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Discharge criteria for OTP in areas with both therapeutic and supplementary feeding

This question was posted the Management of wasting/acute malnutrition forum area and has 2 replies.

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Normal user

12 May 2011, 09:35

Hi, Is there a documented practice or experience wherein the discharge criteria for OTP has been modified in sites where there is also SFP? Many thanks!

Junaid Chohan

Nutritionist / Concern Worldwide

Normal user

21 Jul 2011, 09:20

Discharge criteria for OTP is MUAC > 11.5 cm at two consecutive visits and evidence of weight gain 15 % weight gain of the admission at the time of discharge.


Action Against Hunger UK

Technical expert

4 Aug 2011, 12:26

There are many variations on discharge criteria. If you are using the NCHS standards then discharge from OTP where there is SFP is often done at >80% WFH or >85% if no SFP. The 15% weight gain criterion is being discredited in some studies (notably MSF). This criterion results in the least wasted requiring the greatest weight gain for recovery. If you are using the new WHO GS then WFH >-2Z seems to be standard for discharge from OTP to SFP. The MUAC should, as previously noted be > 11.5cm on discharge in any case.

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