Dear It is found almost in all settlements of nutrition programs, in flux of beneficiaries/Patients in and out with different reasons are appear through out the project life span, Yes you have to address this situation with the possible and available reasons and we usually report them in a category Called "Moved Out" instead of defaulter if this is the situation which you have stated in your question Hope this will help you,,,

Thanks for your reply. We already have one option of move out to another SFP/OTP site. Now what we can do? Please suggest me.

Dear This is also one of the main challenge where I am working. I usually consider them as defaulter. I am in a disagreement with the first reply saying consider them as 'moved out'. When we say moved out, it is internal movement meaning that beneficiaries moving from one nutrition center/district to another to continue their nutritional support and medical treatment until they reach their target weight. However, your case is different, I would say you have to continue report them as defaulter. Thanks

This are under the category of defaulters record them in option of "confirmed defaulters"

Thnaks. Again this is a concern. It has an significance impact on recovery rate but we have nothing to do. We do not have any mechanism to control this. Again I would say that keep them in separate in other category. can any one share any paper related this issue?

i think we make on more option in discharge criteria (migration to an other area)

Dear Anonymous 2391! What you said, would be considered as The Reason for The Default but you cant labelled them as Moved out unless; 1) The beneficaries are moved out to another program to continue the treatment 2) The beneificaries are given the supplies for the remaining duration of their treatment because of the closure of the program 3) Return of the IDPs ( planned one) with porvision of the supplies for remaining duration What you can do is to enhance your community outreach activities and guide all caregivers of the enrolled beneficaries to inform you before migrating from your catchment area so at least you could provide them supplements for the remaining duration of the treatment. Hope this would help

Thanks all for feed backs.

we noticed anemia in children between 12-14 years in secondary schools. could be rekated to malnutrition or parasitic infestation www.fvtm.bu.edu.eg