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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Management of Malnutrition in Children Under Five Years

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Home  »  Management of Malnutrition in Children  »  Integrated Management of Acute Malnutrition  »   Diagnosis of Acute Malnutrition  »  Decision-making at a glance

Integrated Management of Acute Malnutrition

Diagnosis of Acute Malnutrition

Decision-making at a glance

  1. 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
  1. 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.
  2. A child with Moderate Acute Malnutrition (MAM) should be referred to Supplementary Feeding Programs (if program available).


Acute Malnutrition in Children

14 September, 2019

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