Menu ENN Search

Summary of the development process for the guideline on the prevention and treatment of wasting

View this article as a pdf

Background

The World Health Organization (WHO), in collaboration with UNICEF, the United Nations High Commissioner for Refugees (UNHCR), the Food and Agriculture Organization (FAO) and the World Food Programme (WFP) convened a technical consultation in Geneva in December 2019 on the prevention and treatment of wasting in children. Bringing together international experts in the fields of undernutrition and child health, the meeting aimed to review the technical framing of wasting, to discuss how to identify children at highest risk of morbidity and mortality and to identify the key gaps in the guidance on preventing and treating wasting in children. The meeting highlighted among other things the importance of understanding what defines nutritional vulnerability and risk of death (not only anthropometric but functional recovery). The discussions were also the basis for the development of the Global Action Plan (GAP) Framework on child wasting.1

In collaboration with UNICEF, UNHCR, FAO and WFP, WHO released the GAP Framework on child wasting in February 2020, highlighting priority actions on the prevention and treatment of child wasting, with emphasis on preventing low birthweight, advancing child health, improving infant and young child feeding and strengthening treatment as well as the importance of a systems-approach involving health, food, water, sanitation and hygiene (WASH) and social protection. The GAP framework reiterated WHO’s mandate to update and develop guidelines on wasting.

WHO Guideline development process on wasting prevention and treatment

In November 2020, WHO created the Guideline Development Group (GDG) consisting of 26 members including researchers, clinicians and programme managers in the areas of infant and child health and nutrition and treatment and prevention of child wasting with representation from all the world regions. The first step in a guideline development process is the scoping of the guideline and the development of the PICO questions. The following scoping reviews to map the available evidence on the prevention and treatment of wasting were commissioned and completed at the end of November:

1)  Growth failure in infants under six months of age

2)  Severe wasting and oedema in children aged six months and older

3)  Moderate wasting in children aged six months and older

4)  Prevention of wasting

A GDG scoping meeting was held 8-11 December 2020 to discuss the four scoping reviews and to prioritise questions in each of the topics. Key areas/questions were identified for the first three topics. There was not enough time to discuss the topic of prevention of wasting in detail and what questions would be relevant for the WHO guideline development process in this area.  More discussion is also needed on how to address the area of risk stratification when it comes to wasting in children.

To complete the scoping process (the development and prioritisation of the questions), small working groups will be established for each of the four topics to develop the questions identified during the meeting. The GDG will be asked to prioritise the questions as well as rank the outcomes for each of the priority questions. Once the information is available, WHO will commission systematic reviews and additional methods as appropriate to examine the available evidence for each of the questions.  It is expected that the reviews will be completed in 2021 and the final guideline meeting be held at the end of 2021 to formulate the recommendations.

Key research gaps will be highlighted and a research agenda developed in parallel.

Guideline on wasting/country action

WHO recommendations can be implemented in, and adapted to, local setting and contexts.  Guideline ‘derivatives’ such as implementation guidelines, policy briefs and training courses will be developed in in 2021/2022 to help countries with the appropriate implementation based on their context. The involvement of key multisector stakeholders will be important for this.

For more detailed information on the guideline development process, watch this webinar co-hosted by WHO and ENN to improve understanding of the WHO guideline development process in general as well as the layout of specific considerations and timelines for the new wasting guidelines. https://www.ennonline.net/mediahub/video/whowebinaronwastingguidelinesanddevelopment

For more detailed information on WHO’s guideline development process: WHO Handbook for Guideline Development: https://apps.who.int/iris/handle/10665/145714

 

Subscribe freely to receive Field Exchange content to your mailbox or front door.

Read more...

Endnotes

1 https://www.childwasting.org/

More like this

‘Reset’ of wasting prevention and treatment to catalyse action and accountability

Emergency Nutrition Network (ENN) has submitted a game-changer on a 'wasting reset' that has been included as part of the game-changers of Action Track 1 for the UN FSS....

FEX: What’s new at ENN?

View this article as a pdf ENN strategic review: developing our new strategy together (2021-2026) As global leaders in knowledge management, evidence and learning, ENN is...

