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Table 3 The diagnosis of SAM by WHZ, absolute-MUAC or by both criteria in 38 countries with more than 75 SAM children and from 9 other countries

From: Weight-for-height and mid-upper-arm circumference should be used independently to diagnose acute malnutrition: policy implications

Country

SAM subjects

WHZ < -3 only %

MUAC <115 mm only %

Both criteria %

%WHZ minus %MUAC

Total WHZ < -3 %

Total MUAC <115 mm %

Mozambique

171

18.7

51.5

29.8

−32.7

48.5

81.3

Malawi

493

19.3

73.4

7.3

−54.2

26.6

80.7

Tajikistan

226

19.5

67.7

12.8

−48.2

32.3

80.5

Ivory Coast

106

25.5

62.3

12.3

−36.8

37.7

74.5

Uganda

1 031

25.5

63.7

10.8

−38.2

36.3

74.5

Rwanda

491

26.1

51.3

22.6

−25.3

48.7

73.9

Burundi

734

26.3

57.9

15.8

−31.6

42.1

73.7

Sierra Leone

2 585

26.3

51.4

22.2

−25.1

48.6

73.7

Haiti

329

27.4

60.5

12.2

−33.1

39.5

72.6

Afghanistan

1 729

27.5

52.2

20.4

−24.7

47.8

72.5

Madagascar

163

28.2

54.6

17.2

−26.4

45.4

71.8

Angola

1 456

28.7

56.0

15.2

−27.3

44.0

71.3

Guinea

158

29.1

53.8

17.1

−24.7

46.2

70.9

CAR

622

31.2

56.3

12.5

−25.1

43.7

68.8

DRC

4 683

34.8

55.4

9.8

−20.6

44.6

65.2

Tanzania

255

35.7

42.7

21.6

−7.1

57.3

64.3

Pakistan

795

37.0

43.6

19.4

−6.7

56.4

63.0

Liberia

1 383

39.3

45.5

15.3

−6.2

54.5

60.7

Myanmar

489

40.5

37.4

22.1

3.1

62.6

59.5

Nepal

238

43.3

36.6

20.2

6.7

63.4

56.7

Ethiopia

1 973

43.4

41.0

15.6

2.4

59.0

56.6

Bangladesh

532

44.7

42.5

12.8

2.3

57.5

55.3

Niger

1 537

50.7

25.4

23.9

25.4

74.6

49.3

Nigeria

764

51.0

32.2

16.8

18.8

67.8

49.0

Chad

3 813

51.9

25.8

22.3

26.1

74.2

48.1

South Sudan

8 286

57.2

25.5

17.3

31.7

74.5

42.8

Somalia

5 541

57.4

28.9

13.6

28.5

71.1

42.6

Benin

95

57.9

24.2

17.9

33.7

75.8

42.1

Burkina Faso

916

58.7

23.0

18.2

35.7

77.0

41.3

Cameroun

90

60.0

26.7

13.3

33.3

73.3

40.0

Sudan

3 312

60.5

19.2

20.4

41.3

80.8

39.5

Mauritania

675

61.5

27.6

11.0

33.9

72.4

38.5

India

341

61.6

15.5

22.9

46.0

84.5

38.4

Mali

449

62.6

23.4

14.0

39.2

76.6

37.4

Kenya

1 156

77.7

12.9

9.4

64.8

87.1

22.3

Gambia

112

78.6

10.7

10.7

67.9

89.3

21.4

Senegal

534

86.0

6.7

7.3

79.2

93.3

14.0

Sri Lanka

115

87.0

7.0

6.1

80.0

93.0

13.0

Total/%a

48 697

47.3

36.3

16.5

11.0

63.7

52.7

Mean ± SDb

-

44.7 ± 19.1

39.3 ± 18.2

16 ± 5.4

31.4 ± 19.4c

60.7 ± 18.2

55.3 ± 19.1

Countries with total number of SAM children in surveys <75

  

Guatemala

14

7.1

92.9

0.0

−85.7

7.1

92.9

Zambia

44

15.9

77.3

6.8

−61.4

22.7

84.1

Timor

40

35.0

32.5

32.5

2.5

67.5

65.0

Zimbabwe

37

37.8

48.6

13.5

−10.8

51.4

62.2

Eritrea

44

47.7

43.2

9.1

4.5

56.8

52.3

Guinea−Bissau

22

59.1

31.8

9.1

27.3

68.2

40.9

Togo

52

61.5

32.7

5.8

28.8

67.3

38.5

Philippines

51

78.4

15.7

5.9

62.7

84.3

21.6

Thailand

15

80.0

20.0

0.0

60.0

80.0

20.0

  1. The data are presented as percent of the total number of SAM children fulfilling either WHZ or MUAC criteria
  2. DRC Democratic Republic of Congo; CAR Central African Republic
  3. aTotal children with GAM and percent of all children in the database with that characteristic
  4. bThe mean and SD of the 38 countries
  5. ccalculated using absolute numbers