Community Management of Acute Malnutrition - CMAM Success

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• Community Management of
• Acute Malnutrition - CMAM

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Success Story (Jalozai Camp)

• Name Shehnaz D/O Abdul Rehman (Bajawar Agency)
• Age 9 months
• MUAC 9 cm Weight 3.6kg
• OEDEMA
• Category Severely Malnourished with Complications

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MUAC 9.0cm (on Admission)
(Classic Presentation with Bilateral Pitting
Edema)
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Family History

• Shehnaz belongs to Bajawar agency.
• Her father is laborer by occupation, while her
  mother died in the military operation at Bajawar
  agency.
• Looked after by her grandmother.

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Presenting Complaints

• Bilateral pitting edema (Feet)
• Baggy skin folds.
• MUAC 9 cm
• Severe Chest Infection. (RTI)

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Management Strategy

• Admitted to Stabilization Centre (SC) for
  management of complications intensive
  Nutritional therapy(F-75, F-100, Resimole,
  Antibiotics, Plump nuts), stayed for 3 days.
• Referred back to camp level OTP Program for
  management of Severe malnutrition. (Plumpy Nuts)
• Health Promoters team followed her progress twice
  a week counseled her Grandmother on Health
  Hygiene aspects of Shahnaz BiBi.

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Tracking Progress

• Week 2nd . Edema subsided
• Week 3rd ..MUAC 9.6 cm Weight 4kg
• Week 4 MUAC 10.2 cm Weight 4.6kg
• Week 5 MUAC 10.9 cm Weight 5.1kg
• Week 6 MUAC 11.5 cm Weight 5.5kg
• Week 7 MUAC 11.8 cm Weight 5.9kg
• Shifted to Supplementary Feeding Program (SFP)
  based on desired improvement in MUAC Weight.
• Week 8MUAC 11.9cm Weight 6.2kg

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Future Plan

• Currently in SFP Shehnazs is on UNIMIX her
  MUAC Weight are improving gradually.
• She will be discharged from SFP after gaining
  MUAC reading of 12.5 or above maintaining that
  for 2 consecutive fortnightly visits.
• The Health promoters team is regularly counseling
  her Grandmother Father on appropriate
  Complementary Feeding to prevent any Future
  relapse.

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Current MUAC of 11.9cm (Recovered from 9.0cm)