|
Health system characteristics
|
|
Adequate health budget
|
> 75% donor support
|
> 80% donor support
|
> 90% donor support
|
> 50% donor support
|
Human resources and infrastructure supported by government
|
Overall budgetary allocation for nutrition is poor
|
|
Availability of community based front line workers
|
Good
|
Good
|
Weak
|
Weak
|
Good
|
Inadequate; not utilized for CMAM
|
|
Nutrition indicators in health MIS
|
No
|
Yes
|
Yes
|
No
|
Yes
|
Yes
|
|
Supply of RUTF, F-75, F-100
|
Weak national supply chain
|
F-75, F-100 supply good. Interrupted supply of RUTF
|
Good. Local production of RUTF
|
Good
|
Interrupted supply of RUTF at times
|
Sensitivity around RUTF, interrupted supply of F-75, F-100
|
|
CMAM services integrated with other health services
|
*IMNCI, **ICCM, immunization
|
aIMCI, bIYCF
|
HIV/AIDS
|
IMCI, IYCF
|
Unclear
|
IMCI
|
|
Intervention components
|
|
Active screening by government staff
|
Good
|
Good
|
Good
|
Good
|
Yes
|
Weak
|
|
Inpatient care by WHO protocol
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
|
Community mobilization
|
Good
|
Good
|
Good
|
Good
|
Good
|
Weak
|
|
Management of MAM
|
Weak
|
> 80% recovery rate
|
89% recovery rate
|
Weak
|
> 90% recovery rate
|
No services until now
|
|
Program outcomes (outpatient)
|
|
Recovery (SPHERE standard, > 75%)
|
83.0%
|
80.7%
|
91%
|
86.1%
|
91.5%
|
No national program
|
|
Default (SPHERE standard, < 15%)
|
5.0%
|
12.9%
|
6.0%
|
9.0%
|
7.5%
|
No national program
|
|
Mortality (SPHERE standard, < 10%)
|
0.6%
|
1.5%
|
1.0%
|
0.7%
|
0.2%
|
No national program
|
|
Broad Context
|
|
National policy support
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
|
National guideline on CMAM
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
|
Donor supporting CMAM
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
|
NGOs implementing CMAM
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
