MUAC as discharge criterion for MAM

The cut-off for MUAC has been changed from <110 mm to <115 mm after the switch from NCHS references to WHO2006 references for W/H. Has there been any adaptation for the MUAC-based case definition for MAM?

Comments

MUAC as discharge criterion for MAM

Most programs that I have seen recently are using:

SAM :
MUAC < 115 mm or bilateral pitting oedema
MAM :
115 mm <= MUAC < 125 mm without bilateral pitting oedema

for admission. The SAM definition might be extended to include visible severe wasting and very low W/A or rapid weight loss (from GMP). These definitions are used for children aged between 6 and 59 months (mostly 6-36 months in practice).

For discharge, I have most frequently seen:

SAM discharge to supplementary feeding program :
MUAC >= 115 mm with loss of bilateral pitting oedema and clinically well for two weeks
SAM discharge to community :
MUAC >= 125 mm with loss of bilateral pitting oedema and clinically well for two weeks
MAM discharge to supplementary feeding program :
MUAC >= 125 mm for two distributions

I am currently testing the 125 mm threshold for SAM (see this story).