Target weight setting for MAM HIV positive in OTC
This question was posted the Prevention and treatment of moderate acute malnutrition forum area and has 3 replies.
You can also reply via email – be sure to leave the subject unchanged.
» Post a reply
|
Normal user
22 Oct 2011, 16:24
|
Dear ENN collegues, Please share your experiences on attainment of 20% target weight gain among MAM HIV positive children enrolled in Outpatient therapeutic care when admitted using Yellow MUAC. From my experience, I have observed that majority are cured of acute malnutrition (attain GREEN MUAC) but still unable to reach the 20% target weight, which negatively affects program performance. I work in hospital settings prodominatly dealing with HIV infected individuals. Currently thinking of using MUAC only or reducing target weight gain to 10% which looks feasible for MAM HIV positive.. Please advice. |
|
Normal user
27 Oct 2011, 18:24
|
Dear Florence, I just wonder where this recommendation of 20% weight gain for children with a « yellow » MUAC (115-125 mm I guess) comes from. There is a recommendation in the 2009 WHO UNICEF joint statement about a 15 to 20% weight gain for children with severe acute malnutrition admitted to programmes with a MUAC < 115 mm, but this is not applicable to children with higher MUAC. A weakness of this recommendation is that it requires a higher weight gain for children who are the less malnourished and children just below 115 mm often require a long time to achieve it. On the other hand, a 15% to 20% weight gain may be insufficient for children with very low MUAC. A solution to all these problems would be to use MUAC > 125 mm as discharge criteria for children admitted in programmes based on MUAC as you suggest
|
|
Normal user
27 Oct 2011, 20:12
|
Thanks Andre for your guidance, It is a national guideline to enrol moderately malnourished HIV positive children on OTP and the target weight is set at 20%.... If you have any literature on management of MAM among HIV positive children using RUTF, kindly share with me. I will propose the use of MUAC to the stakeholders for discussion. |
|
Normal user
28 Oct 2011, 06:43
|
Dear Florence, In 2008 MSF presented data at a WHO meeting from a programme, I think it was Burkina Faso, where they gave RUTF to SAM and MAM children with this kind of % weight gain as exit criteria and they clearly showed that this resulted in very long treatment duration in MAM children (and too short treatment for the most malnourished). Most children were HIV negative. The implication was that 20% weight gain in MAM is too high as a target even in HIV negative children. I don’t think this has been published, but maybe someone from MSF reading this forum can give more detail on this study.
|
Back to top
» Post a reply