This document summarizes two costing activities conducted by FANTA: costing of community-based management of acute malnutrition (CMAM) services in Malawi, and field testing of a nutrition assessment, counseling, and support (NACS) costing tool in Zambia. For Malawi, FANTA collected costing data and held workshops to introduce a CMAM costing tool and incorporate costing results into Malawi's CMAM operational plan. For Zambia, FANTA developed an Excel-based NACS costing tool to help countries plan for NACS implementation, and will field test the tool in Kitwe District by mid-2015. The goal is to publish the final N

1. Sandra Mutuma (ACF)
Stocktaking
Planning, Costing and Financing
Community of Practice
Kaia Engesveen (WHO)
Tina Lloren (FANTA)
Questions

2. Food and Nutrition Technical Assistance III Project (FANTA)
FHI 360 1825 Connecticut Ave., NW Washington, DC 20009
Tel: 202-884-8000 Fax: 202-884-8432
Email: fantamail@fhi360.org Website: www.fantaproject.org
FANTA UPDATES ON COSTING
ACTIVITIES
Meeting of the Scaling Up Nutrition Community of Practice: Planning, Costing, Implementing,
and Financing Multisectoral Actions for Improved Nutrition
Tina Lloren and Gilles Bergeron
February 12, 2015

3. Two Activities to Share
 Community-based management of acute
malnutrition (CMAM) costing in Malawi
 Testing of the nutrition assessment, counseling,
and support (NACS) costing tool in Zambia
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4. Malawi: Costing of CMAM Services
• The original operations plan for CMAM developed by the Malawi
MOH in 2009, expired in 2012 and has not yet been replaced. The
MOH requested FANTA’s support to develop and cost a new CMAM
operational plan (2015–2020)
• Steps:
– Collection of costing data (late 2014–February 2015)
– Workshop with district and zonal health managers to introduce them to
the CMAM costing tool and augment basic costing skills using the tool
– Data entry, analysis, and interpretation
– Workshop with stakeholders to validate the results
– Incorporation of information into the CMAM operational plan
– Preparation of a detailed CMAM costing report
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5. Malawi: Costing of CMAM Services
• FANTA’s CMAM costing tool is a set of Excel spreadsheets that
allow users to determine the cost of implementing CMAM at
the national or sub-national level. The FANTA CMAM costing
tool was applied for the first time in Ghana in 2013.
• Data are needed on:
– Background/scale
– Demographic, epidemiological, and program data
– Prices
– Salaries
– Supplies
– Frequency of deliveries
– Group-level differentiations
– Other time-dependent variables
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7. Zambia: Field Testing of the NACS Costing Tool
• NACS is a client-centered programmatic approach for
integrating a set of priority nutrition interventions into
health care services. The core components are:
– Nutrition assessment (anthropometric, biochemical, clinical,
etc.)
– Nutrition counseling based on assessment results
– Nutrition support (specialized food products and referral to
economic strengthening, livelihood, and food security
support)
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8. Zambia: Field Testing of the NACS Costing Tool
• FANTA developed a NACS costing tool and user’s guide
to help countries and projects plan and budget for
NACS implementation
• The NACS costing tool has similar characteristics to
the CMAM costing tool (Excel-based, similar domains
on information needed)
• Target groups currently include pregnant and lactating
women with HIV, adults with HIV, children under 2,
and orphans and vulnerable children over 2
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9. Zambia: Field Testing of the NACS Costing Tool
• Tool will be field tested in Kitwe District, Copperbelt
Province, Zambia by middle of 2015
• Final tool expected to be published on the FANTA
website by late 2015
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10. This presentation is made possible by the generous support of the
American people through the support of the Office of Health,
Infectious Diseases and Nutrition, Bureau for Global Health, U.S.
Agency for International Development (USAID), under terms of
Cooperative Agreement No. AID-OAA-A-12-00005, through the Food
and Nutrition Technical Assistance III Project (FANTA), managed by
FHI 360. The contents are the responsibility of FHI 360 and do not
necessarily reflect the views of USAID or the United States
Government.
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