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New UNICEF classification standards for malnutrition

This question was posted the Management of small and nutritionally at risk infants under six months and their mothers (MAMI) forum area and has 2 replies.

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Anonymous 40599

Médecin

Normal user

10 Mar 2021, 09:41

I would like to know the new WHO and Unicef classification standards on the severity of malnutrition. Is it now recommended to use these for making decisions?

Alfred Zerfas

UNICEF (retired)

Normal user

10 Mar 2021, 11:05

Refer you to the joint publication of WHO/UNICEF 

WHO Child Growth Standards and the Identification of Severe Acute Malnutrition in Infants and Children Joint Statement WHO/UNICEF, 2009. 

https://apps.who.int/iris/bitstream/handle/10665/44129/9789241598163_eng.pdf

Weight/height <-3 SD reference or MUAC <115 mm or Bilateral pitting oedema. This was for children aged 6-60 months; no estimates given for Children aged 0-5 months in this publication. 

Welcome others to add to this.

Dr Marko Kerac

LSHTM

Normal user

9 May 2021, 12:22

Dear colleague,

For sure you should be using WHO 2006 child growth standards in your programmes / decision making. See here for lots of information on these https://www.who.int/tools/child-growth-standards

See also however this piece "Severe malnutrition’: thinking deeply, communicating simply" https://gh.bmj.com/content/5/11/e003023 for a discussion and relfection on interpreting anthropometry and the pros/cons of current case definitions.

Good luck!

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