Scaling Up CMAM in Nepal

WHAT WE KNOW NOW: A DECADE OF COMMUNITY- BASED SAM TREATMENTLONDON, OCTOBER 17TH- 18TH 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…..

VULN

ERABILITIES

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 MalnutritionDuring 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