutritional education by relays and Bajenu Gox and with mothers / carers

Avoid mass gatherings and favor secure door-to-door approaches if possible for community screening and monitoring of children

Provide ASCs with protective masks and disinfectants

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