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Providing medical care for severe acute malnutrition in Jharkhand

© Nikhil Roshan

What We Do

In June 2017, MSF launched a programme in collaboration with the Ministry of Health and State Nutrition Mission in Jharkhand’s Chakradhapur block to identify and treat children with SAM using the community-based management of acute malnutrition (CMAM) model.

Severe acute malnutrition (SAM) is a medical condition that weakens the immune system and reduces the ability to fight off infection. That is why severely malnourished children have a much higher chance of dying from common childhood illnesses such as respiratory infections or diarrhoea. India has the largest burden of severe malnutrition in the world, with 93 lakh children under the age of five affected by SAM.

In 2019

MSF has been working in collaboration with the Ministry of Health and State Nutrition Mission in Jharkhand to identify and treat children with severe acute malnutrition since 2017.

In 2019, MSF admitted 1,934 severe acute malnutrition (SAM) children and followed approximately 1,000 moderate acute malnutrition (MAM) children through 47 Ambulatory Therapeutic Feeding Centres (ATFCs) across three blocks and started the follow-up of children from November 2019 onwards. MSF also did an operational research study to identify the optimal mid-upper arm circumference (MUAC) test cut-off for discharge from community-based management of acute malnutrition (CMAM) for SAM children aged between 6 to 59 months in India through a randomised controlled trial.

MSF aims to use the research analysis to publish scientific evidence for a change in MUAC cut-off point and effectiveness of CMAM.

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SAM children admitted
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MAM children followed-up through ATFC’s
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