Home Health Community Based Managment of Acute Malnutrition (CMAM)

Community Based Managment of Acute Malnutrition (CMAM)

Worldwide, nearly 20 million children under five years are estimated to be suffering from severe acute malnutrition (SAM) at any given time. The recently published Lancet Series on maternal and child under nutrition recognises SAM as one of the top three nutrition-related causes of death in children under-five years.

The objectives of this model are to:

  • Address and rectify malnutrition in under 05 years children.
  • Address and rectify malnutrition in pregnant and lactating women PLWs.


  • The assessment is done by nutrition team at fix or mobile OTP (Out Patient Therapeutic Program) through MUAC (Mid Upper Arm Circumference).
  • The Moderate Acute Malnutrition (MAM), MUAC (11.5 cm-12.4 cm) is identified and admitted at SFP (Supplementary Feeding Program). They are given plumpy nuts supplement for two months. High energy biscuits are given to siblings to prevent malnutrition along with plumpy nuts’ supplement.
  • Severe Acute Malnutrition (SAM), MAUC < 11.5 cm, without medical complications is admitted at OTP according to the criteria and plumpy nuts are given. Children are reassessed after a period of two weeks and transferred after two months to SFP when their MAUC is more than 11.5 cm. All identified SAM children are checked for height, weight and vitals by the team.
  • The SAM children with medical complications (edema, vomiting, persistent diarrhea or loss of appetite) are referred to Stabilizing Center (SC). WHO standardized treatment is given to these children.
  • The Pregnant and Lactating Women (PLW) with less than 21 cm MUAC are admitted at SFP. About 2.25 kg vegetable oil and soya blended flour is given to them for two months, once each month. The women are reassessed after two months and if MAUC is more than 21 cm then they are discharged. But if MAUC is still less than 21 cm, they are further reassessed/observed for two weeks at SFP. In case of no improvement they are referred to secondary / tertiary care facility.
  • All the data is shared with stakeholders in Nutrition Information System (NIS).