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Ethiopia 2019 CMAM28
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Specific chapter (‘Vulnerable groups’) Recognises link between disability and malnutrition Proactively screens for disability ‘Offer disability-specific feeding advice’ (but does not specify) Counselling on realistic outcome expectations Regular home visits Referral to support services
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Lebanon 2017 CMAM26
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Specific chapter on children living with disabilities Extensive information on cerebral palsy: team treatment approaches (including gastroenterologists, speech therapists, dieticians, nurses, psychologists), feeding advice, providing daily micronutrient supplements Link with support structures Refers to guidance document on cerebral palsy42
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Malawi 2016 CMAM27
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Specific subheading (SAM in children living with disabilities) Recognises link between disability and malnutrition Proactively look for children living with disabilities Proposes substituting RUTF with F100 (eg, if cleft palate, cerebral palsy) Counsel and advise parents about disability ‘Offer disability-specific feeding and treatment’ ‘Provide realistic outcome expectations’ Refer to appropriate services
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Timor-Leste 2016 Specific Nutrition Intervention Package Guidelines29
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Lists children living with disabilities as vulnerable group in emergencies (but notes that prevalence of malnutrition in this group is unknown) In emergencies: give general ration, organise food distribution adapted to their needs, link disabled people with supporting families for joint preparation of meals, health/nutrition/hygiene education, gives feeding advice for children with oral malformations Proactively screen, specifies to ‘also look for developmental delay’
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