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CMAM Training - Module 1

This module discusses community-based management of acute malnutrition and contains three sessions. Session 1 provides an overview of malnutrition, defining it as a condition that develops from inadequate nutrient intake or absorption. It can manifest as over-nutrition or under-nutrition. Under-nutrition is a consequence of deficiencies and can present as stunting, wasting, underweight, or micronutrient deficiencies. Session 2 reviews data on the magnitude of malnutrition among Rohingya communities in Cox's Bazar, Bangladesh. Session 3 discusses the importance of treating acute malnutrition, noting it is associated with increased risk of childhood and maternal mortality as well as long-term consequences of perpetuating intergenerational undernutrition.

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Md Faruque Ahmad
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359 views15 pages

CMAM Training - Module 1

This module discusses community-based management of acute malnutrition and contains three sessions. Session 1 provides an overview of malnutrition, defining it as a condition that develops from inadequate nutrient intake or absorption. It can manifest as over-nutrition or under-nutrition. Under-nutrition is a consequence of deficiencies and can present as stunting, wasting, underweight, or micronutrient deficiencies. Session 2 reviews data on the magnitude of malnutrition among Rohingya communities in Cox's Bazar, Bangladesh. Session 3 discusses the importance of treating acute malnutrition, noting it is associated with increased risk of childhood and maternal mortality as well as long-term consequences of perpetuating intergenerational undernutrition.

Uploaded by

Md Faruque Ahmad
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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MODULE 1:

COMMUNITY BASED MANAGEMENT OF


ACUTE MALNUTRITION

AN OVERVIEW OF MALNUTRITION
Introduction to the module
This module has three sessions:

• Session 1: Overview of Malnutrition

• Session 2: Magnitude of Malnutrition in


Bangladesh as well as Rohingya context

• Session: 3 Consequence of malnutrition

2
Defining Malnutrition
Malnutrition:
 is a condition that develops when the body does
not get the right amount of the nutrients it needs
to maintain healthy tissues and organ function.
 Encompasses syndromes of over and under-
nutrition
Over nutrition:
 Is a condition arising from over consumption of
certain foods/nutrients than the body requires
over a period of time
3
COMMUNITY MANAGEMENT OF ACUTE MALNUTRITION (CMAM)
Defining Malnutrition
Under-nutrition:
• Is a consequence of a deficiency in nutrient intake
and/or absorption in the body.
• The different forms of under-nutrition that can appear
isolated or in combination are chronic malnutrition,
underweight, acute malnutrition and micronutrient
deficiencies.
• These forms can be moderate or severe.
• In the context of this training guidelines, the term
malnutrition relates exclusively to under-nutrition

COMMUNITY MANAGEMENT OF ACUTE MALNUTRITION (CMAM) 4


Defining Malnutrition
• Stunting or chronic malnutrition: is defined by a height/length-
for-age (H/LFA) below -2z-score.
• It is a result of prolonged or repeated episodes of under-nutrition
starting in early childhood
• Other contributors to stunting include
• Chronic or recurrent infections
• Intestinal parasite infestations
• Low birth weight resulting from maternal factors e.g.
poor nutrition before and during pregnancy and
lactation, short stature and infection

5
COMMUNITY MANAGEMENT OF ACUTE MALNUTRITION (CMAM)
Defining Malnutrition
• Acute Malnutrition or wasting: is defined by
• Low Mid-Upper Arm Circumference [MUAC] (<12.5cm in children 6-
59M)
• Low Weight-for-Height/Length [WFH/L]) (<-2zscores in children 6-
59M)
• The presence of bilateral pitting oedema.
• It is caused by a decrease in food consumption and/or illness
resulting in sudden weight loss and /or bilateral pitting oedema .

6
COMMUNITY MANAGEMENT OF ACUTE MALNUTRITION (CMAM)
Magnitude of Malnutrition
• From your experiences in nutrition service delivery,
can any of you share information on the
magnitude of malnutrition among Rohingya
communities?

COMMUNITY MANAGEMENT OF ACUTE MALNUTRITION (CMAM) 7


Cox`s Bazar Magnitude of Malnutrition**…

**Action Against Hunger / Emergency Nutrition Assessment / Cox’s Bazar, Bangladesh / April - June 2018
8
Cox`s Bazar Magnitude of Malnutrition**…

9
**Action Against Hunger / Emergency Nutrition Assessment / Cox’s Bazar, Bangladesh / April - June 2018
CMAM Program information

54 OTP

21 TSFP/BSFP

07 SC

COMMUNITY MANAGEMENT OF ACUTE MALNUTRITION (CMAM) 10


CMAM Program information
UN INGO NGO
04 09 06
ACF
CWW
BRAC
SCI
UNICEF SHED
TDH
UNHCR SARPV
WVI
WFP GK
MTI/FH
IOM BBF
WC
PHD
MSF
RI
COMMUNITY MANAGEMENT OF ACUTE MALNUTRITION (CMAM) 11
Group Discussion:

Why is it important to treat acute malnutrition?


Short term consequences
Child hood mortality:Over 50% of childhood deaths are directly or indirectly
related to malnutrition

Children with severe


acute malnutrition
are NINE times
more likely to die
than their healthy
peers
Short term consequences
• Maternal mortality
• Adverse birth outcomes
• Small for Gestational Age (SGA)
• Intra-Uterine Growth Retardation (IUGR)

COMMUNITY MANAGEMENT OF ACUTE MALNUTRITION (CMAM) 14


Long term consequences
The intergenerational cycle of
undernutrition

7/31/21 15

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