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close this bookNutrition Guidelines (MSF, 1995, 191 p.)
close this folderPart III Selective feeding programmes
View the document1. Justification for selective programmes
View the document2. Criteria for admission and discharge to selective feeding programmes
View the document3. Screening and selection
View the document4.Treatment in a therapeutic feeding centre
View the document5. Treatment in supplementary feeding programmes
View the document6. Implementation and management of a feeding centre
View the document7. Registration and monitoring
View the document8. Evaluation of feeding programmes
View the document9. Food management

3. Screening and selection

Once a nutrition survey (using weight-for-height) has justified the opening of targeted feeding programmes, the quickest way to identify all eligible children is by means of a population screening of mid-upper arm circumference (MUAC):

1. Execute a MUAC screening of all children between 6 months and 5 years (or height < 110 cm) in the population (Instructions in Annex 2.).

2. All children whose MUAC is < 13.5 cm and/or oedema will be selected to have
their weight and height measured.

3. Children whose W/H is 70% - 79%(<- 2 Z-Scores) will be selected for supplementary feeding.

4. Children with W/H < 70% (< - 3 Z-Scores) and/or oedema, and/or those with MUAC < 110 mm will be selected for therapeutic feeding.

MUAC is a suitable tool for initial screening but admission to the feeding programmes should be based on W/H (see Fig. 14). However, because presence of bilateral oedema or a MUAC < 110 mm indicate an increased risk of death and acute malnutrition, these attributes also justify admission to a TFP, regardless of W/H.

· In a settled population, all households should be informed to bring their children below 5 years to the feeding centre for screening,
· or house mass screening can be organized,
· or regular screening can be performed through household visits of community health workers,
· or new arrivals in a refugee camp should be screened during their registration.