Recommendations of CMAM TWG Nutrition Sector – North Nigeria OTP/SC Set up Recommendations of CMAM TWG Nutrition Sector – North Nigeria Maiduguri, January 2018

1. Standard – Normal context (HF available and operational) Cont . Stabilization Centre Can be integrated in a HF with 24h/7 services (General Hospital, Teaching Hospital) secondary medical package must be available Fixed OTP can be integrated in any HF running health services (PHC, PHCC) OTP can also be integrated in a general hospital if no other HF near Outreaches services (mobile approach) Must be attached to a HF and report to this HF To reach villages or population living in remote area (more than 5 Km from HF) To cover some specific location (IDP camps, isolate population, etc) First support activities in HF before running outreaches No mobile OTP or Clinic not attached to a HF

1. Standard – Normal context (HF available and operational) Cont .. Challenges: Need to ensure that data are reported to LGA and SNO (separate reporting for HF and outreaches) Direct reporting by Partners to SNO and Nutrition Sector (in addition to HF Report)

2. New accessible area (no HF functional) Mobile OTP directly managed by implementing Partner Need assessment (to be done before set up of OTP) Discussions with SPHCDA and SNO Contact Partners already present in the LGA Contact Nutrition Sector Contact LGA Nutrition Focal Person Field assessment Report presented in coordination meeting and shared

2. New accessible area (no HF functional) Cont . Minimal requirements Catchment population: Urban: 5000 peoples minimum Rural: 2000 peoples minimum Caseload of SAM cases (>200 new admissions/OTP/month) Minimum distance from an Existing Mobile OTP (rural context): 5Km Report of activities (monthly) To LGA focal Person To SNO To Nutrition Sector (5W)

3. New emergency (sudden movement of population) Mobile OTP directly managed by implementing Partner Partner already operating in the area to be contact first (ability to scale up or not) Need to coordinate with SPHCDA and Nutrition Sector and share information and updates on weekly basis Rapid assessment to be done before set up of OTP (by implementing Partner or join with other actors) Report of activities (Weekly/monthly) To LGA focal Person To SNO To Nutrition Sector (5W)

Important Notice for new accessible area and new emergency: It’s important to adjust intervention according to the context and move to normal context when possible (no need to maintain initial design when context change).