Detection and treatment of childhood malnutrition in Papua New Guinea.

This paper reviews the importance of childhood malnutrition in Papua New Guinea and other developing countries. Emphasis is given to two important causes: chronic disease and limited food supply. Definitions and diagnostic criteria for malnutrition are discussed with particular focus on the mid-upper-arm circumference (MUAC). The design of a MUAC measuring tape with written treatment guidelines for use at the aid post level and a pilot project used to test the tape are described. The rationale for six treatment steps for malnutrition are described. The importance of community education, support through church groups and effective ongoing preventive health programs at the village level are stressed.