Community-based Management of Acute Malnutrition (CMAM)

There are currently 1,960 members of the CMAM Forum in 98 countries

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'About the CMAM Forum', an interactive initiative that promotes sharing of information
 

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Announcements

  • NEW CMAM Forum resource update: April 2015.  Mise à jour des ressources du forum PCMA: avril 2015. Link/lien
     
  • Evidence Based Well Child Care Conference (14-16 May 2015, Ankara, Turkey) Int Society for Social Pediatrics Link
  • 3rd FANUS Conference 2015 FANUS     (25-29 May 2015, Arusha Int Conference Centre (AICC), Arusha, Tanzania) Flier

Highlights

Articles & Latest Items (Acute Malnutrition)

  • NEW Balancing omega-6 and omega-3 fatty acids in ready-to-use therapeutic foods (RUTF). BMC Medicine Link
  • High oleic ready-to-use therapeutic food maintains docosahexaenoic acid status in severe malnutrition: a randomized, blinded trial. [Abstract] J Pediatr Gastroenterol Nutr Link
  • Ready-to-use therapeutic food with elevated n-3 polyunsaturated fatty acid content, with or without fish oil, to treat severe acute malnutrition: a randomized controlled trial. BMC Medicine Link 
  • NEW Mothers understand and can do it (MUAC): a comparison of mothers and community health workers determining mid-upper arm circumference in 103 children aged from 6 months to 5 years. Archives of Public Health Link
  • NEW New implications for controversial kwashiorkor treatment uncovered in Paeds and Int Child Health Link
    - Albumin in nephrotic syndrome and oedematous malnutrition. Link
    - Oedema in kwashiorkor is caused by hypoalbuminaemia.  Link
    - Nutritional and other types of oedema, albumin, complex carbohydrates and the interstitium – a response to Malcolm Coulthard's hypothesis: Oedema in kwashiorkor is caused by hypo-albuminaemia. Link
  • Mid upper arm circumference outperforms weight-based measures of nutritional status in children with diarrhea. The J of NutritionLink
  • Managing acute malnutrition: a review of the evidence and country experiences in South Asia and a recommended approach for Bangladesh. FANTA III Link
  • Long-term effects of acute malnutrition on growth and body composition in Malawian children. Arch Dis Child Link
  • What health service provider factors are associated with low delivery of HIV testing to children with acute malnutrition in Dowa District of Malawi? PLOS One Link
  • Management of acute malnutrition in infants aged <6 months (MAMI) in Malawi: prevalence and risk factors in an observational study. Arch Dis Child Link
  • Mises à jour de la prise en charge de la malnutrition aiguë sévère chez le nourrisson et chez l’enfant. Lignes directrices. OMS  Lien  Previously released in English: Updates on the management of severe acute malnutrition in infants and children. Guideline. WHO  Link
  • Examen ouvert des méthodes de couverture. Questions, commentaires et perspectives SQUEAC, SLEAC, S3M. CMN Lien  Previously released in English Open review of coverage methodologies. Questions, comments & ways forward SQUEAC, SLEAC, S3M. CMN Link
  • Research priorities to improve the management of acute malnutrition in infants aged less than six months (MAMI). PLOS Medicine Link
  • Proceedings of the International Symposium on Understanding moderate malnutrition in children for effective interventions. FNB Special Supplement   Link
  • Comparison of four different supplementary foods in the treatment of moderate acute malnutrition (MAM) in children under five in Sierra Leone. The FASEB J Link
monitoring of CMAM programmes
Severe malnutrition: building on the past for a brighter future and other articles.FNB Special Supplement LinKey resources for acute malnutrition.CMAM Forum LinRessources clés pour la prise en charge de la malnutrition aigüe. Juin 2014.Forum PCMALienModerate acute malnutrition: A decision tool for emergencies. Updated June 2014 GNC  LinkDevelopment and acceptability testing of ready-to-use supplementary food made from locally available food ingredients in Bangladesh. BMC Pediatrics Link

