Addressing a neglected problem: Community-based management of acute malnutrition
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International Food Policy Research Institute
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SEVERE ACUTE MALNUTRITION (SAM)—extremely low weight for one’s height—is a life-threatening condition affecting mostly children under five years of age. It is caused by a combination of infection, such as diarrheal disease, and poor diets that are inadequate for nutritional needs. SAM is one of the top three nutrition-related causes of death in children under five according to the 2008 Maternal and Child Nutrition Lancet Series. A child with SAM is 11 times more likely to die than a well-nourished child. Despite the size of the problem, until the early 2000s SAM appeared to be a so-called neglected disease: little support went to large-scale treatment programs targeted toward children with SAM. Few countries-even among those with a high preva-lence of malnutrition-had a clear national pol-icy for detecting and treating SAM children.10 The development and adoption of a new approach-the community-based management of acute malnutri-tion (CMAM)-was to change the public health nutrition landscape by bringing treatment out of hospitals and into the community
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maternal and child health, education, infants, health, nutrition policies, agricultural policies, agricultural research, social protection, water, stunting, agriculture, micronutrient deficiencies, malnutrition, nutrition, trace elements, infant feeding, developing countries, children, hygiene, social safety nets, resilience, obesity, wasting disease