Management of Malnutrition in Children Under Five Years
Integrated Management of Acute Malnutrition
Diagnosis of Acute Malnutrition
Decision-making at a glance
- A child with Severe Acute Malnutrition (SAM) with medical complications and NO APPETITE (based on appetite test) should be admitted for In-patient Care:
Medical conditions include:
- Gross oedema (+++)
- High or low body temperature
- Acute or prolonged respiratory infection
- Watery diarrhoea - vomiting
- Extensive oral thrush
- Very pale eyes and palms (severe anaemia)
- Irritability or loss of consciousness
- A child with Severe Acute Malnutrition (SAM) can be admitted as an Out-patient with Ready-to-Use-Therapeutic-Feeding (RUTF) if there are NO medical complications and if the child has a GOOD APPETITE (based on appetite test).
A short training video on the RUTF appetite test (following the WHO guidelines) is also available here.
- A child with Moderate Acute Malnutrition (MAM) should be referred to Supplementary Feeding Programs (if program available).
14 September, 2019