The authors thank Dr. Sanklecha for the interest in the guidelines. We agree with the comments on the issue of weight gain in an edematous severely malnourished child and these will be included in the next version.

There is possibly a need for titrating the dose of vitamin A by weight. However, there is no published evidence or guideline for the same.

We agree with the author regarding the importance of evaluation of mood of the child and his/ her interest in the surroundings.