Scaling Up CMAM in Nepal WHAT WE KNOW NOW: A DECADE OF COMMUNITY- BASED SAM TREATMENT LONDON, OCTOBER 17 TH- 18 TH 2013 DR SENENDRA RAJ UPRETI (MOH) AND DR OJASWI ACHARYA (ACF)

Source: UNICEF NEPAL

Acute Malnutrition is Stagnant over a decade National average masks wide variations (Mugu 27%, Saptari 21%....) Disease Outbreaks Poor feeding and care practices, poor hygiene and sanitation Political Instability, Armed conflict for years, Disaster prone….. VULNERABILITIES

Source: UNICEF NEPAL

SAM BETTER MANAGED Source: MSNP, NPC 2012

RECOVERED: 88% DEATH: 0.2% DEFAULTER: 7%

CMAM IMAM Source: GoN/UNICEF

ACF supports government to address acute malnutrition in Saptari District through Community Based Management of Acute Malnutrition ( >3000 SAM CASES CURED & AROUND 50% UNDER 5 CHILDREN SCREENED WITHIN 15 MTH), conducting nutrition surveys (SMART SURVEY 2013: GAM: 21%), Coverage Assessment (SQUEAC 2013: 40.9%) and Capacity Building (>1500 MOH STAFFS/VOLUNTEERS). At present the district has about 16,000 under five children with Severe and Moderate Acute Malnutrition During the implementation of this program ACF faced the huge complexity of the root causes of this phenomenon.

THANKS TO UNICEF NEPAL FOR THEIR SIGNIFICANT CONTRIBUTION IN SCALING UP CMAM IN NEPAL