SAM2.0 Accelerating a child survival revolution

Between 1990 and 2015, under-five mortality dropped by more than half. Between 2000 and 2015, acceleration in child survival efforts saved 18 million children U5. DEATH AMONGST CHILDREN UNDER FIVE YEARS Child survival programmes work. But will they be enough to eliminate all preventable deaths by 2030? The Context

Malnutrition is the underlying cause of 45% of all child deaths. Children suffering from SAM 9x more likely to die from common infections

Children suffering from Severe Acute Malnutrition (SAM) 9x9x more likely to die from common infections

The evidence base for prevention of wasting is limited and generally inconclusive Tackling SAM Before we can mobilise our combined efforts to scale- up interventions to prevent acute malnutrition, we need to define what works Over the next five years we will collaborate to strengthen the evidence-base for prevention. Whilst we do that, we will focus most of our energy on what we know works: SAM treatment Moderate Acute Malnutrition (MAM) Stunting Broader Prevention Health System Strengthening

Effectiveness we have a combined approach that can successfully cure 70% of those who receive it. SAM Treatment Cost-effectiveness according to The Lancet, the treatment of SAM has the potential to be the most cost-effective of all essential nutrition actions. Scalable the current treatment of SAM has been integrated into health systems in 75 countries and has shown great potential to be integrated across a range of health platforms including iCCM.

But there is a catch.

Number of SAM children accessing treatment million 1.9 million 2.6 million 2.9 million 3.2 million And we have no reason to think that this will dramatically improve if we continue business as usual Today less than 20% of all the children suffering from SAM access treatment

UNICEF, ACF, ECHO, CIFF started to come together to figure out what we could do to turn things around. We started by exploring the opportunities and challenges to improving and scaling-up SAM treatment. What is our vision? We recognised that to make a material difference we need to coordinate. We want to create a space for discussion with key stakeholders.

Number of SAM children accessing treatment million 1.9 million 2.6 million 2.9 million 3.2 million If this is what happens without us coming together This is what happens if we collaborate

Number of SAM children accessing treatment million 1.9 million 2.6 million 2.9 million 3.2 million 6 million SAM cases treated annually by 2020