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. 2024 Jun 4;20(4):e13676. doi: 10.1111/mcn.13676

Table 1.

ITFC and ATFC admission and discharge criteria for infants <6 m at the MSF facility in Maiduguri (based on MSF protocol and adapted to the project context).

ITFC ATFC
Criteria for admission

Anthropometrics:

Oedema and/or

WAZ or WLZ <−2 and/or

MUAC <110 mm (≤6 weeks) <115 mm (7 weeks to 5 months)

AND/OR either condition affecting feeding or medical complication

Referral for follow‐up after discharge from ITFC
Criteria for discharge
  • Clinically well
  • Effective breastfeeding or effective and safe replacement feeding on BMS
  • Weight gain of approximately 10–20 g/day on exclusive breastfeeding or standard BMS volumes for at least 2–3 days
  • Absence of oedema
  • No medical complications or possible to control at home
  • Caregiver feels prepared for discharge and the family situation is as supportive as possible
  • WAZ/WLZ ≥−2 on two consecutive visits and MUAC ≥125 mm
  • Adequate weight gain over at least 2 weeks of approximately 10–20 g/day.
  • Absence of oedema
  • Breastfeeding effectively or feeding well with BMS
Possible outcome
Cured: Meets ITFC discharge criteria and achieved WAZ/WLZ ≥−2 Cured: Meet ATFC discharge criteria
Stabilized (ATFC): Meets ITFC discharge criteria but WAZ/WLZ <−2 Disqualified: Wrong assessment of nutritional status, no need for therapeutic treatment
Referral out: Transferred to another facility for advanced medical/surgical treatment Defaulter: Not attending ATFC for 2 consecutive weeks
Left against medical advice: Leaves the hospital despite medical advice to continue inpatient treatment Nonrespondent: Exits the programme after 12 weeks of treatment, with stagnant weight, dietary treatment well observed, WLZ >−3 and absence of medical comorbidity
Death: Dies while admitted Death: Dies within 2 weeks from the last ATFC visit

Abbreviations: ATFC, Outpatient Therapeutic Feeding Centre; BMS, breast milk substitute; ITFC, Inpatient Therapeutic Feeding Centre; MUAC, middle‐upper arm circumference; WAZ, weight‐for‐age z‐score; WLZ, weight‐for‐length z‐score.