Establishing a TSFP (Targeted Supplementary Feeding Program)
1. Location
TSFP should be situated at or near a local health facility
Sites should be selected that are easily accessible
2. Structure
The SFC (Supplementary Feeding Center)
will be managed in the health centers or barangay health stations.
Distributions can be run by the SFC staff on a weekly or bi-weekly (every two weeks) basis.
3. Staffing
a. MAM Treatment Supervisor
Manages the food and non-food items
Prepares monthly reports
Manages human resources
Supervises MAM treatment
b. BNS, BHW or Community Volunteers
Activities:
o Does the anthropometric measurements
o Admits the child
o Helps in the preparation
o Distributes ration
o Registers the child
Finds the defaulters
4. Tools and Materials
a. For measurements
Scales, length board/height board, MUAC tape
CGS tables
b. For registration
Registration book
Key Messages about RUSF
Ration Card, ECCD cards
OPT forms for master-listing
Monitoring tools
c. For health-nutrition education
Cooking materials
Posters on education, health promotion
d. For ration preparation and distribution
Supplemental ration supplies
Salter scale
e. Routine medicines
Vitamin A capsules
Albendazole
Iron tablets
Safe drinking water and drinking cups
f. Storage equipment
Wooden palette for stacking
Organization of Services
A flow of services wall chart is usually displayed
The midwife or the nurse may do the triaging
The child is then referred to the doctor’s room
An assistant nurse or midwife is in charge of dispensing the medicines
So the child Mid upper arm circumference is taken and if it is <115mm or edema is present then he is referred to SAM
program, while for those MUAC between 115 to <125mm and w/ no complications and EPI is updated he is referred to
TSFP and routine health service but if with complications and EPI is outdated he will be referred for IMCI assessment,
vaccination and TSFP
Child is identified with
acute malnutrition
MUAC <115mm (red) MUAC 115mm to <125mm (yellow)
And/or WFL/H <-3 Z score and/or WFL/H -3 to <-2 Z-score or
Or edema present edema absent
Refer to SAM program
With medical no medical complications
complications updated EPI
outdated EPI
TSFP
Refer for IMCI
Routine Health Service
Assessment/treatment
Refer for vaccination
TSFP
Routine Health Service