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MAM children continuation in stunting prevention

This question was posted the Management of wasting/acute malnutrition forum area and has 1 replies.

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Najma ayub


Normal user

31 Jan 2024, 05:36

We are integrating the CMAM and stunting prevention program for 6-23months in which the children  has undergone MAM treatment in accordance with the criteria of the CMAM. If a child reached 12 centimeters with continuous improvement in some of the cases where they were enrolled in the TSFP program. After keeping them in the program for three months without any medical complications or food sharing aspect, the child reached 12 centimeters. Can we register them in the routine stunting prevention program without meeting the discharge criteria of MAM?

Kemal J. Tunne

Emergency project coordinator

Normal user

31 Jan 2024, 08:47

The short answer is yes.

Yes, in the scenario you described, it is possible to register the child in the routine stunting prevention program without meeting the discharge criteria of MAM, with some caveats:

Reasons for registering:

  • Reaching the 12 cm MUAC threshold: Achieving a MUAC of 12 cm, even without full MAM discharge criteria, indicates significant improvement and reduced risk of acute malnutrition.
  • Continuous improvement: The ongoing positive trajectory observed during TSFP participation suggests the child is still benefitting from nutritional support and preventive measures.
  • No medical complications or food sharing: The absence of these concerns minimizes the risk of relapse or compromised program effectiveness.

Caveats to consider:

  • Underlying cause of MAM not addressed: Ensure the cause of MAM has been investigated and addressed as much as possible, even if full discharge criteria aren't met. This could involve dietary counseling, addressing infections, or other interventions.
  • Close monitoring: The child should be closely monitored during the routine stunting prevention program to ensure continued progress and identify any potential issues.
  • Program appropriateness: Confirm the specific eligibility criteria and focus of the routine stunting prevention program to ensure it aligns with the child's needs at this stage.


While not meeting full MAM discharge criteria, the child's progress and current state suggest they can benefit from continued nutritional support and preventive measures offered by the routine stunting prevention program. However, careful monitoring and addressing any underlying issues are crucial for their long-term health and development.

Remember, consulting with relevant healthcare professionals familiar with the specific programs and the child's situation is always recommended for the most informed decision. They can assess the specific context and provide guidance on the most appropriate course of action.

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