TIP: Work closely with authorities to gather information on areas that will be targeted by screenings, as this will strengthen community participation and support during implementation and monitoring of the activity. TIP: When planning screening activities, ensure referral pathways and promote availability of services to which beneficiaries can be referred. A screening in itself does not have any impact on improved nutrition situation if children in need are not referred to facility-based or community-level nutrition programmes and treated. However rapid assessments based on rapid MUAC screenings are sometimes undertaken to identify whether these services are needed or not. TIP: Where applicable, take into consideration factors that can affect referral such as referral fees and ensure you have solution that can increase referral rates and include this in your costing. Suggested indicators: Type of indicator Unit of measurement Indicator Output Facility - Number of children screened for acute malnutrition in a community. Output. process Facility - Number of cases with severe acute malnutrition referred to inpatient care or hospital or outpatient therapeutic care (OTP). Output. process Facility - Number of cases with moderate acute malnutrition referred for treatment Output. process Facility - Number of with severe acute malnutrition correctly referred and admitted to inpatient care or hospital or outpatient therapeutic care (OTP). Output. process Facility - Number of cases with moderate acute malnutrition correctly referred and admitted for treatment While preparing the budget, consider the following:
presence of bilateral pitting oedema and weight-for-height less than -3 standard deviations of the median of the standard population (WHO 2006) Output Facility - Number of with severe acute malnutrition newly admitted for treatment. Outcome Individual - Proportion of with severe acute malnutrition receiving treatment Outcome Facility – SPHERE standard is ≥ 75% (Proportion of discharged cases with severe acute malnutrition who recovered Output Facility – SPHERE standard ≤15%, (Proportion of discharged with severe acute malnutrition who defaulted Process Facility – SPHERE standard is ≤ 10% (Proportion of with severe acute malnutrition who died during treatment Process Facility - Proportion of discharged cases with severe acute malnutrition who non-recovered Output Facility - Average weight gain for cases with severe acute malnutrition receiving treatment Output Facility - Average duration of SAM treatment Output Individual - Proportion of the target population with severe acute malnutrition living within less than one day's return walk from management of SAM site – SPHERE standard Output Individual - Number of caretakers disaggregated by sex who have received awareness sessions on good nutrition/IYCF practices Output Individual Referrals - Proportion of children who have been admitted in SC, stabilized and referred to OTP to finish SAM treatment Output Facility WASH Quality at OTP - Output Facility Sanitation facility coverage - Process Facility Proportion of nutrition partners following the CMAM protocol While preparing the budget, consider the following: Outpatient Management of Severe Acute Malnutrition