Mother, Infant and Young Child Nutrition & Malnutrition Mother, Infant and Young Child Nutrition & Malnutrition - Feeding practices including micronutrient deficiencies prevention, control of wasting, stunting and underweight
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Malnutrition Detection and Referral
Micronutrient Deficiencies Detection

Mother, Infant and Young Child Nutrition and Malnutrition

Mother, Infant and Young Child
Nutrition and Malnutrition

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Early Detection and Referral of Children with Malnutrition

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Detection and Referral of Children with Acute Malnutrition



Adolescents: Assessment of Nutritional Status in Emergency-affected Populations

Adolescents: Assessment of Nutritional Status in Emergency-affected Populations UN Standing Committtee on Nutrition
Published in : 2000 - Available in : English

This RNIS (Refugee Nutrition Information System) supplement discusses the assessment of undernutrition in adolescents in emergency situations with a focus on acute undernutrition. The World Health Organization (WHO) defines adolescents as persons aged 10-19 years old. This is one of the few publications on this age group.
Assessment of Nutritional Status in Emergency-Affected Populations - Adolescents

Downloads :
Adolescents: Assessment of Nutritional Status in Emergency-affected Populations (PDF, 636.99Kb)
Adolescents: Assessment of Nutritional Status on Emergency-Affected Populations
Originally posted at : www.unscn.org/en/publications/nics/index.php#Supplements


Adults: Assessment of Nutritional Status in Emergency-Affected Populations

Adults: Assessment of Nutritional Status in Emergency-Affected Populations UN Standing Committee on Nutrition
Published in : 2000 - Available in : English

This RNIS (Refugee Nutrition Information System) supplement describes simple techniques suitable for the assessment of the nutritional status of adults aged 20-60 years in emergency-affected populations. The BMI (Body Mass Index), MUAC (Mid-upper Arm Circumference), and clinical models are assessed for their usefulness in determining the prevalence of chronic undernutrition in adults at the population level, and also for screening severely undernourished adults for entrance to feeding clinics.
Assessment of Nutritional Status in Emergency-Affected Populations - Adults

Downloads :
Adults: Assessment of Nutritional Status in Emergency-Affected Populations (PDF, 300.26Kb)
Originally posted at : www.unscn.org/en/publications/nics


Assessing micronutrient deficiencies in emergencies - Current practice and future directions, October 2007 (pdf*: 326 KB)


WHO child growth standards and the identification of severe acute malnutrition in infants and children
A Joint Statement

Adults: Assessment of Nutritional Status in Emergency-Affected Populations The statement presents the recommended cut-offs, summarizes the rationale for their adoption and advocates for their harmonized application in the identification of 6 to 60 month old infants and children for the management of severe acute malnutrition. It reviews the implications on patient load, on discharge criteria and on programme planning and monitoring. It also recommends the increase of the MUAC cut-off for defining severe acute malnutrition in children 6 months to 5 years of age from 110 mm to 115 mm.

Authors: World Health Organization, United Nations Children's Fund
Number of pages: 11
Publication date: 2009
Languages: English, French
ISBN: 978 92 4 159816 3
Downloads: Full document  - pdf 257.14kB


MUAC and WHZ scores as indicators of SAM:
A consultation for operational agencies and academic specialists to better understand the evidence, identify knowledge gaps and to inform operational guidance

ENN - en-net search

ENN - MUAC search - also an excellent discussion group


How to "assess" malnutrition - since there are different types / measures of malnutrition.

It's important to consider WHY/for what purpose it's being assessed. i.e. if for entry to a CMAM (Community Management of Acute Malnutrition) programme, then don't use weight-for-age as it leads to confusion/rejected referrals/loss of confidence in a health system

A good framework/ discussion of "right measure" for "right purpose"

A review of methods to detect cases of severely malnourished children in the community for their admission into community-based therapeutic care programs.
Myatt M, Khara T, Collins S.


MUAC is also a promising tool for infants aged <6 months (though exact cutoffs are not yet clear..need to get right balance of sens and spec!)

Mid-upper arm circumference at age of routine infant vaccination to identify infants at elevated risk of death: a retrospective cohort study in the Gambia. Bulletin of the World Health Organization. 2012;90(12):887-94.
Mwangome MK, Fegan G, Fulford T, Prentice AM, Berkley JA.


Use of mid-upper arm circumference for determining overweight and overfatness in children and adolescents
MUAC may have potential for clinical and surveillance applications as an accurate yet simple and widely available indicator of overweight and overfatness in children and adolescents in resource-poor settings.



6 March, 2016
 


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