| Ability | Acceptability and feasibility | Effectiveness | Costs/cost-effectiveness | Key barriers | Key facilitators |
---|---|---|---|---|---|---|
Identifying AM |  |  | CVs identifying children highly susceptible to AM (Bisimwa et al.) [38] | Community-based screening by CHWs for AM (Isanaka et al.) [54] | CHWs screening for and treating uncomplicated SAM defined by national protocol as MUAC < 11.5 cm, WHZ < −3, and/or nutritional oedema (Alvarez Moran et al., 2017) [45] | CHWs screening for and treating uncomplicated SAM defined by national protocol as MUAC < 11.5 cm, WHZ < −3, and/or nutritional oedema (Alvarez Moran et al., 2017) [45] |
 |  |  | HEWs diagnosing MAM, uncomplicated SAM, and complicated SAM using WHO growth standards and definitions (Getachew et al.) [42] |  |  |  |
 |  |  | CHWs screening for and treating uncomplicated SAM defined by national protocol as MUAC < 11.5 cm, WHZ < −3, and/or nutritional oedema (Alvarez Moran et al., 2017) [45] |  |  |  |
 |  |  | CHWs screening and following up for malnutrition services (Ayoya et al., 2012) [51] |  |  |  |
Monitoring AM | Â | cGMP programme delivered by illiterate CHWs (Mayhew et al.) [40] | CVs monitoring the growth of children through conducting community weighting sessions (Bisimwa et al.) [38] | Â | CVs monitoring the growth of children through conducting community weighting sessions (Bisimwa et al.) [38] | CVs monitoring the growth of children through conducting community weighting sessions (Bisimwa et al.) [38] |
Managing severe wasting | Â | Â | Â | Â | Community-based management of severe wasting (CMSW) (Renzaho et al.) [52] | Community-based management of severe wasting (CMSW) (Renzaho et al.) [52] |
Treating AM | CHWs treating uncomplicated SAM defined as MUAC < 11.5 cm, WHZ < −3, and/or nutritional oedema (Alvarez Moran et al., 2017) [45] | CBDs adhering to a simplified SAM treatment protocol for uncomplicated SAM (Van Boetzelaer et al.) [50] | CHWs screening for and treating uncomplicated SAM defined by national protocol as MUAC < 11.5 cm, WHZ < −3, and/or nutritional oedema (Alvarez Moran et al., 2017) [45] | CHW-delivered treatment for uncomplicated SAM (Rogers et al.) [53] | CHWs screening for and treating uncomplicated SAM defined by national protocol as MUAC < 11.5 cm, WHZ < −3, and/or nutritional oedema (Alvarez Moran et al., 2017) [45] | CHWs screening for and treating uncomplicated SAM defined by national protocol as MUAC < 11.5 cm, WHZ < −3, and/or nutritional oedema (Alvarez Moran et al., 2017) [45] |
 | CBDs adhering to a simplified SAM treatment protocol for uncomplicated SAM (Van Boetzelaer et al.) [50] |  | CHWs treating uncomplicated SAM as defined as children 6–59 months, MUAC < 115 cm, WHZ <  − 3, and/or nutritional oedema (Alvarez Moran et al., 2018) [46] |  | CBDs adhering to a simplified SAM treatment protocol for uncomplicated SAM (Van Boetzelaer et al.) [50] | CBDs adhering to a simplified SAM treatment protocol for uncomplicated SAM (Van Boetzelaer et al.) [50] |
 | CHWs treating uncomplicated SAM with different levels of supervision (Charle-Cuéllar et al.) [47] |  |  |  | RMNCAH + N community-based services, including community-based referral and treatment of AM (Tappis et al.) [55] | CHW-delivered treatment for uncomplicated SAM (Rogers et al.) [53] |
IYCF BCC | Â | VHW-delivered BCC to mothers on EBF, IYCF, & WASH (Desai et al.) [49] | CHWs with enhanced IYCF training conducting outreach counselling on IYCF (Addo et al.) [36] | Â | CHWs and community leaders delivering intensive, community-based BCC on IYCF (Kim et al.) [39] | CHV-led monthly nutrition sessions on breastfeeding, EBF, water treatment, and IYCF for poor women, attendance incentivized with cash (Kurdi et al.) [32] |
