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  Scaling up Community based - PowerPoint Presentation

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  Scaling up Community based - PPT Presentation

Management of Acute Malnutrition but doing it differently Anne Philpott Nutrition Adviser Abigail Perry Humanitarian Adviser UK Department for International Development Introduction ID: 810230

health nutrition funding cmam nutrition health cmam funding dfid system food support chain scale management humanitarian treatment therapeutic community

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Slide1

 Scaling up Community based Management of Acute Malnutrition; but doing it differently

Anne Philpott, Nutrition

Adviser

Abigail

Perry, Humanitarian

Adviser

UK

Department for International

Development

Slide2

IntroductionCMAM has been a common element of our humanitarian programmes since the CTC model was first establishedIn recent years, DFID has been expanding nutrition investments:2011: Nutrition Position Paper published, outlining our goal to

reach 20 million pregnant women and children under five with nutrition relevant

services

by

2015

June

2013:

co-hosted

a global summit ‘Nutrition for Growth’ that galvanised additional £2.7 billion of financial commitments for nutrition

and published a compact

endorsed

by more than 100

stakeholders committed

to reduce

stunting.

DFID

committed to triple

its nutrition

funding by

2020

Increasingly providing longer-term funding for CMAM through national governments, including budget support and sector reform programmes

Today we will highlight some examples and our lessons from ‘doing CMAM differently’

Malawi

Ethiopia

India

Kenya

Slide3

Malawi –Health Ministry and UNICEFDFID Malawi works with MoH to treat SAM – covering 85% of the health facilities. However a period of food insecurity meant that it was strengthened in 16 food insecure districts with DFID’s funding through UNICEF.Severe acute malnutrition

treatment in hospital with Nutrition

Rehabilitation

Centres

with therapeutic milk – and treatment at health facility, with therapeutic food – RUTF. Complemented with growth monitoring and promotion, Vitamin A supplementation, immunization, treatment of common childhood diseases for children under 5 years of old.RUTF local production with Valid International.

Slide4

India –Health, Nutrition Depts and NGOsIndia has 40 % of global burden of SAM and no treatment in communityVery small scale provision under ‘emergency’ floods in BiharSince 2010 Govts

of

Odisha

, Madhya Pradesh with DFID, Valid and Right to Food NGOS are moving towards piloting CMAM –

Testing small scale women’s groups production

Comparing community with hospital treatmentState Agri companies piloting production in Madhya PradeshMinistry of Health issuing CMAM guidelines imminentlyMinistry of Women and Child Development in MP and Odisha testing community approaches to SAMPlans to develop a public sector product

Slide5

Ethiopia – with Health Dept & UNICEFIn the new £36.3 million DFID funding programme support to make CMAM and integral part of Ethiopian National Nutrition Program. ensuring access to quality CMAM services and securing procurement of therapeutic food for CMAM through

multi-year and predictable funding for the program

.

 

CMAM

services will be expanded and integrated as routine service in every health post and at least one Stabilisation Centre (SC) per woreda (district)Aim is to integrate CMAM into the public health system of Ethiopia Regional Health Bureaus strengthened

to coordinate with NGOs

, forecast and manage supplies of therapeutic foods, and monitor performance.

Health Extension Workers’ supervisors will be trained to undertake accurate assessment of the overall

CMAM service quality using a score card system.

Government supply chain and logistics management will be strengthened and

CMAM supply chain management

will be progressively transitioned into the government’s Pharmaceutical Fund and Supplies Agency (PFSA) of the MOH. UNICEF has undertaken supply chain bottleneck analysis and RUTF leakage assessment

CMAM rollout in Ethiopia has enabled access to

trend data on admissions of severely malnourished children

to health facilities over the past few years – easy to see the progress or deterioration of a given nutrition situation.

Slide6

Kenya ASALs – Emerging from humanitarian crisis£16.8 million between 2012 and 2015 to support scale up of HiNi* in arid

and semi-arid lands (

ASALs

)

through health system

Funding through NGOs to support service delivery and capacity strengtheningFunding through UNICEF to support system strengthening and county-level planning for nutritionFocus on flexibility in context of fluctuating GAM %:Supply chain management / forecastingHR surge capacityEarly warning / triggersKey challenges: gaps in broader health system, balancing focus on nutrition, underlying causes, availability of other donor

funding

*High impact Nutrition interventions

Slide7

ConclusionDifferent contexts means there is currently no one-size-fits-all approach to funding CMAMKey to work within existing (or future) policies and systems to ensure CMAM can be sustained Critical period for lesson learning - for DFID and the broader nutrition community:

Implementing at scale

Building commitment and developing policy / practice

Positioning nutrition within health systems

Bridging development and humanitarian response through flexible approaches