I would like to know the new WHO and Unicef classification standards on the severity of malnutrition. Is it now recommended to use these for making decisions?

Refer you to the joint publication of WHO/UNICEF 

WHO Child Growth Standards and the Identification of Severe Acute Malnutrition in Infants and Children Joint Statement WHO/UNICEF, 2009. 

https://apps.who.int/iris/bitstream/handle/10665/44129/9789241598163_eng.pdf

Weight/height <-3 SD reference or MUAC <115 mm or Bilateral pitting oedema. This was for children aged 6-60 months; no estimates given for Children aged 0-5 months in this publication. 

Welcome others to add to this.

Alfred Zerfas

Answered:

3 years ago

Dear colleague,

For sure you should be using WHO 2006 child growth standards in your programmes / decision making. See here for lots of information on these https://www.who.int/tools/child-growth-standards

See also however this piece "Severe malnutrition’: thinking deeply, communicating simply" https://gh.bmj.com/content/5/11/e003023 for a discussion and relfection on interpreting anthropometry and the pros/cons of current case definitions.

Good luck!

Dr Marko Kerac

Answered:

3 years ago
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