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www.cmamforum.or
Collaborating to improve the management of acute malnutrition
worldwide
COREGroup, Silver Spring, May 6, 2014
Information-sharing to improve learning about community-based management
of acute malnutrition and its impact
www.cmamforum.or
Supplementary feeding for the mgmt of MAM/
malnutrition
Inpatient mgmt of
SAM
Management of acute malnutrition before 2000
CURATIVE AND PREVENTIVE HEALTH
PREVENTIVE NUTRITION
CURATIVE NUTRITION
www.cmamforum.or
Community outreach: Early case detection and community engagement
Outpatient mgmt of MAM
Inpatient mgmt of
SAM
Outpatient mgmt of SAM
RUTF
Management of acute malnutritionfrom 2000 on
CURATIVE AND PREVENTIVE HEALTH
PREVENTIVE NUTRITION
CURATIVE NUTRITION
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IMCI
Community Outreach: Early case detection and community
engagement
Outpatient mgmt of MAM
Inpatient mgmt of
SAM
Outpatient mgmt of SAM
CURATIVE ANDPREVENTIVEHEALTH AND NUTRITION
National production of RUTF +
CMAM approach
Food securitySocial safety nets
WASHEducation
Gender
IYCF - ENA
5
El Fasher
Um Keddada
Mellit
Kutum
Taweisha
El Laeit
Malha
Tawila & Dar el Saalam
Karnoi &
Um Barow
Koma
KormaSerifKebkabiya
Fata Barno
Tina
N. Darfur 2001
Hospital with inpatient care
El Sayah
Outpatient care site
100 kms
Inpatient care site
Coverage of management of SAM
2009 20110
5000000
10000000
15000000
20000000
25000000
1,961,7221,035,
771
?
2.6 million children with SAM admitted for treatment out of an estimated 34.6 million (about 8%)
Source: UNICEF 2013
Integration of management of SAM CMAM in 2012 (N: 62) YES PARTIAL NO N/A
Management of SAM in national MCHN policy 50 9 3 0
Funds for SAM in annual health sector plan 24 0 35 3
SAM included in costed nutrition plan 39 0 23 0
RUTF on essential supplies list 21 0 41 0
Minimum one acute malnutrition indicator in HNIS 41 0 21 0
Management of SAM included in basic package of health services 19 31 12 0
Management of SAM as part of M&E and supervision 19 0 43 0
SAM screening in basic package of health services 24 29 9 0
Management of SAM in curricula for clinical health professions 24 0 38 0
Management of SAM in curriculum for health workers 27 21 14 0
Source: UNICEF 2013
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Information access issues: Inconsistent and ad hoc information sharing and learning No one repository for resources
Expressed needs: Sharing promising practices and evidence Learning from new contexts and innovative strategies that
address challenges Improving access to up-to-date, practical, accessible information Identifying knowledge gaps Avoiding duplication
Challenges for integration and scale up
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CMAM ForumMulti-stakeholder initiative to improve health outcomes through: Improved information-sharing to support quality
improvement, integration and scale-up of management of acute malnutrition interventions
Easy access to technical guidance, evidence and learning from nutrition and health actors
Relevant to WHA 2012 Resolution, Target 6: By 2025, reduce and maintain childhood wasting to less than 5%
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Steering Committee
Represents different sectors:
Government: MOH Bolivia, Kenya, Malawi, Niger (Asia pending) UN agencies: FAO, GNC, UNICEF, UNSCN, WFP, WHO NGOs: ACF, Concern Worldwide, Save the Children Technical entities: ENN, FANTA, icddr,b, IMTF, Valid
International Academic and professional associations (under discussion)
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1. Facilitate sharing of information and experience and capitalise on lessons learnedOpen access interactive website (library, country-specific resources, technical summaries and updates, training and audio-visual materials, advocacy resources, ongoing research summary, website links)
2. Develop technical materials to meet identified information gapsTechnical summaries (technical briefs, FAQs, mapping, updates)
CMAM Forum objectives
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3. Assess effectiveness via case studies in 4 countries How CMAM Forum is used and how it can be improved to better strengthen quality and scale-up
4. Promote/support a harmonised advocacy strategy:Positioning AM as a major health and nutrition priority, ensuring issues are raised, articulated, sharedFor example the “Generation Nutrition” ACF Campaign
CMAM Forum objectives (continued)
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Assessing the effectiveness: M&E
• Information products and services• Audience: members or users • Reach: breadth and saturation of dissemination• Usefulness: user satisfaction and quality• Use: What is done with knowledge gained
Adapted from: Sullivan T et al. 2007. Guide to Monitoring and Evaluating Health Information Products and Services. Washington, DC: USAID.
M&E conceptual framework
M&E methods
Routine monitoring (at global and country level) Website statistics on website usage
In-depth studies (at global and country level): Global member and user e-surveys Country case studies (India, Kenya, Niger,
Yemen): member e-survey, KII, FGD Mid-term review Evaluation
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Routine monitoring: website usage
• Over 1,400 members from 88 countries (100-150 new members per month)
• Two-thirds of members are from low-income countries• Over 10,000 website visits per months• 20% of website visits from French speaking countries• 8% of resources in French, 1% in Spanish, and < 1% in
Arabic
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Membership profile
Education background: Nutrition-dietetics 52%, medicine 16%, nursing 6%, social-community development 4%, other 13%, unknown 8%
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• Ways for expanding the audience• Improving national information sharing• Guidance to key resources • Topics for technical summaries• e-Learning courses, podcasts by experts• Online social networking services • “Share” link• Arabic and French resources• Culturally adapted audio-visual resources
Suggestions for improving (CCSs)
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CMAM Forum
First phase: Start-up (September 2011–December 2012)
Second phase: Consolidation and expansion (January 2013–
December 2014)
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Join!
Share!
Contribute!
Feed back!
THANK YOU
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Collaborating to improve the management of acute malnutrition worldwide
