Modified Dosage for Moderate Acute Malnutrition (MODAM-MAM)

Inclusion Criteria:

1. Age 6-59 months

2. Reside in the catchment area of the health post where the trial is to be conductedwithout plans to leave the area over the next year

3. Uncomplicated moderate acute malnutrition, as defined by no signs of severe illnessthat would require referral to inpatient facility

4. Pass appetite test conducted at the time of enrollment

5. Consent for randomization into the study given by mother, father, and/or otherprimary caregiver

6. Mid-upper arm circumference of 115-124 mm without nutritional edema

7. Weight-for-height Z-score (WHZ) between -2 and -3

Exclusion Criteria:

1. Complicated acute malnutrition with severe illness requiring transfer to astabilization center or hospital for treatment. This includes, but is not limitedto: a. Hypothermia b. High fever c. Signs of hypoglycemia d. Lethargy or alteredmental status e. Moderate to severe dehydration f. Shock g. Other medicalcomplications requiring hospitalization or higher-level medical evaluation

2. Treatment for acute malnutrition, either as an inpatient or outpatient, within thepast 3 months

3. Known chronic medical illness such as severe cerebral palsy, severe congenitalanomalies such as unrepaired congenital heart disease, Down syndrome, hydrocephalus,unrepaired cleft lip or palate, or other conditions that would be expected tocontribute to difficulty feeding the prescribed amounts of therapeutic orsupplementary food