Consideration of the Nutrition Components of the Sick Child Initiative

1 Background 1

The Sick Child Initiative, 1

Charge to the Committee, 2

Project Scope, 3

2 Description of the Nutrition Algorithms of the Sick Child Initiative 5

Severe Malnutrition or Severe Anemia, 6

Moderate Malnutrition or Moderate Anemia, 6

No Signs of Malnutrition or Anemia, 7

3 Answers to the Five Questions Posed to the Committee 9

The Sick Child Initiative in the Context of Health Care and Welfare, 9

Questions 1 and 2, 10

Question 3, 13

Question 4, 14

Question 5, 14

4 Summary and Conclusions 17

References 19

Appendixes

A USAID's Request to the Committee, 21

  Memorandum from Samuel G. Kahn

B Guidance on Development of the SCI Diagnostic Screens and
  Specific Comments on the Proposed Approaches to Diagnose
  and Treat Malnutrition 23

Suggestions for Development of Diagnostic Screens and Relationship to the Impact of SCI Interventions, 23

Measurement of Efficiency and Coverage, 24

Methods to Compare Diagnostic Screens, 24

Defining the Appropriate Outcome, 25

Specific Comments on the Proposed Diagnosis and Treatment of Malnutrition in the Nutrition Algorithms, 26

The Sick Child with Severe Malnutrition or Severe Anemia, 27

The Sick Child with Moderate Malnutrition or Moderate Anemia, 28

Nutritional Management of the Sick Child Who Is Not Malnourished, 38

C Additional Materials Available to the Committee 41

D The Nutrition Algorithms 43

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