{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T08:15:59Z","timestamp":1774685759491,"version":"3.50.1"},"reference-count":57,"publisher":"SAGE Publications","issue":"3_suppl3","license":[{"start":{"date-parts":[[2006,9,1]],"date-time":"2006-09-01T00:00:00Z","timestamp":1157068800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Food Nutr Bull"],"published-print":{"date-parts":[[2006,9]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> The complexity and cost of measuring weight-for-height make it unsuitable for use by community-based volunteers. This has led community therapeutic care programs to adopt a two-stage screening and admission procedure in which mid-upper-arm circumference (MUAC) is used for referral and weight-for-height is used for admission. Such a procedure results in many individuals being referred for care on the basis of MUAC but subsequently being refused treatment because they do not meet the weight-for-height admission criterion. This \u201cproblem of rejected referrals\u201d has proved to be a major barrier to program uptake. <\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p> To systematically review methods to detect cases of severely malnourished children in the community for their admission into community-based therapeutic care programs. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Clinical and anthropometric methods for case detection of severely malnourished children in the community were reviewed with regard to their ability to reflect both mortality risk and nutritional status. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> MUAC, with the addition of the presence of bipedal edema, was found to be the indicator best suited to screening and case detection of malnutrition in the community. The case definition \u201cMUAC &lt; 110 mm OR the presence of bipedal edema,\u201d with MUAC measured by a color-banded strap, is suitable for screening and case detection of malnutrition in the community for children aged between 6 and 59 months. Monitoring and discharge criteria were also reviewed. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> There is no compelling evidence to support a move away from using weight in combination with clinical criteria for monitoring and discharge. <\/jats:p><\/jats:sec>","DOI":"10.1177\/15648265060273s302","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T20:48:46Z","timestamp":1448484526000},"page":"S7-S23","source":"Crossref","is-referenced-by-count":206,"title":["A Review of Methods to Detect Cases of Severely Malnourished Children in the Community for Their Admission into Community-Based Therapeutic Care Programs"],"prefix":"10.1177","volume":"27","author":[{"given":"Mark","family":"Myatt","sequence":"first","affiliation":[]},{"given":"Tanya","family":"Khara","sequence":"additional","affiliation":[]},{"given":"Steve","family":"Collins","sequence":"additional","affiliation":[]}],"member":"179","published-online":{"date-parts":[[2006,9,1]]},"reference":[{"key":"bibr1-15648265060273S302","volume-title":"Medical assistance to self-settled refugees. Guinea 1990\u20131996","author":"Van Damme W","year":"1998"},{"key":"bibr2-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)07422-6"},{"key":"bibr3-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(01)05630-6"},{"key":"bibr4-15648265060273S302","volume-title":"Management of severe malnutrition: a manual for physicians and other senior health workers","author":"World Health Organization","year":"1999"},{"key":"bibr5-15648265060273S302","volume-title":"The Sphere humanitarian charter and minimum standards in disaster response","author":"Sphere Project","year":"2003","edition":"2"},{"key":"bibr6-15648265060273S302","volume-title":"Community-based therapeutic care: a new paradigm for selective feeding in nutritional crises. Network Paper No. 48","author":"Collins S","year":"2004"},{"key":"bibr7-15648265060273S302","volume-title":"Report on focus group discussions: investigation into beneficiary opinions of the CTC programme at distribution sites (internal report)","author":"Khar T","year":"2003"},{"key":"bibr8-15648265060273S302","volume-title":"Community-based therapeutic care (CTC)","author":"Golden K","year":"2004"},{"key":"bibr9-15648265060273S302","volume-title":"Investigation into community volunteers using an admission criteria of middle upper arm circumference of below 110 mm and length equal to or greater than 65 cm for children to a community programme for severely malnourished children in Ethiopia","author":"Feeney B","year":"2004"},{"key":"bibr10-15648265060273S302","unstructured":"Concern Worldwide, M\u00e9decins sans Fronti\u00e8res Switzerland, M\u00e9decins sans Fronti\u00e8res USA. Community-based therapeutic care (CTC) in Ethiopia. Proceedings of a workshop held in Addis Ababa, Ethiopia, June 22\u201323, 2004."