 |  |  | cGMP programme delivered by illiterate CHWs (Mayhew et al.) [40] |  |  |  |
 |  |  | CHWs and community leaders delivering intensive, community-based BCC on IYCF (Kim et al.) [39] |  |  | CHWs delivering community-based, complementary feeding BCC (Ayalew et al.) [33] |
 |  |  | HEWs delivering a BCC programme on CBN, IYCF, and nutrition-sensitive agriculture (Worku et al.) [41] |  | cGMP programme delivered by illiterate CHWs (Mayhew et al.) [40] | cGMP programme delivered by illiterate CHWs (Mayhew et al.) [40] |
 |  |  | CHWs-delivered complementary feeding BCC (Ayalew et al.) [33] |  |  | HEW-delivered BCC programme on CBN, IYCF, and nutrition-sensitive agriculture (Worku et al.) [41] |
 |  |  | VHW-delivered BCC to mothers on EBF, IYCF, & WASH (Desai et al.) [49] |  |  | CHWs promoting EBF through door-to-door visits and community meetings (Balaluka et al.) [44] |
 |  |  | VHW-delivered BCC for complementary feeding and use of locally available complementary foods (Paul et al.) [48] |  |  | VHW-delivered BCC for complementary feeding and use of locally available complementary foods (Paul et al.) [48] |
 |  |  | CHV-led monthly nutrition sessions on breastfeeding, EBF, water treatment, and IYCF for poor women, attendance incentivized with cash (Kurdi et al.) [32] |  |  | VHW-delivered BCC for complementary feeding methods and use of locally availability complementary foods (Paul et al.) [48] |
 |  |  | CHWs promoting EBF through door-to-door visits and community meetings (Balaluka et al.) [44] |  |  |  |
IYCF BCC & supplementary feeding | Â | VHW-delivered BCC for complementary feeding methods, use of locally availability complementary foods, and use of LNS (Paul et al.) [48] | Facility-based supplementary feeding, plus nutrition counselling on IYCF and cooking by community elders, for children with moderate wasting (Rajabi et al.) [43] | Â | Enhanced IYCF programme including community- and facility-based counseling on WASH, SQ-LNS, and IYCF; SQ-LNS distributions; and additional investments in the CHW platform including improved supervision, training, resources, and role clarity. (Locks et al.) [37] | Enhanced IYCF programme including community- and facility-based counseling on WASH, SQ-LNS, and IYCF; SQ-LNS distributions; and additional investments in the CHW platform including improved supervision, training, resources, and role clarity. (Locks et al.) [37] |
 |  |  | RUTF provision, plus antibiotics, plus nutrition counselling on IYCF and cooking by community elders, for children with high-risk MAM (Lelijveld et al.) [35] |  |  |  |
 |  |  | Status quo CNW BCC based on standard Madagascan growth monitoring and nutrition education protocol, plus intensive CNW-delivered nutrition counselling, plus CHW-distributed LNS to children, plus LNS to pregnant and lactating women, plus CHW-distributed early children stimulation and parenting messages (Stewart et al.) [31] |  |  |  |
 |  |  | Enhanced IYCF programme including community- and facility-based counseling on WASH, SQ-LNS, and IYCF; SQ-LNS distributions; and additional investments in the CHW platform including improved supervision, training, resources, and role clarity. (Locks et al.) [37] |  |  |  |
 |  |  | Integrated management of AM through mother peer-counseling care groups with nutrition counselling on-site and at home visits, treatment of MAM with fortified blended flour, and treatment of SAM with RUTF (Maust et al.) [34] |  |  |  |