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The Community-Based Management of Acute Malnutrition (CMAM) model transformed the treatment of severe acute malnutrition (SAM) by shifting treatment from inpatient facilities to the community. Evidence shows that while CMAM programs are effective in the initial recovery from SAM, recovery is not sustained for some children requiring them to receive treatment repeatedly. This indicates a potential gap in the model, yet little evidence is available on the incidence of relapse, the determinants of the phenomena, or its financial implications on program delivery. This study is a multi-country prospective cohort study following “post-SAM” children (defined as children following anthropometric recovery from SAM through treatment in CMAM) and matched community controls (defined as children not previously experiencing acute malnutrition (AM)) monthly for six months. The aim is to assess the burden and determinants of relapse to SAM. This study design enables the quantification of r

South sudanWilayat shimal bahr al ghazalUnited statesDemocratic republic of the congoBahr el ghazalWilayat gharb bahr al ghazalMinistry of healthBanadir regionIntegrated food security phase classificationAction against hungerEast countyAweil eastAction againstHousehold hunger scaleAdditional fileOpen data kit