Adults SAM Outpatient treatment Transition to moderate malnutrition if: Bilateral pitting edema 276 g of RUTF/day Sustained weight gain AND no edema for 2 consecutive visits OR PLUS AND MUAC < 18.5 cm 400 g of FBF/day to last until the next visit MUAC ≥ 18.5 cm OR OR BMI < 16.0 BMI ≥ 16.0 Moderate malnutrition 400 g of FBF/day to last until the next visit Transition to normal nutritional status if: MUAC ≥ 18.5 and < 21.0 cm MUAC ≥ 21.0 cm for 2 consecutive OR visits BMI ≥ 16.0 and < 18.5 OR BMI ≥ 18.5 for 2 consecutive visits Women who SAM Outpatient treatment Transition to moderate malnutrition if: are pregnant or Bilateral pitting edema 92 g of RUTF/day MUAC ≥ 21.0 cm up to 6 months OR PLUS postpartum MUAC < 21.0 cm 400 g of FBF/day to last until the next visit Moderate malnutrition Transition to normal nutritional status 400 g of FBF/day to last until the next visit if: MUAC ≥ 21.0 and < 23.0 cm MUAC ≥ 23.0 cm OR AND (if pregnant) If pregnant: Weight loss for the past 2 visits Sustained weight gain for 2 visits
Adults SAM Bilateral pitting edema OR MUAC < 18.5 cm OR BMI < 16.0 Outpatient treatment 276 g of RUTF/day PLUS 400 g of FBF/day to last until the next visit Transition to moderate malnutrition if: Sustained weight gain AND no edema for 2 consecutive visits AND MUAC ≥ 18.5 cm OR BMI ≥ 16.0 Moderate malnutrition MUAC ≥ 18.5 and < 21.0 cm OR BMI ≥ 16.0 and < 18.5 400 g of FBF/day to last until the next visit Transition to normal nutritional status if: MUAC ≥ 21.0 cm for 2 consecutive visits OR BMI ≥ 18.5 for 2 consecutive visits Women who are pregnant or up to 6 months postpartum SAM Bilateral pitting edema OR MUAC < 21.0 cm Outpatient treatment 92 g of RUTF/day PLUS 400 g of FBF/day to last until the next visit Transition to moderate malnutrition if: MUAC ≥ 21.0 cm Moderate malnutrition MUAC ≥ 21.0 and < 23.0 cm OR If pregnant: Weight loss for the past 2 visits 400 g of FBF/day to last until the next visit Transition to normal nutritional status if: MUAC ≥ 23.0 cm AND (if pregnant) Sustained weight gain for 2 visits