Session Objectives
           By the end of the session, participants will be able to:
              • Describe common types of therapeutic and 
                  supplementary foods used in nutrition care 
              • Describe concepts and types of therapeutic care
              • Discuss the protocols of comprehensive outpatient 
                  therapeutic care (OTC)
              • Describe the discharge criteria/outcomes of OTC
                                                Integrating Nutrition Assessment, Counselling, and Support into Health Service Delivery        2
         Management of Acute Malnutrition
            Integrated management of acute malnutrition (IMAM) has four 
            components:
            1. Inpatient therapeutic care (ITC) for patients with:
                   •      Acute malnutrition and medical complications 
                   •     Infants < 6 months of age with visible signs of acute 
                         malnutrition or whom have failed to feed
            2. Outpatient therapeutic care (OTC) for patients with acute 
                   malnutrition and no medical complications 
            3. Supplementary feeding program (SFP), used in difficult 
                   circumstances 
            4. Community linkage for early identification, referral, and 
                   follow-up of acutely malnourished cases
                                                Integrating Nutrition Assessment, Counselling, and Support into Health Service Delivery        3
  Acute Malnutrition and Types of Care
         Advantages 
            • Reduces:
                 o Unnecessary exposure to additional infection risks in 
                      health facilities
                 o Time caregiver spends away from home and family
                 o Disruption of the caregiver’s economic activities
                 o Congestion in the health facility and health worker 
                      workload  
                 o Health facility costs, allowing reallocation of 
                      resources to other priorities
            • Contributes to early diagnosis of HIV infection for 
                 better care and outcome
                                                Integrating Nutrition Assessment, Counselling, and Support into Health Service Delivery        5
         Brainstorm
          •What are therapeutic foods? 
          •What are commonly used therapeutic foods in Uganda? 
          •What are supplementary foods? 
          •What are commonly used therapeutic foods in Uganda? 
                                                Integrating Nutrition Assessment, Counselling, and Support into Health Service Delivery        6