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Two-Pronged Screening Approach to Increase Coverage A Case-Study in Dollo Ado Camps, Ethiopia From Relief to Self-Reliance Nutrition and Food Security.

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Presentation on theme: "Two-Pronged Screening Approach to Increase Coverage A Case-Study in Dollo Ado Camps, Ethiopia From Relief to Self-Reliance Nutrition and Food Security."— Presentation transcript:

1 Two-Pronged Screening Approach to Increase Coverage A Case-Study in Dollo Ado Camps, Ethiopia From Relief to Self-Reliance Nutrition and Food Security Department Daniel Takea, Alexandra Rutishauser-Perera, Caroline Abla All content in this document is the property of International Medical Corps and should not be reproduced without prior written consent.

2 IMC program in Dollo Addo CMAM in 2 camps: 4 Community Nutrition Centers in both Melkadida and Kobe (8 in total) OTP: 608 Admissions of SAM U5 (Jan-Aug 2013) Point Coverage in August 2013: 88.7% TSFP : 1,904 Admissions of MAM U5 (Jan-Aug 2013) Point Coverage in August 2013: 92.5% BSFP : Enrolled 8,043 U5 and 3,184 PLW (Jan-Aug 2013) SC : Referral to Government health center + IYCF/ECD Preventive activities

3 Screening Methodology MUAC Screening only Monthly 2 pronged screening approach Quarterly

4 Screening Children with MUAC cm are admitted to the targeted supplementary feeding program (TSFP) while children with MUAC <11.5 cm are admitted to the outpatient therapeutic feeding program (OTP).

5 Screening WHZ is measured on children in the “at-risk” category, MUAC between 12.5 and 13.5 cm for children 6-23 months and cm for children months. Children with WHZ >3SD and <-2SD are admitted to TSFP and children with WHZ <-3 are admitted to OTP, regardless of their MUAC.

6 Kobe: Screening May 2013 Identified with GAM by MUAC  86 children or 6.4% of 6-23M  18 children or 0.4% of 24-59M Identified by WFH (from MUAC at-risk)  169 children or 30.1% (6-23m)  390 children or 29.8% (24-59m)  Based on the two-step screening protocol  255 children or 19.0% (6-23 m)  408 children or 7.9% (24-59 m)

7 Melkadida: Screening May 2013 Identified with GAM by MUAC  20 children or 1% ( 6-23m)  11 children or 0.3% ( 24-59m) Identified by WFH (from MUAC at-risk)  109 children or 25.3% (6-23m)  161 children or 22.4% (24-59m)  Based on the two-step screening protocol  129 children or 6.8% (6-23 m)  172 children or 4.1% (24-59 m)

8 Recommendation 1 : At health facility level (fixed or mobile), there should be systematic case finding by MUAC to identify children requiring management of SAM. If a child is not identified by MUAC, WHZ should be measured where it is feasible (capacity in terms of materials, time and trained human resources) without jeopardizing other essential health services.

9 In Somali populations in Dollo Ado refugee camps it is clearly important to screen for acute malnutrition using both MUAC and WHZ. In July 2013, International Medical Corps has initiated a monthly two-step screening protocol for acute malnutrition in both camps.

10 Practical Implications In camp versus non camp setting Availability of resources (trained human and material) to use the two-pronged screening Availability and capacity of treatment programs to absorb the cases.


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