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The guideline responds to the high mortality burden in children under five in Kenya and outlines how integrating inpatient care for complicated cases with outpatient community follow-up for uncomplicated cases can reduce deaths and improve coverage. 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The foreword also acknowledges support from UNICEF, DIFID, and multiple organizations and institutions, including WHO.","Answer","https://schema.org",{"og:url":83,"og:type":117,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":119,"canonical":83},"index,follow",{"doc_id":121,"site_id":62},402987,1790759765,{"code":4,"msg":5,"data":124},{"doc_id":121,"user_id":125,"nickname":92,"user_avatar":126,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":127,"file_id":128,"file_url":129,"file_type":130,"file_size":131,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":132,"language":133,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":134,"faqs":135,"seo_title":136,"seo_description":67,"update_tm":137,"read_time":138,"preview_page_count":4},1099529839121,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","MINISTRY OF  \nPUBLIC HEALTH & SANITATION  \nNational Guideline for Integrated Management of Acute Malnutrition  \nVersion 1: June 2009  \nForeword  \nMalnutrition remains an important threat in developing countries. It is estimated that 2.2 million children below five years old die every year of malnutrition. Of importance is the high infant and under five mortality rates (currently at 77 and 115/1000 live births respectively in Kenya) of which half has malnutrition as the main underlying cause. Although national levels of acute malnutrition is at 6% in Kenya, levels of acute malnutrition in Arid and Semi Arid areas have consistently remained above the emergency threshold of 15% . It is important to note that HIV and AIDS pose a new and significant challenge in addressing acute malnutrition as the two are intrinsically related.  \nTraditionally, the Ministry of Health has rehabilitated severe acute malnourished patients within inpatient services, mainly through District and Provincial Hospitals. This posed a great challenge in ensuring successful treatment as malnourished patients were mixed with other ill patients, increasing the risk of cross infection and as a result of mortality. Experience from arid districts has shown that this approach also led to low program coverage and high defaulter rates.  \nGlobal emerging evidence has shown that mortality rates could be reduced when patients presenting with medical complications are admitted as inpatients, while others (with no complication) are admitted as outpatients and followed-up at community level. This coupled with active case finding and referral at community level could significantly reduce complicated cases of acute malnutrition and increase coverage.  \nThe National Guideline for Integrated Management of Acute Malnutrition brings forth a new approach in the management of severe acute malnutrition for effective care and rehabilitation. It also addresses management of moderate acute malnutrition and management of acute malnutrition in the context of HIV and AIDS. The guideline provides an opportunity for all health care providers to realize the importance of proper management at health facility and community levels, ensure successful diagnosis and treatment and, consequently address one of the Millennium Development Goal (MDG) on reducing child mortality.  \nThe Ministries of Medical services and Public Health and Sanitation will provide the necessary leadership and coordination to all partners in the field of nutrition in addressing the problem of malnutrition in a holistic manner.  \nDr. Francis Kimani  \nDirector of Medical Services  \nMinistry of Medical Services  \nDr. S. K. Sharif OGW, MBChB, M. Med. DLSHTM, MSc  \nAg. Director of Public Health and Sanitation Ministry of Public Health and Sanitation  \nAcknowledgements  \nThe National Guideline for Integrated Management of Acute Malnutrition was prepared with the active participation of nutrition experts from several organizations and institutions in Kenya .  \nThe development of this guideline was carried out under the auspices of Ministry of Public Health and Sanitation as well as Ministry of Medical Services. In this regard, the support extended by Dr S.K. Sharif (Ag. Director of Public Health and Sanitation) and Dr F. Kimani (Director of Medical Services) is gratefully acknowledged.  \nWe wish to thanks UNICEF country office for its consistent support towards the compilation and development of these guidelines. And, we would like to express sincere gratitude to the DIFID for the financial support towards this guideline.  \nSpecial appreciations and thanks go to the core team, which provided significant support and contribution in the review of materials, protocols and layouts, comprising of staff from: Ministry of Public Health and Sanitation: Terry Wefwafwa,(Head, Division of Nutrition), Dr Anna Wamae (Head, Division of Child and Adolescent Health) and, Gladys Mugambi and Crispine Ndeda (staff from the Division of Nutrition and","cbCaiuK5StaVKfQ9","https://ap.wps.com/l/cbCaiuK5StaVKfQ9","pdf",3347025,197,"English","# Foreword\n# Acknowledgements\n# Contents\n## Acronyms\n## List of Tables and Figures\n## Introduction\n## Objectives of the Guidelines\n## Intended Readers\n## How to Use the Guidelines\n## Content of the Guidelines","[{\"question\":\"Who supported the development and coordination of the guideline?\",\"answer\":\"Development is described as carried out under the auspices of the Ministry of Public Health and Sanitation and the Ministry of Medical Services. The foreword also acknowledges support from UNICEF, DIFID, and multiple organizations and institutions, including WHO.\"}]","National Guideline for Integrated Management of Acute Malnutrition - Version 1 - June 2009 | PDF",1790536172,496]