FEX: The No Wasted Lives Research Agenda - Revisited

View this article as a pdf This article is a summary of the Research Agenda Revisited published by the No Wasted Lives Secretariat and the Council of Research Technical Advice...

Leadership

ENN actively engages in global fora to influence and provide leadership within the nutrition sector on technical developments, governance and strategy and to inform donor...

MAMI Policy

Policy Members of the MAMI Global Network and the MAMI Co-leads at ENN and LSHTM directly contribute to international and national policy guidance development. Through...

FEX: WHO guideline on mass drug administration of azithromycin to children under five years of age

View this article as a pdf Around 5.3 million children under the age of five died in 2018. Most of these deaths occurred in low-income countries with the highest risk of death...

FEX: Scoping review on school food and nutrition policies

View this article as a pdf World Health Organization (2021). Assessing the existing evidence base on school food and nutrition policies: a scoping review. Geneva. WHO....

FEX: WaSt Special Section Editorial

View this article as a pdf Dear readers, Our aim with this special section of Field Exchange (FEX) is to convey to you the scope of work that the Wasting and Stunting...

FEX: WHO consultation on management of moderate malnutrition in U5s

The WHO, in collaboration with UNICEF, WFP and UNHCR, hosted a second consultation to discuss the programmatic aspects of the management of moderate malnutrition in children...

Wasting Prevention Survey - Introduction

Background The global burden of wasting (50.5 million children 0-59 months of age)1 is a major global public health crisis and progress in reducing levels towards World Health...

ENN Latest

ENN aims to source the best value goods and services to meet our needs and is currently inviting tenders to secure supplier contracts, specifically for Translation Services and...

Blog post: Wasted opportunity? What we do know about preventing wasting

Today, over 50 million children are wasted, which comes with an elevated risk of death. Even more, wasting prevalence hasn't declined in recent years. The United Kingdom's...

FEX: Community-based management of acute malnutrition (CMAM) Conference 2021

View this article as a pdf Concern Worldwide and Irish Aid hosted a virtual conference on the community-based management of acute malnutrition (CMAM) in March 2021. The...

Resource: Ready-to-use Therapeutic Food (RUTF) Scoping Study

This work was conducted by Emily Mates (ENN Technical Director) and Kate Sadler (ENN Consultant). We are grateful to the many individuals and agencies who not only generously...

FEX: Scaling up child wasting prevention and treatment in the context of stunting prevention in Indonesia

View this article as a pdf Leveraging efforts for joint wasting and stunting programming in Indonesia This article outlines how wasting treatment was integrated into stunting...

FEX: Making connections: Joint meeting of WaSt Technical Interest Group and MAMI Special Interest Group

ENN coordinates two international technical groups, the Management of at-risk Mothers and Infants under six months Special Interest Group (MAMI SIG) and the Wasting and...

FEX: Food systems and how they relate to malnutrition in low- and middle-income countries

View this article as a pdf This is a summary of the following report: ENN (2021) Food systems and how they relate to malnutrition in low- and middle-income countries. Oxford,...

en-net: Call for authors - Scoping review for WHO guideline on the prevention and treatment of wasting in infants and children

https://www.who.int/news-room/articles-detail/call-for-authors-scoping-review-guideline-prevention-treatment-of-wasting-infant-children Deadline is 22nd September...

Video: Update webinar on the WHO Wasting Guideline Development Process

The process for developing the WHO guidelines for the prevention and treatment of wasting is well underway. Since the last webinar on the process in September 2020 much has...

en-net: HIV and infant feeding in emergencies

Dear en-net users, The WHO 2015/6 revised guidelines on HIV and infant feeding, developed through a WHO Guideline Development Group (GDG) meeting on infant feeding and HIV...

Close

Reference this page

Summary of the development process for the guideline on the prevention and treatment of wasting. Field Exchange 64, January 2021. p18. www.ennonline.net/fex/64/whoguidelinedevelopment

(ENN_6945)

Close

Download to a citation manager

The below files can be imported into your preferred reference management tool, most tools will allow you to manually import the RIS file. Endnote may required a specific filter file to be used.