General (Health & Nutrition)

  • Adolescent nutrition. Policy and programming in SUN+ countries. Save the Children Link
  • Research on food assistance for nutritional impact (REFANI) literature review. ACF, Concern, ENN, UCL  Link
  • Measuring multiple facets of malnutrition simultaneously: the missing link in setting nutrition targets and policymaking.  Food Security  Link
  • Systematic reviews on selected nutrition interventions: descriptive assessment of conduct and methodological challenges. BMC Nutr Link
  • What drives and constraints effective leadership in tackling child undernutrition? Findings from Bangladesh, Ethiopia, India and Kenya. Food Policy Link
  • Current issues and priorities in childhood nutrition, growth, and infections [Abstract] The J of Nutr  Link
  • Pediatric Nutrition in Practice. Book Karger Link  includes chapters on child growth, clinical evaluation and anthropometry, primary and secondary malnutrition  

[EBOLA]

  • Prise en charge nutritionnelle des enfants et des adultes atteints de maladie à virus Ebola dans les centres de traitement. Lignes directrices provisoires. OMS Lien   Previously released in English: Nutritional care of children and adults with Ebola virus disease in treatment centres. Interim guideline. WHO/UNICEF/WFP Link
  • L’alimentation du nourrisson dans le contexte du virus Ebola – Mise à jour. UNICEF/OMS/CDC/ENN  Lien Previously released in English: Infant feeding in the context of the Ebola outbreak – updated guidance UNICEF/WHO/IFE Core Group  Link
  • Lactating mothers infected with ebola virus: EBOV RT-PCR of blood only may be insufficient. Eurosurveillance Link
  • Recommendations for breastfeeding/infant feeding in the context of Ebola. CDC Link

Documentation of Meetings Held

  • Linking Integrated Community Case Management & Nutrition. Meeting report (11-12 Dec 2014, NY) Link
    iCCM and nutrition technical working group meeting (11-12 Dec, NY, US). Webex recordings, day 1 Link  day 2 Link

Training & Reference Materials

       حمل SQUEAC و SLEAC: طرق منخفضة الموارد لتقييم الوصول والتغطية في برامج التغذية المختارة 

Translated into Arabic by the Yemen Nutrition Cluster from the English: SQUEAC & SLEAC : Low resource methods for evaluating access and coverage in selectivefeeding programsLink

Download all toolkit Link    دليل "تغذية الر ّضع وصغار األطفال في حاالت الطوارئ": مجموعة أدوات للعاملين في مجال التغذيّة في حاالت الطوارئ

Previously shared in English: IYCF-E Toolkit: Rapid start-up resources for emergency nutrition personnel. Save the Children Link 
et en français: Trousse D’ANJE -U: Démarrage rapide pour le personnel de nutrition d’urgence. Save the Children Lien

  • Transforming nutrition: ideas, policy and outcomes 2015 course. IDS (13 -17 July 2015, Brighton, UK) Link
  • Pôle francophone sur le double fardeau nutritionnel (Pôle DFN)  Link  Voici un cours autodidacte sur la prise en charge et la prévention de la malnutrition sévère. Pour y avoir accès et pour des renseignements complémentaires, envoyer une demande à « transnut@umontreal.ca »

The CMAM approach includes:

  • Community outreach for community involvement and early detection, referral of cases of acute malnutrition and follow up of problem cases,
  • Management of Severe Acute Malnutrition (SAM) in outpatient care for children 6-59 months without medical complications,
  • Management of SAM in inpatient care for children 6-59 months with medical complications and children under 6 months with acute malnutrition,
  • Management of Moderate Acute Malnutrition (MAM) for children 6-59 months,
  • The comprehensive CMAM model links with maternal, newborn, and child health and nutrition, water, sanitation and hygiene, food security and livelihood, and other community outreach initiatives.

CMAM is also referred to as IMAM (Integrated Management of Acute Malnutrition) or CTC (Community-based Therapeutic Care)