Training
Guide for Community-Based Management of Acute Malnutrition (CMAM)
A significant gap remains between need and capacity for management
of severe acute malnutrition (SAM) in children. 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. The Training Guide for Community-Based Management of
Acute Malnutrition (CMAM) aims to address this gap by increasing
knowledge of and building practical skills to implement CMAM in
both emergency and non-emergency contexts.
CMAM offers great potential for treating the majority of children
with SAM and no medical complications, at home through decentralized
outpatient care, while also providing for inpatient care for those
who need it: children with SAM and medical complications and infants
with SAM less than 6 months old. CMAM also includes community outreach
for early case detection and timely referral for treatment and may
include linkages to programs and services to manage moderate acute
malnutrition and prevent new cases of acute malnutrition from impairing
healthy growth or becoming life threatening.
The training guide is designed for health care managers and health
care providers who manage, supervise and implement CMAM. This includes
health care providers who are involved in health outreach activities,
as well as MOH officials at the national, regional and district
levels, health and nutrition program managers of NGOs and United
Nations technical staff.
The training guide was produced in collaboration with Concern Worldwide,
Valid International and UNICEF, with technical input and review
from USAID, the World Health Organization and numerous non-governmental
organizations working to lessen the impact of SAM on children. Support
for the development of the Training Guide for Community-Based Management
of Acute Malnutrition (CMAM) was provided by USAID's Bureau for
Democracy, Conflict and Humanitarian Assistance's Office of Foreign
Disaster Assistance and Bureau for Global Health's Office of Health,
Infectious Disease and Nutrition.
Copies of the CD-rom are available by emailing your request to
fanta2@aed.org.
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