Table 5 Follow-up procedure for both MAM and SAM
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 | |