Severe Acute Malnutrition (SAM) Evaluation of Associated Risk Factors, Screening Tools, and Therapeutic Management among South Sudanese Children Age 6 < 59 Months in Emergency Settings: Case Reports and Review of Literatures

Severe Acute Malnutrition (SAM) is a major silent killer among children under five years of age, in low resourcessettings. It's also being regarded as a disease of hungry communities. Therefore, to assess and classify anindividual nutritional status under SAM is by anthropometry that determines body measurement. Measurablevariables, age, sex, weight, height and Mid-Upper Arm-Circumference (MUAC) for children 6-59 months. SAMcharacterized with visible wasting and bilateral edema, in infants <6 months. However, social criteria like theabsence of a mother or inadequacy of breastfeeding predict nutritional risk. Once more, SAM in U5 assessed bynutritional indices of Weight-For-Height (WFH), MUAC, and bilateral edema. Children 5-19 years BMI-for-age plusclinical signs are used. MUAC preferable during pregnancy. WHO Growth Standards of 2007 suggested over NCHS1978. Nutrition indices in Z-scores opposed to median percentage. Median off use in classifying individual'snutritional status. Methods and protocols for assessment of children 6-59 months are more developed than for otherage. Therefore, best practice to produce functional outcomes is needed. The level of malnutrition at admissionphase influences hospitals stay. Evidence suggests that malnutrition is more frequent and severe among males thanfemales. Implications, no special consideration in severe acute malnutrition admitted in a critical phase”. Protocols todischarge patients upon recovery needs harmonization. MUAC misdiagnose Kwashiorkor children due to fluidretention but remains a reliable tool. Ready to Use Therapeutic Food (RUTF) used for management of SAM. Thestudy aimed to evaluate the effectiveness of screening tools, therapeutic interventions and shed light on the riskfactors associated with SAM. A later effect includes but not limited to mental retardation, poor school performance,and low self-esteem