Review of community-based management of acute malnutrition (CMAM) in the post-emergency context

Review of community-based management of acute malnutrition (CMAM) in the post-emergency context

Synthesis of lessons on integration of CMAM into national health systems: Ethiopia, Malawi and Niger

This report reviews the integration of community-based management of acute malnutrition (CMAM) into the national health systems of Ethiopia, Malawi and Niger between April and June 2007. It documents the current state of integration efforts, identifies challenges and lessons learned, and suggests ways to move forward on improved integration of CMAM into national health systems. From this review, the report identifies key elements of CMAM integration into national health systems. These are: the enabling environment, access to services, access to supplies, quality of services, and competencies for CMAM.

The report recommends that when CMAM services are introduced, regardless of the context, a health systems strengthening approach should be used to ensure that services are integrated into the health system. Global-level recommendations include to:

  • advocate and attract technical and financial support from donors to integrate CMAM into national health policies and strategic plans
  • support country initiatives to invest in the key elements identifies for successful integration and sustainability of CMAM
  • invest in developing tools for improving assessment, design and monitoring and evaluation of CMAM
  • expand the knowledge and evidence base for integrated and scaled-up CMAM