Action - GNPR 2016-2017: Prevention and management of acute malnutrition (q39) - Management of severe acute malnutrition - SAM child|Infants and young children|Preschool-age children (Pre-SAC)|Pregnant women (PW)|Lactating women (LW)|HIV cases|TB cases

Programme: GNPR 2016-2017: Prevention and management of acute malnutrition (q39)

Programme description

These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.

Programme type


WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition

The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.

Target group: 
HIV cases
Infants and young children
Lactating women (LW)
Pregnant women (PW)
Preschool-age children (Pre-SAC)
SAM child
TB cases
Implementation details : 

Target groups: children 0-5 months with SAM, children 6-59 months with SAM, pregnant women, lactating women, patients with HIV or TB, refugees. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems, if the caregiver suffers from a major illness or dies so that her replacement asks that the patient be followed in a hospital setting, or she does not wish to take care of the malnourished child or she is unable to do so, presence of one of the criteria of "treatment failure": weight loss during 2 consecutive weighings; weight loss of more than 5% of body weight at any visit; stagnant weight during 3 consecutive weighings; weighing less than 3 kg even if more than 6 months. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –1.5 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.

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