United Nations University (UNU) Food and Nutrition Bulletin Volume
27, No. 3 (Supplement: SCN Nutrition Policy Paper No. 21), September 2006Food
and Nutrition Bulletin Volume 27, No. 3: Proceedings of an Informal Consultation
on Community-based Management of Severe Malnutrition in ChildrenSee
Also: Emergency Nutrition; Infant
& Child Nutrition
 FANTA
supported WHO and the Standing Committee on Nutrition (SCN) to host a meeting
on community-based management of severe malnutrition in children in Geneva on
November 21–23, 2005. The meeting brought together some 50 international experts
and representatives from the World Food Program (WFP), the United Nations High
Commissioner for Refugees (UNHCR), the Red Cross, research institutions, major
international non-governmental organizations, and representatives of ministries
of health. The consultation concluded: "community-based
management of severe malnutrition is an effective intervention to treat a large
number of children suffering from severe acute malnutrition with a very low case
fatality rate, provided adequate dietary and medical treatment is delivered, close
follow-up is ensured and early detection is implemented at community level. Integration
of such programs as part of the routine health system would have a major public
health impact and contribute to the achievements of the Millennium Development
Goals. This can only be accomplished by mainstreaming the management of severe
acute malnutrition into international, national and local health and development
agendas. Recent evidence from field programs has shown that community-based management
of severe malnutrition based on early detection of severely malnourished children
in the community – with visits to peripheral health facilities and home-based
management of the patients without complications - is effective and can be implemented
at high levels of coverage in target populations."
The
consultation agreed on guiding principles for the implementation of community-based
management of severe acute malnutrition and next steps for updating global recommendations
and country level health policies for the inclusion of management of severe acute
malnutrition as an essential intervention towards achieving the MDGs for poverty
and child mortality reduction. From the meeting, a WHO/UNICEF joint statement
on appropriate treatment is under preparation. In September 2006, a special supplement
(Volume 27, No. 3 and SCN Nutrition Policy Paper No. 21) was produced by the United
Nations University publication Food and Nutrition Bulletin. The special
supplement is provided here and reports on the recent developments and the emerging
consensus taking place in this rapidly evolving area of the management of severe
malnutrition. From the informal consultation and subsequent reporting,
field guidelines and training modules will be developed based on the general principles,
conclusions, and recommendations derived from the meeting, which, if implemented
on a large scale, will prevent thousands of child deaths. The special supplement
complements the recent launch of the CTC Manual
that is now available.
Download Food and Nutrition Bulletin
Volume 27, No. 3 Supplement [1.9 mb]
| | Also
available by section: | | Section
Contents | Pages | Size |
| Table of
Contents and Foreword [Briend, Prudhon, Weise Prinzo, Daelmans, and Mason] | i
- 6 | 95
kb | | Background
Papers | | A
Review of Methods to Detect Cases of Severely Malnourished Children in the Community
for their Admission into Community-based Therapeutic Care Programs [Manary,
Khara, and Collins] | 7-23 | 371
kb | | Efficacy
and Effectiveness of Community-based Treatment of Severe Malnutrition [Ashworth] | 24-48 | 390
kb | | Key
Issues in the Success of Community-based Management of Severe Malnutrition
[Collins, Sadler, Dent, Khara, Guerrero, Myatt, Saboya, and Walsh] | 49-82 | 826
kb | | Local
Production and Provision of Ready-to-use Therapeutic Food (RUTF) Spread for the
Treatment of Severe Childhood Malnutrition [Manary] | 83-89 | 247
kb | | The
Sustainability of Community-based Therapeutic Care (CTC) in Nonemergency Contexts
[Gatchell, Forsythe, and Thomas] | 90-98 | 158
kb | | Proceedings
and Participants | | Proceedings
of the WHO, UNICEF, and SCN Informal Consultation on Community-based Management
of Severe Malnutrition in Children and List of Participants [Prudhon, Weise
Prinzo, Briend, Daelmans, and Mason] | 99-108 | 147
kb | 
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