In Mozambique, each child flagged as malnourished during routine growth monitoring at a well-child visit must immediately be referred for an at-risk-child visit to determine whether the child is moderately or severely acutely malnourished. However, based on a baseline assessment and visits to health facilities in Zambézia Province’s Nicoadala district, FANTA observed that children found to be malnourished at well-child visits were not being appropriately registered or referred for evaluation for possible acute malnutrition.
In Nicoadala, in consultation with well-child health staff and the district’s head of nutrition, FANTA developed a daily registry tool to register and refer malnourished children for at-risk visits. In October 2015, well-child staff in the Nicoadala health facility began using the tool to improve referral of malnourished children and track children through the referral process. The tool also enables well-child staff to more easily check on the treatment outcomes of the children they referred, which provides staff with helpful feedback on their referral decisions. Based on the experience so far, FANTA is refining the tool so it can be used to refer patients from well-child visits to other services within the health facility where malnourished patients are treated and to other health facilities.