Lessons in the Integration of CMAM & IMCI Activities_Diene_5.12.11

  • 943 views
Uploaded on

 

  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
    Be the first to like this
No Downloads

Views

Total Views
943
On Slideshare
0
From Embeds
0
Number of Embeds
0

Actions

Shares
Downloads
32
Comments
0
Likes
0

Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
    No notes for slide

Transcript

  • 1. Food and Nutrition Technical Assistance II Project (FANTA-2)
    Academy for Educational Development 1825 Connecticut Ave., NW Washington, DC 20009
    Tel: 202-884-8000 Fax: 202-884-8432 E-mail: fanta2@aed.org Website: www.fanta-2.org
    Integration CMAM into National Health Systems
    Serigne M. Diene
    FANTA-2 Senior HIV and Nutrition Advisor
  • 2. PLAN
    Background
    Analytical framework for integration
    Integration CMAM into national health systems: country experiences and challenges
    Key lessons learned
    Enabling environment
    Competencies for CMAM
    Access to CMAM services
    Access to CMAM equipments and supplies
    Quality of CMAM services
    Way forward
    2
  • 3. BACKGROUND
    Review CMAM program implementation and its integration into national health systems
    Countries : Burkina Faso, Mali, Mauritania, Niger
    Highlight lessons learned and make recommendations on challenges, best practices, gaps
    Methods : documents review, country visits
    3
  • 4. ANALYTICAL FRAMEWORK
    4
    KEY ELEMENTS OF CMAM FALL IN FIVE DOMAINS
  • 5. ANALYTICAL FRAMEWORK (2)
    5
    COMPONENTS OF CMAM
  • 6. Integration into routine health and nutrition services: Examples
    Burkina Faso
    Essential Nutrition Actions (ENA) (same CHW)
    Growth Monitoring and Promotion (GMP)
    Community IMCI not evident
    Mali
    ENA
    12 Family Practices
    GMP (?!)
    SIAN (Week of Intensified Nutrition Activities)
    6
  • 7. Integration into routine health and nutrition services: Examples (2)
    Mauritania
    CMAM linked with Child Survival Weeks
    CMAM linked with IMCI
    CMAM linked with Reproductive Health initiatives
    Niger
    Great political will and support for integration
    Focus on activities only (not yet resources not)
    GMP (?!)
    Baby Friendly Hospital Initiatives (BFHI)
    IMCI
    7
  • 8. Integration into routine health and nutrition services: Challenges
    • Weak health systems
    • 9. Insufficient training for health workers
    • 10. Inadequate supply flow
    • 11. Need to integrate at clinical levels as well as Community-IMCI
    8
  • 12. KEY LESSONS LEARNED
    Enabling Environment
    High level commitment not yet translated into concrete action plans for scale up and quality improvement
    Community outreach components to be strengthened: role of community health workers to be defined and structured
    Specific CMAM technical expert/unit/system needed for strong institutional capacity and quality services, including MOH technical leadership
    9
  • 13. KEY LESSONS LEARNED (2)
    Competencies for CMAM
    Training skills, quality of training tools, mentoring to be improved for in-service training
    Financial and technical support for pre-service training
    Need for effective learning sites and national high-level expertise for CMAM quality improvement
    Formalized documentation and dissemination of Best practices and lessons learned
    10
  • 14. KEY LESSONS LEARNED (3)
    Access to CMAM services
    Sustainable and affordable community outreach is still missing. Need for shared experiences on most promising approaches
    M-MAM increasingly linked to food security and prevention services and not always with M-SAM
    Human resource shortage limits high coverage in Outpatient Care
    Importance of good referral and counter referral system, need to be part of training
    Linkage with informal health sector as part of training, supervision and mentoring
  • 15. KEY LESSONS LEARNED (4)
    Access to CMAM equipment and supplies
    Improving and integrating CMAM procurement and supply systems should be a priority
    Quality of CMAM services
    Support of national and international experts (academic and practical) for standardized guidelines based on best practices (Ex : Issues of use of MUAC as admission criteria, Vitamin A administration, early referral to outpatient care after stabilization )
    Standardized training materials and job aids to be made available
    Systems of quality improvement to consider
  • 16. WAY FORWARD
    Improve quality of services delivery and access, building on decentralization of process
    Use of integrated approach is gaining momentum that should be boosted
    Linking in-service to pre-service training resources and competencies should be a more common practice
    13
  • 17. This presentation is made possible by the generous support of the American people through the support of the Office of Health, Infectious Disease, and Nutrition, Bureau for Global Health, and the Office of Foreign Disaster Assistance, Bureau for Democracy, Conflict and Humanitarian Assistance of the United States Agency for International Development (USAID) under terms of Cooperative Agreement No. GHN-A-00-08-00001-00, through the Food and Nutrition Technical Assistance II Project (FANTA-2), managed by the Academy for Educational Development (AED). The contents are the responsibility of AED and do not necessarily reflect the views of USAID or the United States Government.
    Food and Nutrition Technical Assistance II Project (FANTA-2)
    Academy for Educational Development 1825 Connecticut Ave., NW Washington, DC 20009
    Tel: 202-884-8000 Fax: 202-884-8432 E-mail: fanta2@aed.org Website: www.fanta-2.org