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Table 5 Follow-up procedure for both MAM and SAM

From: Integrated and simplified approaches to community management of acute malnutrition in rural Kenya: a cluster randomized trial protocol

Follow up Discharge criteria Action
1) SAM, MUAC < 11.5 cm
Weekly visit to CHV for MUAC measurement and weight using the dosage scale and collection of RUTF as per dosage scale
Maximum of 8 weekly visits if child is progressing well Two consecutive MUAC and/or weight measurements with no change or deterioration
cured MUAC≥12.5 cm
2 consecutive green on MUAC
Discharge as cured
defaulter Misses 3 consecutive visits Exclude from the study, Trace and admit as return defaulters but not for study
Treatment failure Two consecutive MUAC and/or weight measurements with no change or deterioration Refer to health facility for further investigation
/Non-response Two consecutive MUAC measurements with no change of deterioration
Lost to follow up Misses 3 consecutive visits and cannot be traced Exclude from the study
2) MAM; 11.5 cm ≤ MUAC < 12.5 cm
Bi-weekly visits (every 2 weeks) for MUAC measurement and collection RUSF (1 sachet per day for 16 weeks
Maximum of 8 visits if cyhild is progressing well
cured MUAC≥12.5 cm
2 consecutive green on MUAC measurement
Discharge as cured
defaulter Misses 3 consecutive visits Exclude from the study, trace and admit as return defaulters but not for study
Treatment failure/non-response Two consecutive MUAC measurements with no change; deterioration on MUAC Refer to health facility for further investigation
Lost to follow up Misses three consecutive visits and cannot be traced Exclude from the study