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guidelines for the integrated management of severe acute malnutrition

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ACF-In Guidelines <strong>for</strong> <strong>the</strong> <strong>integrated</strong> <strong>management</strong> <strong>of</strong> SAM Annexes 145<br />

In-Patient Therapeutic Care Programme Draft plan<br />

1. Introduction<br />

This is a draft plan <strong>for</strong> a Stabilisation Centre. No solid plan can be given, as it depends on many<br />

different things, how your centre will be positioned and functioning.<br />

There can be different locations <strong>for</strong> SC as well: in an existing building (like a health centre or<br />

hospital), an annex to an existing building, or a completely new construction.<br />

The type <strong>of</strong> construction you make depends on:<br />

- <strong>the</strong> place available<br />

- <strong>the</strong> number <strong>of</strong> beneficiaries expected<br />

- <strong>the</strong> time <strong>the</strong> programme is expected to be in place<br />

- <strong>the</strong> time available to set up <strong>the</strong> construction<br />

- <strong>the</strong> budget available<br />

- …<br />

2. Different spaces needed<br />

- A fence or way <strong>of</strong> “separating” <strong>the</strong> SC from <strong>the</strong> surrounding area, especially if <strong>the</strong> SC is in a<br />

camp, a densely populated area and/or is <strong>the</strong>re is a high number <strong>of</strong> beneficiaries and a high<br />

pressure to get enrolled in <strong>the</strong> programme<br />

- Gates: 1 gate that can be closed and locked, large enough to have a car/truck entering<br />

- Registration room: a room where beneficiaries are weighed and measured and where <strong>the</strong><br />

registration is done. If a lot <strong>of</strong> beneficiaries come <strong>for</strong> screening, a waiting area should also be<br />

<strong>for</strong>eseen<br />

- Consultation room: a room where <strong>the</strong> medical person can do a consultation in private. Big<br />

enough, airy room, with space <strong>for</strong> an examination table, a table and some chairs<br />

- Phase 1: One room or tent(s), according to <strong>the</strong> n° <strong>of</strong> benef iciaries expected. Beneficiaries stay<br />

during day and night. It must be shady, airy but protected. On <strong>the</strong> ground a concrete floor or<br />

plastic sheeting. Space is needed <strong>for</strong> mattresses. If many beneficiaries, a separate tent should<br />

be put in place <strong>for</strong> <strong>severe</strong>ly ill children (intensive care), close to <strong>the</strong> nursing room, with space <strong>for</strong><br />

beds and a nursing cabinet<br />

- Transition phase: similar to phase 1

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