Table 3

Positive examples of guidelines with recommendations for children living with disabilities

Ethiopia 2019 CMAM28
  • 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

Lebanon 2017 CMAM26
  • 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

Malawi 2016 CMAM27
  • 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

Timor-Leste 2016 Specific Nutrition Intervention Package Guidelines29
  • 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’

  • CLWDs, children living with disabilities ; CMAM, community-based management of acute malnutrition; RUTF, ready-to-use therapeutic food.