Reduced Dosage and/or Visitation Protocol for the Treatment of Acute Malnutrition in Kenya

Inclusion Criteria

• •6-59.9 months of age at admission into treatment
• •Child admitted to the national treatment program according to the following criteria:
• •* For SAM: WHZ \<-3 or MUAC \<115 mm or presence of bilateral oedema, absence of clinical complications, pass the appetite test
• •* For high-risk MAM: -3 ≥ WHZ \<-2 or 115mm ≥ MUAC \<125 mm, and one or more of the following factors: MUAC of 115-119 mm, weight-for-age z-score (WAZ) \< -3, age \< 24 months, failing to recover from MAM after receiving other interventions (e.g. counselling, nutrient dense diet), relapse, history of SAM, co-morbidity (medical problems needing mid- or long-term follow-up care, and with a significant association with nutritional status, such as HIV, tuberculosis, or a physical or mental disability)
• •Accompanied by caregiver or legal guardian
• •Caregiver or legal guardian consents to participate