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3. SFP: Aim
Reduce mortality and morbidity among children 6 to
59 months.
Treatment of MAM and prevention of deterioration in
the nutritional status of acutely moderately
malnourished children to become SAM
Treat and prevent deterioration in the nutritional
status of pregnant and lactating women for a defined
time period.
4. SFP: Protocols
Registration
MUAC / Weight / Edema
Physical Examination (will be covered in OTP)
Nutritional Treatment
Vitamin A & Mebendazole at admission
Follow-up record
Fortified Blended Food (FBF) directions & Health
Education
5. SFP: Criteria for admission
Children 6-59 months
MUAC ≥ 11.5 cm and < 125 cm OR
No bilatteral pitting edema
Pregnant & lactating Women
In second and third trimester with MUAC < 21 cm
Lactating Women MUAC < 21 cm with infants < 6 months
Others
Children transferred by the OTP after completing OTP criteria for
rehabilitation.
Children transferred by SC after stabilization
Readmission after default
Readmission after successfully treated
Infants less than 6 months are not included in SFP.
6. SFP: Discharge criteria 1
MUAC is more than 12.5 cm for two consecutive
programme distributions (cured)+ minimum 2
months stay
Have been absent for more than two consecutive
distributions (defaulters)
Have to be transferred to OTP with MUAC <115mm
or on developing nutritional oedema;
7. SFP: Discharge criteria 2
Have to be transferred to a stabilization centre or
hospital due to severe medical complications;
After being discharged from OTP, have received at
least two months follow up in the SFP and have
been more than 12.5 MUAC for two consecutive
programme distributions.
8. SFP: Follow-up 1
Every registered patient is given schedule of their
next SFP visit.
At each outpatient care follow-on session, the
child receives a comprehensive evaluation that
includes:
anthropometry, medical history, and physical
examination
9. SFP: Follow-up 2
monitoring the progress of the child’s nutritional
status
verifying and excluding the presence of medical
complications
decision making for referral to inpatient care or
OTP depending on the protocol, for a follow-up
home visit, or for discharge
10. WFP-UNICEF Joint MOU for SFP
UNICEF Role. OTP, SC, Screening, Identification, Referral, Follow up,
provide medical treatment to OTP,SC and SFP, reporting etc.
WFP Role. Provide SFP food for MAM cases. Provide transportation
charges, Orientation of partners on utilization of WFP food.
11. SFP: Treatment
Nutritional treatment in SFP is given through a
supplementary ration.
This is not intended to meet all the nutritional
requirements but is to supplement the diet taken at
home.
12. SFP: Blended Food Ration for
Children
Supplementary Plumpy.
Supplementary Plumpy @ 2.76 kg/Child/month (
One sachet of 92gms/day/child)
HEB for siblings ( SFP + OTP) -- avoid food
sharing.
(2.25kg/month)
13. SFP: Blended Food Ration For
PLW
FBF
Fortified Blended Food @ 7.5kg/PLW/Month
Two weeks= 3.75kg for two week ( 250gms/d/PLW)
Oil @ 2.25kg/PLW/Month. ( One can of 4.5kg/PLW
for two months) ( 75gm/day/PLW)
.
14. SFP: Routine Medicines
Routine Medicines for SFP
Name of Product When Age Prescription Dose
< 6 months (if not
breastfed)
50 000 IU
6 months to < 1 year 100 000 IU
VITAMIN A
At
admission
> = 1 year 200 000 IU
Single dose on
admission
MEBENDAZOLE
At
admission
< 1 year DO NOT GIVE Nothing
15. SFP: Routine Medicines
Name of
product
When Age Prescription Dose
MEASLES
VACCINATION
On
admission
Children from 6
months
Standard
Once on
admission
IRON/FOLIC
ACID
At
admission
2 -59 months
Give if signs of
mild/moderate
anaemia
See iron/folic
acid protocol
On admission
Pregnant and
lactating
women
Give iron/folate
to all pregnant
and lactating
women
See iron/folic
acid protocol
16. Drug When Age/Weight Prescription Dose
VITAMIN A
At
admission
6-12 months
100 000 IU
Single dose on
admission
>= 1 year
200 000 IU
Pregnant
women
DO NOT GIVE
6 weeks
after
delivery
Lactating
women (post
partum)
200 000 IU
MEBENDAZOLE
**
At
admission
< 1 year DO NOT GIVE
None
12-23 months 250 mg
Single dose on
second visit
17. SFP: Treatment Notes
Ensure the SFP card is completed (the mother / caretaker
takes the card home and brings it back next visit).
Clear advice needs to be given to mothers caretakers on
how to prepare the ration.
Where appropriate a cooking demonstration can be
conducted for new cases.
Ensure the mother/caretaker understand that the ration is
intended for the malnourished individual and is not to be
shared.
Explain how to store the ration safely.
18. SFP: Follow-up 1
Every registered patient is given schedule of their
next SFP visit.
At each outpatient care follow-on session, the
child receives a comprehensive evaluation that
includes:
anthropometry, medical history, and physical
examination
19. SFP: Follow-up 2
monitoring the progress of the child’s nutritional
status
verifying and excluding the presence of medical
complications
decision making for referral to inpatient care or
OTP depending on the protocol, for a follow-up
home visit, or for discharge
20. SFP: Follow-up 2
monitoring the progress of the child’s nutritional
status
verifying and excluding the presence of medical
complications
decision making for referral to inpatient care or
OTP depending on the protocol, for a follow-up
home visit, or for discharge
21. A Happy Mother and child:
Beneficiary of Community Nutrition Programme
