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Community-based Management for Acute Malnutrition (CMAM)
Essential components of CMAM
The success of CMAM depends on four essential components, which are community outreach, supplementary feeding for children with moderate acute malnutrition (MAM), outpatient care for children with SAM without complications, and inpatient care for SAM with complications.
The success of CMAM depends on four essential components, which are community outreach, supplementary feeding for children with moderate acute malnutrition (MAM), outpatient care for children with SAM without complications, and inpatient care for SAM with complications.
1) Community outreach:
This is to mobilise the community, to raise awareness, to achieve community support and understanding and to promote community case finding and timely referral.
This is to mobilise the community, to raise awareness, to achieve community support and understanding and to promote community case finding and timely referral.
2) Supplementary feeding programmes:
This is to provide dry take-home rations and routine basic treatment for children with moderate acute malnutrition without complications.
This is to provide dry take-home rations and routine basic treatment for children with moderate acute malnutrition without complications.
3) Outpatient care for SAM children without medical complications:
At the outpatient clinic or community centre, all children are medically examined and screened for malaria, and given a broad-spectrum antibiotic such as amoxicillin and measles vaccine if aged >6 months and not immunised. Here SAM children without complications are provided with Ready-to-Use Therapeutic Food (RUTF) rations. If RUTF is unavailable, carers may use modified family foods that are energy- and nutrient-dense and give supplemental potassium, magnesium, zinc, iron and multivitamins.
At the outpatient clinic or community centre, all children are medically examined and screened for malaria, and given a broad-spectrum antibiotic such as amoxicillin and measles vaccine if aged >6 months and not immunised. Here SAM children without complications are provided with Ready-to-Use Therapeutic Food (RUTF) rations. If RUTF is unavailable, carers may use modified family foods that are energy- and nutrient-dense and give supplemental potassium, magnesium, zinc, iron and multivitamins.
4) Inpatient care or stabilisation centres:
These provide treatment for SAM children with complications.
These provide treatment for SAM children with complications.
Community outreach
Supplementary feeding programmes
Outpatient care for SAM children without medical complications
Inpatient care or stabilisation centres
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