Integrated Management of Acute Malnutrition in Amharic
For Community Health Workers
World Vision
In collaboration with Zonal Health Office and Jille Tumuga
Woreda Health Office
From June 9 - 11, 2023
Sin Sayed Hotel, Kombolcha
Training topic
Integrated Management of Acute Malnutrition
Type of training –
“Refresher” training
Training Organizer –
World Vision Ethiopia ADH funded Health and Nutrition project in collaboration with
Zonal health office
Jalle Tumuga Woreda health office
Duration of the training–
Three days (from June 9 to 11, 2023)
Training Venue –
Sin sayed Hotel, Kombolch, Ethiopia.
Facilitators –
1. Meskerem Teka
2. Adem Aragawe
3. Melkamzer Abayneh
Trainees-
There are a total of Thirty Five trainees
Training goal –
“To ensure that curative IMAM interventions become scalable and part of routine health
service delivery as it is the case for Integrated Management of Acute Malnutrition
(IMAM).
Training Objective
The training will enable health providers to implement quality SC, OTP & TSFP services in an
integrated manner and give optimal care for patients affected by acute malnutrition.
Introduction to Integrated Management of Acute Malnutrition training
The integrated Acute Malnutrition Management has four components: Community outreach,
Inpatient Therapeutic Care (SC), Outpatient Therapeutic Program (OTP) and Targeted
Supplementary Feeding Program (TSFP). The Community Outreach component involves early
identification of acutely malnourished clients at community level to enable early detection and
referral and to increase the number of Acute Malnutrition cases that can access quality treatment.
The treatment of the severely malnourished clients is either done in the Inpatient Therapeutic
Centre or in the Outpatient Therapeutic Centers depending on the presence or absence of
complications and pass or fail appetite test. The basis for managing SAM that h a s no
complications in outpatient care is that t h e clients do not require hospitalization and can be
successfully treated using ready-to-use therapeutic foods (RUTF). Home-based management and
treatment of SAM that 2 has no complications make community outreach an essential component
of OTP&TSFP. Moderate acute malnutrition (MAM) is mostly managed in the Supplementary
Feeding (SF) centers. SFP or services manage and treat MAM in children of 6-59 months and
other vulnerable groups. A supplementary food ration, normally a fortified, blended food, is
targeted for the management of MAM among clients within specific vulnerable groups. These
include pregnant women, lactating women with infants under 6 months. The transfer between
components which involves good coordination and communication between inpatient and
outpatient care and with community providers is essential to ensure that clients do not keep away
during the treatment process for SAM. Careful monitoring and tracking helps prevent this.
Simple referral slips are used at community level to refer clients to OPT while more detailed
slips are used in duplicate copies between OTP and SC. Ideally community health p r o v i d e r s
should be informed when a client is transferred from SC to OTP; is absent; or has defaulted in
OTP or TSFP. This is to ensure that they can follow up the client and mother/caregiver at home
and investigate the reasons.
Picture shows all the training
Finally, the last phase of the training summarized by concluding remark on their futurity how to
helping people by health workers.