Contents

• COMMITTEE ON INTERNATIONAL NUTRITION
• FOOD AND NUTRITION BOARD
• BOARD ON INTERNATIONAL HEALTH
• Preface
• 1. Background
  • THE SICK CHILD INITIATIVE
  • CHARGE TO THE COMMITTEE
  • PROJECT SCOPE
• 2. Description of the Nutrition Algorithms of the Sick Child Initiative
  • SEVERE MALNUTRITION OR SEVERE ANEMIA
  • MODERATE MALNUTRITION OR MODERATE ANEMIA
  • NO SIGNS OF MALNUTRITION OR ANEMIA
• 3. Answers to the Five Questions Posed to the Committee
  • THE SICK CHILD INITIATIVE IN THE CONTEXT OF HEALTH CARE AND WELFARE
• 4. Summary and Conclusions
• References
• Appendix A USAID's Request to the Committee
• Appendix B Guidance on Development of the SCI Diagnostic Screens and Specific Comments on the Proposed Approaches to Diagnose and Treat Malnutrition
• Appendix C Additional Materials Available to the Committee
• Appendix D The Nutrition Algorithms

This study was supported by the U.S. Agency for International Development under the terms of Grant No. HRN-5110-G-00-3043-00. The opinions expressed herein do not necessarily reflect those of the U.S. Agency for International Development.

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competencies and with regard for appropriate balance. This report has been reviewed by a group other than the authors according to procedures approved by a Report Review Committee consisting of members of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy's 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education. Dr. Kenneth I. Shine is president of the Institute of Medicine.