},{"key":"bibr11-15648265060273S302","volume-title":"Community based therapeutic care. Emergency Nutrition Network Supplement Series No. 2","author":"Khara T","year":"2004"},{"key":"bibr12-15648265060273S302","volume-title":"Improving the community-based therapeutic care programme coverage, Dowa District, Malawi (internal report)","author":"Lee J","year":"2002"},{"key":"bibr13-15648265060273S302","volume-title":"The cultural and social factors affecting the implementation and success of the Community-Based Therapeutic Care (CTC) approach to treating severe acute malnutrition in Dowa, Malawi (internal report)","author":"Bandawe CR","year":"2003"},{"key":"bibr14-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(75)92790-7"},{"key":"bibr15-15648265060273S302","first-page":"500","volume-title":"Nutrition and preventive medicine","author":"Beaton GH","year":"1976"},{"key":"bibr16-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/15.4.179"},{"key":"bibr17-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/33.3.531"},{"key":"bibr18-15648265060273S302","doi-asserted-by":"crossref","first-page":"2047S","DOI":"10.1093\/jn\/124.suppl_9.1846S","volume":"124","author":"Pelletier DL","year":"1994","journal-title":"J Nutr"},{"key":"bibr19-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/49.5.884"},{"key":"bibr20-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/42.2.296"},{"key":"bibr21-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.293.6543.373"},{"key":"bibr22-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1016\/S0271-5317(86)80129-4"},{"key":"bibr23-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(87)91084-1"},{"key":"bibr24-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/33.8.1836"},{"key":"bibr25-15648265060273S302","unstructured":"Heywood PF. Nutritional status as a risk factor for mortality in children in the highlands of Papua New Guinea. Proceedings of the Thirteenth International Congress of Nutrition, Brighton, 1986:103\u20136."},{"key":"bibr26-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a115450"},{"key":"bibr27-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(78)92478-9"},{"key":"bibr28-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/46.2.369"},{"key":"bibr29-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/28.3.287"},{"key":"bibr30-15648265060273S302","first-page":"189","volume":"48","author":"Vella V","year":"1994","journal-title":"Eur J Clin Nutr"},{"key":"bibr31-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198204223061606"},{"key":"bibr32-15648265060273S302","first-page":"43","volume":"75","author":"Simoes EA","year":"1997","journal-title":"Bull World Health Organ"},{"key":"bibr33-15648265060273S302","first-page":"87","volume":"75","author":"Bern C","year":"1997","journal-title":"Bull World Health Organ"},{"key":"bibr34-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2002.022715"},{"key":"bibr35-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a114213"},{"key":"bibr36-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/29.3.159"},{"key":"bibr37-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/24.3.358"},{"key":"bibr38-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/26.2.226"},{"key":"bibr39-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/15.4.243"},{"key":"bibr40-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(74)92987-0"},{"key":"bibr41-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/28.6.661"},{"key":"bibr42-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/19.3.636"},{"key":"bibr43-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)16408-8"},{"key":"bibr44-15648265060273S302","volume-title":"Nutrition Guidelines","author":"M\u00e9decins Sans Fronti\u00e8res","year":"1995"},{"key":"bibr45-15648265060273S302","unstructured":"Rivers JPW. The nutritional biology of famine. Biological Society Series. Oxford, UK: Oxford University Press, 1988:57\u2013106."},{"key":"bibr46-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/15.4.189"},{"key":"bibr47-15648265060273S302","first-page":"11","volume":"75","author":"de Onis M","year":"1997","journal-title":"Bull World Health Organ"},{"key":"bibr48-15648265060273S302","first-page":"715","volume":"43","author":"Briend A","year":"1989","journal-title":"Eur J Clin Nutr"},{"key":"bibr49-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.5.591"},{"key":"bibr50-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.20.2577-b"},{"key":"bibr51-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.3.5826.566"},{"key":"bibr52-15648265060273S302","volume-title":"Community-based therapeutic care (CTC) considerations in South Wollo, Ethiopia, including an assessment of MUAC and height indices as the sole screening and admission criteria for entry into the outpatient therapeutic program (OTP) (internal report)","author":"Spector J","year":"2005"},{"key":"bibr53-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/34.11.2591"},{"key":"bibr54-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-9203(02)90290-7"},{"key":"bibr55-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(95)90852-8"},{"key":"bibr56-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.83.8.1130"},{"key":"bibr57-15648265060273S302","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(95)90852-8"}],"container-title":["Food and Nutrition Bulletin"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15648265060273S302","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15648265060273S302","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T20:19:27Z","timestamp":1740860367000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15648265060273S302"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,9]]},"references-count":57,"journal-issue":{"issue":"3_suppl3","published-print":{"date-parts":[[2006,9]]}},"alternative-id":["10.1177\/15648265060273S302"],"URL":"https:\/\/doi.org\/10.1177\/15648265060273s302","relation":{},"ISSN":["0379-5721","1564-8265"],"issn-type":[{"value":"0379-5721","type":"print"},{"value":"1564-8265","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,9]]}}}