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[PDF] DECISION-MAKING TOOL FOR MODERATE ACUTE - ReliefWeb

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99944_7DECISION_TOOL_FOR_MAM_w_exceptional_cicumstances__May_2017_update_final1.pdf

MODERATE ACUTE MALNUTRITION:

A DECISION TOOL FOR EMERGENCIES

MAM Task Force

Updated March 2017

Photo: WFP/Challiss McDonough

TABLE OF CONTENTS

I. Introduction to the MAM Decision Tool ................................................................................ 1

A. Background and rationale for the decision tool: ........................................................................ 1

B. Aims and approach of the decision tool: .................................................................................... 1

C. Information required for using the decision tool: ...................................................................... 2

D. Audience for the decision tool and guidance: ............................................................................ 2

E. Timeline for using the tool: ......................................................................................................... 3

F. Caveats for using the tool: .......................................................................................................... 3

II. How to use the Decision Tool ................................................................................................ 4

A. Determine the appropriate programme type/objective ............................................................ 5

1. Situational Analysis ................................................................................................................. 5

2. Risk of deterioration ............................................................................................................... 6

3. Determine programme recommendation .............................................................................. 8

B. Determining the programme modality and operation ............................................................. 10

1. Prevention of acute malnutrition ......................................................................................... 10

2. Treatment of moderate acute malnutrition ......................................................................... 15

3. Both prevention of acute malnutrition and treatment of MAM .......................................... 18

4. No additional intervention for MAM but further situation monitoring ............................... 18

C. Review and Revise .................................................................................................................... 18

III. Specialised Nutritious Foods ............................................................................................... 19

IV. Programme Linkages for Prevention of Acute Malnutrition and Management of MAM in

Emergencies .............................................................................................................................. 21

1. Severe acute malnutrition (SAM) .............................................................................................. 22

2. Infant and Young Child Feeding (IYCF-E) ................................................................................... 22

3. Health and Water/Sanitation .................................................................................................... 22

4. Food Security and Livelihood Programmes .............................................................................. 22

V. Evaluation of the MAM Decision Tool.................................................................................. 23

VI. Appendices......................................................................................................................... 24

APPENDIX A: RISK SCORING .......................................................................................................... 24

APPENDIX B: DETERMINING PROGRAMME RECOMMENDATION ................................................ 25

APPENDIX C: SPECIALISED NUTRITIOUS FOODS SHEET ................................................................ 26

APPENDIX D: OPTIONS FOR EXCEPTIONAL COMMUNITY BASED MANAGEMENT OF ACUTE

MALNUTRITION PROGRAMMING IN EMERGENCIES .................................................................... 28

LIST OF ACRONYMS

AM Acute Malnutrition

ARI Acute Respiratory Infection

BSFP Blanket Supplementary Feeding Programme

CMAM Community based Management of Acute Malnutrition

CSB Corn Soy Blend

FBF Fortified Blended Foods

GAM Global Acute Malnutrition

GFD General Food Distribution

GNC Global Nutrition Cluster

IASC Interagency Standing Committee

IDP Internally Displaced Person

IPF In-patient Facility

IYCF-E Infant and young child feeding

LBW Low Birth Weight

LNS Lipid-based Nutrient Supplement

MAM Moderate Acute Malnutrition

MND Micronutrient Deficiencies

MNP Micronutrient Powder

NGO Non-Governmental Organisation

OTP Outpatient Therapeutic Program

PLW Pregnant and Lactating Women

RUF Ready-to-Use Food

RUSF Ready-to-Use Supplementary Food

RUTF Ready-to-Use Therapeutic Food

SAM Severe Acute Malnutrition

SBCC Social and Behaviour Change Communication

SFP Supplementary Feeding Programme

TSFP Targeted Supplementary Feeding Programme

UN United Nations

UNHCR United Nations High Commissioner for Refugees UNICEF hv]

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