Table 1 Key aspects of the CSAM protocol that vary per state assessed
States | Screening & Identification | Admission criteria | Maximum treatment duration | Discharge criteria | Nutrient dense food | Post-discharge Follow up |
|---|---|---|---|---|---|---|
Telangana | Active screening- once in every quarter Passive screening on all MCH contacts | SAM identification by WHZ < -3SD | 16 weeks | WHZ ≥ -2SD | Balamrutam+ under ICDS provision (composition- whole wheat, Bengal gram, roasted groundnut, Jaggery, vegetable oil and added vitamin & minerals) 477 Kcal and 11 g protein per 100 g | Monthly follow up for 6 months |
Madhya Pradesh | Active screening- once in every month Passive screening on VHSND/Health Sub-centre& all MCH contacts | SAM identification by WHZ < -3SD | 12 weeks | WHZ ≥ −2SD | Take Home Ration (THR) under ICDS provision by MP Agro. State THR is a mix of cereals, pulses, oil, sugar, milk powder and soya bean. 440 Kcal and 17 g protein per 100 g | Monthly follow up for 3 months |
Chhattisgarh | Active screening- once in every quarter Passive screening on VHSND/Health Sub-centre& all MCH contacts | SAM identification by WHZ < -3SD | 16 weeks | WHZ ≥ -2SD | ICDS based modified THR (wheat, soybean, chickpea, sugar, vegetable oil, groundnut, finger millet). 410 Kcal and 12.75 g protein per 100 g | 1st, 3rdand 6th month |
Odisha | Active screening- once in every quarter Passive screening on VHSND/Health Sub-centre& all MCH contacts | SAM identification by WHZ < -3SD | 16 weeks | WHZ ≥ -2SD | Augmented ICDS THR (additional oil, groundnut and whole milk powder). 462 Kcal and 16 g protein per 100 g 1 egg daily in addition to THR | 1st, 3rd and 6th month |