How to strengthen a Community-Based Management of Acute Malnutrition programme in northern Nigeria

How to strengthen a Community-Based Management of Acute Malnutrition programme in northern Nigeria

The treatment and prevention of severe acute malnutrition via the CMAM programme is one of four outputs of the UK Department for International Development funded Working to Improve Nutrition in Northern Nigeria (WINNN) programme. This output aims to deliver effective treatment for severe acute malnutrition through local health systems in collaboration with communities. This summary highlights findings and recommendations from operation research on the CMAM programme.

Recommendations for WINNN:

  • improve access to the CMAM programme by encouraging communities to identify ways of providing transport for children needing CMAM treatment; and increase coverage of CVs in rural areas for early identification of SAM cases
  • develop and implement plans for capacity and systems strengthening, especially at the LGA level, to ensure a constant supply of RUTF and essential drugs through effective forecasting, timely delivery of sufficient supplies and safe storage
  • design and test strategies of material and non-material incentives for CVs, including providing means of transportation for them to reach remote areas or facilitating indirect mechanisms that would serve to improve livelihoods or reduce their losses
  • review strategies for health worker training. This may include more frequent CMAM-specific trainings, or integration of CMAM training into a standard health worker training syllabus and/or other trainings
  • consider the feasibility of supporting or advocating for the establishment of mechanisms that would ensure financial sustainability of CMAM across the WINNN states