Table 5.

Follow-up procedure for both MAM and SAM

Follow up	Discharge criteria		Action
1) SAM, MUAC < 11.5 cm
Weekly visit to CHV for MUAC measurement and weight using the dosage scale and collection of RUTF as per dosage scale Maximum of 8 weekly visits if child is progressing well Two consecutive MUAC and/or weight measurements with no change or deterioration	cured	MUAC≥12.5 cm 2 consecutive green on MUAC	Discharge as cured
	defaulter	Misses 3 consecutive visits	Exclude from the study, Trace and admit as return defaulters but not for study
	Treatment failure	Two consecutive MUAC and/or weight measurements with no change or deterioration	Refer to health facility for further investigation
	/Non-response	Two consecutive MUAC measurements with no change of deterioration
	Lost to follow up	Misses 3 consecutive visits and cannot be traced	Exclude from the study
2) MAM; 11.5 cm ≤ MUAC < 12.5 cm
Bi-weekly visits (every 2 weeks) for MUAC measurement and collection RUSF (1 sachet per day for 16 weeks Maximum of 8 visits if cyhild is progressing well	cured	MUAC≥12.5 cm 2 consecutive green on MUAC measurement	Discharge as cured
	defaulter	Misses 3 consecutive visits	Exclude from the study, trace and admit as return defaulters but not for study
	Treatment failure/non-response	Two consecutive MUAC measurements with no change; deterioration on MUAC	Refer to health facility for further investigation
	Lost to follow up	Misses three consecutive visits and cannot be traced	Exclude from the study