Comparison of weight-for-height and mid-upper arm circumference (MUAC) in a therapeutic feeding programme in South Sudan: is MUAC alone a sufficient criterion for admission of children at high risk of mortality?

Grellety E Krause LK Shams Eldin M Porten K Isanaka S
Public health nutrition 2015 Oct ; 18(14); 2575-81. doi: 10.1017/S1368980015000737. Epub 2015 03 25
Admission criteria Child malnutrition Community-based management of acute malnutrition Mid-upper arm circumference Weight-for-height Z-score

Abstract

OBJECTIVE: The present study was performed to describe the operational implications of using mid-upper arm circumference (MUAC) as a single admission criterion for treatment of severe acute malnutrition in South Sudan.

DESIGN: We performed a retrospective analysis of routine programme data of children with severe acute malnutrition aged 6-59 months admitted to a therapeutic feeding programme using weight-for-height Z-score (WHZ) and/or MUAC. To understand the implications of using MUAC as a single admission criterion, we compared patient characteristics and treatment outcomes for children admitted with MUAC

RESULTS: Of 2205 children included for analysis, 719 (32·6 %) were admitted to the programme with MUAC

CONCLUSIONS: The study shows that MUAC