guidelines for the integrated management of severe acute malnutrition

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ACF-In Guidelines for the integrated management of SAM Annexes 150 3. TAKING THE WEIGHT Children are weighed by using a 25 kg hanging sprint scale graduated to 0.100 kg. Do not forget to readjust the scale to zero before each weighing A plastic washing-basin should be attached by 4 ropes that go underneath the basin. The basin needs to be close to the ground in case the child falls out, and to make the child feel secure during weighing. If the basin is dirtied then it should be cleaned with disinfectant. This is much more comfortable and familiar for the child, can be used for ill children and is easily cleaned. Weighing pants, that are used during surveys, should not be used; they are uncomfortable, difficult to use, inappropriate for sick children and quickly get soiled to pass an infection to the next patient. When the child is steady, record the measurement to the nearest 100 grams, the frame of the scale being at eyes level. Each day, the scales must be checked by using a known weight.
ACF-In Guidelines for the integrated management of SAM Annexes 151 4. TAKING THE LENGTH/HEIGHT For children less than 87 cm (85cm will be used if NCHS criteria are used), the measuring board is placed on the ground. The child is placed, lying along the middle of the board. The assistant holds the sides of the child’s head and positions the head until it firmly touches the fixed headboard with the hair compressed. The measurer places her hands on the child’s legs, gently stretches the child and then keeps one hand on the thighs to prevent flexion. While positioning the child’s legs, the sliding footplate is pushed firmly against the bottom of the child’s feet. To read the measure, the foot-plate must be perpendicular to the axis of the board and vertical. The height is read to the nearest 0.1 centimetre.
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Page 181 and 182: Cover photography: © ACF, Anne-Dom
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guidelines for the integrated management of severe acute malnutrition

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