Low access and coverage for the treatment of acute malnutrition has been as persistent and perplexing as it is unacceptable.
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A feasibility acceptability trial in 2016 and a randomised control trial of SAM (iCCM v CMAM (Community-Based Management of Acute Malnutrition) approach) is planned for 2017. Collaboration with other agencies interested in piloting is welcome. A final field test will inform a finalised toolkit. The tools have been well-received by CHWs.
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Key low-literacy challenges have been how to simplify the SAM treatment protocol how to enable admission, follow-up, discharge, correct RUTF dosage and monitor treatment and how to identify individual children on return. triage, anti-malarial protocols, symbols for gender and referral) and field tests, most recently in South Sudan. visual materials developed by a specialist design agency) alignment with iCCM protocols (e.g. only MUAC used for admission and to monitor progress) innovation (e.g. What this articles adds: The International Rescue Committee (IRC) is developing and piloting tools to enable low-literacy CHWs to treat severe acute malnutrition (SAM) without complications. Experiences from iCCM show that, with support, low-literate community health workers (CHWs) can manage pneumonia, malaria and diarrhea.
What we know: Coverage and access to acute malnutrition treatment services remains inadequate. The authors would like to acknowledge the valuable contribution of the following individuals and donor in this process: IRC South Sudan: Stephen Epiu, Stanley Anyigu, David Maluak Kuol, James Kon Kon, John Akuei Deng, Santino Anyuon Arop, Fatuma Ajwang, Katja Ericson, Kimberly Bennett, Flavia Aber and all of the CHWs who gave so much of their time and dedication IRC Mali: Marie Biotteau, Goita Ousmane, Ibrahima Siby, Mohamed El Moctar IRC Niger: Pierrot Kalubi Balonda, Jacques Maurice Ousmane IRC Chad: Franck Ntalaja Mpoyi, Philomene Ndeortolna IRC New York: Hannah Taylor, Yolanda Barbera Lainez, Austin Riggs Quicksand: Amey Bansod, Kevin Shane, Avinash Kumar, Ayush Chauhan Brixton Health: Mark Myatt. This project was funded with UK aid from the UK government. She has experience in Zimbabwe, Nigeria and South Sudan. Irene Makura is the Nutrition Coordinator at the International Rescue Committee in South Sudan, where she provides technical support to IRC’s emergency and recovery nutrition programmes.
Enabling low-literacy community health workers to treat uncomplicated SAM as part of community case management: innovation and field testsīy Casie Tesfai, Bethany Marron, Anna Kim and Irene MakuraĬasie Tesfai is a Nutrition Technical Advisor at the International Rescue Committee in New York, where she provides global technical support to IRC’s nutrition programmes and leads work on the integration of nutrition into integrated community case management (iCCM).īethany Marron is a Nutrition Specialist at the International Rescue Committee in New York, where she provides technical programme and research support to IRC’s nutrition programmes worldwide.Īnna Kim is a Communications Officer at the International Rescue Committee in New York, where she supports the communications and advocacy work of the health unit.