Community-based Management of Acute Malnutrition (CMAM)

There are currently 1,891 members of the CMAM Forum in 98 countries

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

Donors

Announcements

  • NEW CMAM Forum resource update: March 2015.  Mise à jour des ressources du forum PCMA: mars 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, Tanzania) Flier

Highlights

Articles & Latest Items (Acute Malnutrition)

  • NEW Proceedings of the International Symposium on Understanding moderate malnutrition in children for effective interventions. FNB Special Supplement   Link
  • NEW Adolescent nutrition. Policy and programming in SUN+ countries. Save the Children Link
  • Low-dose RUTF protocol and improved service delivery lead to good programme outcomes in the treatment of uncomplicated SAM: a programme report from MyanmarMaternal & Child Nutrition Link
  • Research on food assistance for nutritional impact (REFANI) literature review. ACF, Concern, ENN, UCL  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
  • Toolkit to monitor bottlenecks to effective coverage of community-based management of severe acute malnutrition services. Summary.  CMN, ACF, UNICEF, FANTA  Link
  •  West Africa: Integrated management of acute malnutrition programme and stocks report. October-December 2014. UNICEF WCARO Link
  • Comparison of weight-for-height and mid-upper arm circumference (MUAC) in a therapeutic feeding programme in South Sudan: is MUAC alone a sufficient criterion for admission of children at high risk of mortality? [Abstract] Public Health Nutrition  Link
  • Social, dietary and clinical correlates of oedema in children with severe acute malnutrition: a cross-sectional study. BMC Pediatrics Link
  • Open review of coverage methodologies. Questions, comments & ways forward. SQUEAC, SLEAC, S3M. Epicentre  Link
  • Nutridash 2013. (Global report on the pilot year) UNICEF Link
  • Production des aliments prêts à l’emploi (APE) : un aperçu des étapes de leur production « locale » et des défis à relever. Forum PCMA Lien
    Production of Ready-to-Use Food (RUF): an overview of the steps and challenges involved in the “local” production of RUF. CMAM Forum  Link
  • Smallholder Farmers’ Project: Research Papers (including production of RUTF in Malawi). Valid Nutrition Link
  • Perceptions of usage and unintended consequences of provision of ready-to-use therapeutic food for management of severe acute child malnutrition. A qualitative study in Southern Ethiopia. Health Policy and Planning  Link
  • Features in septic children with or without severe acute malnutrition and the risk factors of mortality. Pediatrics  Link
  • Le kwashiorkor reste une énigme – la recherche doit continuer. Forum PCMA  Lien
    Kwashiorkor: still an enigma – the search must go on. CMAM Forum Link 
  • Linking nutrition & (integrated) community case management. A review of operational experiences. Link  
  • Summary of Identified Research Topics for Management of Acute Malnutrition v1 / Résumé des sujets de recherche identifiés pour la prise en charge de la malnutrition aigüe v1. CMAM Forum 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)

  • 2014-2015 Global Food Policy Report. IFPRI  Link
  • Is reliable water access the solution to undernutrition? A review of the potential of irrigation to solve nutrition and gender gaps in Africa South of the Sahara. IFPRI Link

[PEDIATRIC INFECTION]

  • Getting it right for children: improving tuberculosis treatment access and new treatment options.  Expert Review of Anti-infective Therapy Link
  • Management of severe paediatric malaria in resource-limited settings. Review. BMC Medicine Link
  • Nutrition assessment, counseling, and support interventions to improve health-related outcomes in people living with HIV/AIDS: a systematic review of the literature. [Abstract] JAIDS Link

[EBOLA]

  • NEW Pushed to the limit and beyond. A year into the largest ever Ebola outbreak. MSF Link
  • A wake-up call. Lessons from Ebola for the world’s health systems. Save the Children  Link
  • 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
  • Essential nutrition actions and essential hygiene actions: a training guide for Peace Corps Health Volunteers and Peace Corps staff. SPRING, USAID/Peace Corps West Africa Food Security Partnership Link
  • Infant and young child feeding in emergencies - guidance for programming (video). DG ECHO Link
    Infant and young children feeding in emergencies. Guidance for programming. DG ECHO Link
    Alimentation du nourrisson et du jeune enfant en situation d’urgence. Guide pour la programmation. DG ECHO Lien
  • 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)