guidelines for the integrated management of severe acute malnutrition

ACF-In Guidelines for the integrated management of SAM Contents 8
PHASE 2 FOR CHILDREN WHO CAN NOT BE TRANSFERRED TO OTP ...............................105
1. DIET ...................................................................................................................................................105
2. DISCHARGE CRITERIA .................................................................................................................107
INFANTS LESS THAN 6 MONTHS OLD ______________________________________ 108
Infant with a Female Caretaker.......................................................................................................108
1. Organisation ....................................................................................................................................109
2. Admission criteria ..........................................................................................................................109
3. Management ....................................................................................................................................110
• Preparation of the SS-milk ____________________________________________________________ 111
• Amounts to give by SS technique ______________________________________________________ 112
• Progress___________________________________________________________________________ 112
4. Supplementary Suckling Technique...........................................................................................113
5. Routine Medicine ............................................................................................................................114
6. Care for the mothers ......................................................................................................................114
• Drugs that stimulate milk production ____________________________________________________ 115
• Cleaning the tube ___________________________________________________________________ 115
7. Discharge criteria ...........................................................................................................................115
Infant without any Prospect of Being Breast-Fed ......................................................................116
1. Admission Criteria ........................................................................................................................116
2. Management ....................................................................................................................................116
• ACUTE-PHASE _____________________________________________________________________ 116
• TRANSITION PHASE ________________________________________________________________ 117
• RECOVERY-PHASE ________________________________________________________________ 117
3. Discharge criteria ...........................................................................................................................117
MONITORING AND EVALUATION ___________________________________________ 119
1. The SAM number ............................................................................................................................119
2. Definitions used in compiling the reports .................................................................................120
• Categories of patient _________________________________________________________________ 120
• Type of admission to an OTP__________________________________________________________ 121
• Types of discharge and transfer from OTP _______________________________________________ 121
• Type of admission to an in-patient facility ________________________________________________ 123
• Type of discharge and transfer from an in-patient facility ___________________________________ 123
3. Tools .................................................................................................................................................124
• OTP tools __________________________________________________________________________ 124
• In-Patient Tools _____________________________________________________________________ 125
• In patient multi-chart is the primary tool for managing in-patients (see annexes 9 and 10) ________ 125
4. Quantitative indicators ..................................................................................................................126
• Monthly statistics report for In and Out Patients (see annex 14)______________________________ 126
• Indicators for each in-patient facility. ____________________________________________________ 127
• Indicators for each OTP ______________________________________________________________ 129
• RUTF consumption __________________________________________________________________ 131
• Consolidated report for whole programme _______________________________________________ 131
5. Minimum standards .......................................................................................................................133
REFERENCE LIST ________________________________________________________ 134