Scribd
Upload
132 views

CMAM Community Based Management of

The document discusses the components and procedures of supplementary feeding programs (SFP) within community-based management of acute malnutrition (CMAM) programs. SFPs provide supplementary rations to children aged 6-59 months with moderate acute malnutrition, pregnant women in their second/third trimester with MUAC <21, and lactating women with children <6 months and MUAC <21. The enrollment procedure involves measuring MUAC, explaining the program, registering beneficiaries, issuing ration cards and take-home rations, and providing key messages. Beneficiaries return monthly or bi-weekly for monitoring and more rations, and are exited once MUAC is >12.5 for children or >21 for women after a minimum 3

Uploaded by

Zia Baloch
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
132 views

CMAM Community Based Management of

The document discusses the components and procedures of supplementary feeding programs (SFP) within community-based management of acute malnutrition (CMAM) programs. SFPs provide supplementary rations to children aged 6-59 months with moderate acute malnutrition, pregnant women in their second/third trimester with MUAC <21, and lactating women with children <6 months and MUAC <21. The enrollment procedure involves measuring MUAC, explaining the program, registering beneficiaries, issuing ration cards and take-home rations, and providing key messages. Beneficiaries return monthly or bi-weekly for monitoring and more rations, and are exited once MUAC is >12.5 for children or >21 for women after a minimum 3

Uploaded by

Zia Baloch
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 18

CMAM Community Based Management Of Acute Malnutrition

HABIB UR REHMAN
Program Coordinator

Objectives of Program
O The overall objective of CMAM is to save lives

of malnourished children 6-59 months and PLWs by improving nutritional status through provision of effective nutritional services at the community and facility level.

Components of CMAM
Community outreach: Community Mobilization and Screening (through MUAC at Community Level 2. Outpatient therapeutic program (OTP): (6-59month) SAM without complication 3. Supplementary feeding program (SFP): MAM children & PLWs at risk 4. Inpatient care: (6-59 months )SAM with complication
1.

Supplementary Feeding Programs (SFP)


O Children aged 6-59 months with moderate

acute malnutrition. (MUAC 11.5-12.4) with appetite and without medical complications. second and third trimester. (MUAC <21)

O Acutely malnourished pregnant women in the

O Acutely malnourished lactating women whose

child is less than 6 months old. (MUAC <21)

Who is qualified to run SFP ?


O SFP can be operated by anyone who can

read and write, can accurately interpret and record data. LHWs are best option.

Basic Supplies
O Supplementary ration (Acha MUM, HEB,

WSB, Oil) O Registration forms for children, pregnant and lactating women O SFP Ration cards O Transfer slip to OTP O Key messages for SFP O Essential medicines O Water, cup and spoon to give medicines

Enrolment Procedure STEP 1

Measure MUAC. 2. Check for edema. If there is bilateral oedema refer to OTP.
1.

Oedema Case

Enrolment Procedure Step 2


O If the child meets the criteria for SFP.
O Explain the purpose of the treatment to the

caretaker of the child or PLWs. O Register the child or pregnant or lactating woman. O Complete the admission form of the SFP ration card and assign a number.

Enrolment Procedure Step 3


O SFP take home ration is given. This is intended

to supplement the diet taken at home. O Routine medication O Ensure the SFP card is completed (the mother / caretaker takes the card home and brings it back next visit).

Enrolment Procedure Step 4; key messages

Clear advice must to be given to mothers caretakers on how to prepare the ration. O Where possible, preparation and cooking demonstrations should be given at the SFP site or in the community.
O

Enrolment Procedure Step 4; key messages

Ensure the mother/caretaker understands that the ration is intended for the malnourished individual and is not to be shared. O Explain how to store the ration safely. O Make sure the mother / caretaker knows when to return to the SFP.
O

SFP follow-up visits


O Children

and mothers should attend the SFP every month or every two weeks for monitoring and to receive their supplementary ration. O Each visit the MUAC is measured, the oedema checked. O Children with apparent medical complications should be referred to in-patient care (or the nearest health facility if this is not practical). O Children who are admitted to SFP and then deteriorate and meet entry criteria for OTP should be transferred to OTP.

Exit Criteria
O Children 6-59 months = MUAC>12.5

AND Minimum 3 months stay in the programme


O Pregnant and lactating women = MUAC>21

AND Minimum of 3 months stay in programme

O Maximum 4 months stay in programme.

Before Treatment

After Treatment

Before Treatment

After Treatment

Others Reasons for SFP Enrolment:


O Children discharged from OTP: Children who

have completed treatment in OTP should be enrolled in SFP. O Readmission: Children who have been discharged from SFP and then meet the criteria for enrolment again are counted as new enrollees. O Return after default: Children who return after defaulting (absent more than one visit if SFP is every month or two visits if SFP is every two weeks).

You might also like