National Guidelines on the Management of Severe Acute Malnutrition for Children under Five Years: Manual of Operations: Philippines

The first version of the draft CMAM protocol was derived from the generic “Integrated Management of Acute Malnutrition” guidelines by Professor Michael H. Golden and Dr. Yvonne Grellety in 2011. The draft CMAM protocol, referred to as the Philippine Integrated Management of Acute Malnutrition (PIMAM) was drafted through a consultative workshop (funded by UNICEF) with the Department of Health, the CMAM Task Force and other stakeholders. Since then, these draft guidelines have been used in other emergencies (such as Typhoons Sendong, Pablo, Yolanda, the Bohol earthquake and the Zamboanga Siege) and in the development context in Davao City. In light of the evidences generated from these experiences, the release of the WHO 2013 Global Guidelines on the management of SAM and the increasing demand coming from the regions and LGUs especially during the Yolanda Response, the CMAM working group prioritized the updating and revision of the existing PIMAM protocols. This current version of the National Guidelines for the Management of SAM was developed through an extensive technical review and a series of consultative meetings and workshops involving key PIMAM stakeholders, technical experts (national and global) and implementers at the national, regional, provincial, city and municipal levels. These guidelines address both emergency and development scenario programming with the objective of scaling up the access to life saving services for children under 5 years of age with severe acute malnutrition.