For the community-based management of acute malnutrition (PECIMA), the CAR adopted a prototype in 2015. Numerous operational constraints and challenges have been identified with regard to its effectiveness, in particular the high cost of inputs (especially RUTF), the non- alignment of SAM and MAM management programmes, etc. the low coverage of treatment; the enormous dosage of RUTFs, among other things.
Faced with these challenges, the CAR has set itself the goal of a d o p t i n g a simplified protocol, which considers the monitoring of PB and the search for bilateral oedema as admission criteria, and the use of a single nutritional supplement (ATPE) in reduced doses, for the treatment of cases of MAM and SAM in the same place.
To achieve this, operational research into simplifying the protocol has been initiated by the Ministry of Public Health and Population (MSPP) and its partners (UNICEF, WFP) with a view to testing the effectiveness of a simplified protocol in 2 health districts.