Establishing a TSFP (Targeted Supplementary Feeding Program)

1. Location
 TSFP should be situated at or near a local health facility
 Sites should be selected that are easily accessible
2. Structure

The SFC (Supplementary Feeding Center)

 will be managed in the health centers or barangay health stations.

 Distributions can be run by the SFC staff on a weekly or bi-weekly (every two weeks) basis.

3. Staffing

a. MAM Treatment Supervisor

  Manages the food and non-food items

  Prepares monthly reports
  Manages human resources
  Supervises MAM treatment

b. BNS, BHW or Community Volunteers

 Activities:
o  Does the anthropometric measurements
o  Admits the child
o  Helps in the preparation
o  Distributes ration
o Registers the child
  Finds the defaulters

4. Tools and Materials

a. For measurements
  Scales, length board/height board, MUAC tape
  CGS tables
b. For registration

  Registration book
  Key Messages about RUSF
  Ration Card, ECCD cards
  OPT forms for master-listing
  Monitoring tools
c. For health-nutrition education
 Cooking materials
 Posters on education, health promotion
d. For ration preparation and distribution
 Supplemental ration supplies
 Salter scale
e. Routine medicines
 Vitamin A capsules
 Albendazole
 Iron tablets
 Safe drinking water and drinking cups
f. Storage equipment
 Wooden palette for stacking
Organization of Services
 A flow of services wall chart is usually displayed
 The midwife or the nurse may do the triaging
 The child is then referred to the doctor’s room
 An assistant nurse or midwife is in charge of dispensing the medicines

So the child Mid upper arm circumference is taken and if it is <115mm or edema is present then he is referred to SAM
program, while for those MUAC between 115 to <125mm and w/ no complications and EPI is updated he is referred to
TSFP and routine health service but if with complications and EPI is outdated he will be referred for IMCI assessment,
vaccination and TSFP

Child is identified with

acute malnutrition

MUAC <115mm (red) MUAC 115mm to <125mm (yellow)

And/or WFL/H <-3 Z score and/or WFL/H -3 to <-2 Z-score or
Or edema present edema absent

Refer to SAM program

 With medical  no medical complications
complications  updated EPI
 outdated EPI

 TSFP
 Refer for IMCI
 Routine Health Service
Assessment/treatment
 Refer for vaccination
 TSFP
 Routine Health Service