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Severe Acute Malnutrition Treatment

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In India, Severe Acute Malnutrition (SAM) is amongst the top causes of deaths for children under five years of age. The current official treatment protocol for SAM in our country is facility-based approach or F-SAM, which in a lay men’s term is where SAM children with medical complications are treated at a facility. The number of SAM children with medical complications are close to 10-15% of the total SAM children, the question here is, how the rest of the 85-90% of SAM children without medical complication are treated? The answer is they are left at the community level, to be taken care by angawadi’s and at home. Why is that a problem you ask? These 85-90% of children are 9 times more likely to die as compared to a healthy child. It is very important to provide treatment for uncomplicated severe acute malnutrition at the community level as well.