Training guide for communitybased management of acute malnutrition cmam, 2018 version this cmam training guide is designed for health care managers and providers who manage, supervise, and implement services for the management of acute malnutrition, including those involved in community outreach activities. Acute malnutrition is a major cause of death among underfive children in low and middleincome countries. Review of communitybased management of acute malnutrition implementation in mali, november 18december 3, 2009 2 and national training institutions. Communitybased management of severe acute malnutrition can have a major public health impact with modern treatment regimens and improved access to treatment, casefatality rates can be as low as 5 per cent, both in the community and in healthcare facilities. Communitybased management of acute malnutrition cmam brings the. Budhranidoctors for you rural health centre, village masarhi, patna, bihar, india bihar has one of the worst child health indicators with 43% children being underweight, 48% stunted, 53 % being exclusively breastfed for 6 months and only 7 % children getting adequate complementary. A significant gap remains between need and capacity for management of severe acute malnutrition sam in children. The nutrition camps are community based nutrition pr ogr amme s for childr en who ar e a t risk of pr ot ein ener gy malnutrition. Protocol for the management of severe acute malnutrition. Severe acute malnutrition sam is defined as a weightforheight measurement of 70% or less below the median, or three sd or more below the mean national centre for health statistics reference values, the presence of bilateral pitting oedema of nutritional origin, or a midupperarm circumference of less than 110 mm in children age 15 years. In recent years, many countries have adopted an exciting new strategy for addressing acute malnutrition.
The brief focuses on current principles and approaches to moderate acute malnutrition mam management, highlighting key constraints, gaps. Children are reassessed after a period of two weeks and transferred after two months to sfp when their mauc is more than 11. Community management of acute malnutrition cmam guidelines. Acute malnutrition is classified into severe acute malnutrition1 sam and moderate acute malnutrition mam according to the degree of wasting and the presence of oedema. Greater emphasis is needed on prevention of sam by strengthening community outreach, mam management and integrating cmam into national health systems and related sectors. Management of acute malnutrition in infants mami project.
Communitybased management of severe acute malnutrition in. Cmam is an evidencedbased model, currently implemented in more than 70 countries worldwide, and is the globally endorsed standard for management of acute malnutrition. Measurements guide for maizecornsoya blend to be used at feeding. Ocha coordinates the global emergency response to save lives and protect people in humanitarian crises. United nations agencies recommend the integration of communitybased management of acute malnutrition cmam into the local health systems for sustainability. Overview of communitybased management of acute malnutrition cmam.
Severe acute malnutrition, community management of acute. Management of severe acute malnutrition in children. Achieving these goals will maximise impact and the capacity of the service to meet need. The i nterven tion follow s tw o appr oache s, one appr oach encour ag es local k nowle dge and pr actice s of child. Communitybased management of acute malnutrition food. The community mobilisation part of these guidelines can usefully provide a starting point for such programmes.
Action communitybased management of acute malnutrition. Community based management of acute malnutrition cmam. The cmam approach enables community volunteers to identify and initiate treatment by referring children with acute malnutrition before they become seriously ill. Pdf community management of acute malnutrition in the. However, current capacity in the province prevents us from implementing the programme as is, and thus a gradual development towards implementation of. Interim manual communitybased management of severe acute. Community based management of acute malnutrition cmam n. Since few ngos are currently working in the management of severe acute malnutrition msam in mali, it was possible to visit sites of each program, with the exception of. District reports combine the information from individual. Treatment of severe and moderate acute malnutrition in low.
Coverage of communitybased management of severe acute. Globally, moderate acute malnutrition mam and severe acute malnutrition sam affect approximately 52 million children under five. This technical brief is one of three commissioned by the communitybased management of acute malnutrition cmam forum. Evaluation of community management of acute malnutrition. Kzn guidelines on the integrated management of acute. In children aged 659 months, a muac less than 110 mm indicates severe acute malnutrition, which requires urgent treatment.
Pdf globally, acute malnutrition triggers more than 50% of childhood mortality in. Communitybased management of acute malnutrition cmam. This is despite clear advances in the development and implementation of international and national protocols for the management of sam, as well as guidelines and training for inpatient care of severely acutely malnourished children. Management of children with severe acute malnutrition in. The communitybased management of acute malnutrition cmam is one of world visions core project models in nutrition. Guidelines for management of acute malnutrition through communitybased. Assessment of coverage of communitybased management. Communitybased management of acute malnutrition cmam approach to ensure maximum coverage, timeliness, access. Maternal and child malnutrition is a significant public health problem in south sudan. Tina lloren, regional nutrition advisor, save the children content.
Perspectives for integration into the local health system. Malawi guidelines for communitybased management of acute. Communitybased management of severe acute malnutrition was introduced in emergency. To assess the feasibility and constraints of communitybased management of acute malnutrition cmam, a relatively new approach, in.
Much work remains to be done in expanding coverage of cmam. As per the context in ethiopia, a separate set of guidelines applies for. Community based managment of acute malnutrition cmam. The aim and priority in communitybased services for the management of acute malnutrition is to reach as many of those affected as possible and to access acutely malnourished children in the early stages of their disease.
Communitybased management of severe acute malnutrition. Programmatically, it is helpful to categorise children with sam into complicated and uncomplicated cases. Pdf communitybased management of acute malnutrition in. Review of communitybased management of acute malnutrition. Admission and discharge criteria for cmam in children under 5. The objective of the study was to assess the preparedness of the health system to implement cmam targeting. Nutrition camps for community based management of acute. Training guide for communitybased management of acute. We advocate for effective and principled humanitarian action by all, for all. Communitybased therapeutic care ctc a field manual first edition, 2006 valid international this manual was produced by the ctc research and development programme, a collaboration between valid international and concern worldwide. National guidelines for community based management of. Integration of community based management of acute malnutrition.