ACF Conference : A Decade of CMAMOctober 17-18th 2013

Carmel Dolan, Jeremy Shoham :ENN Technical Directors

Lola Gostelow ENN consultant

Financing the Management of Acute Malnutrition at Scale

BackgroundCMAM Conference held in Addis in November 2011- issues

raised concerning short term financing, sustainability of long term financing

ENN undertook review into current arrangementsInterviewed government, agencies and key peopleVisits to Kenya, Ethiopia to construct case studies. Case studies Nigeria, MalawiMeetings with all main donors and foundationsFinal reports and ODI-ENN publication May 2013

70+ countries are scaling up CMAM

15 % of global SAM is being treated via CMAM (2.6 million)

Coverage for MAM – approx 15% (4.6 million)

WFP, Kenya

CMAM is cost-effective

Treatment of SAM is expensive: $70-200 per child

ACF, Mali

RUTF is over 50% of total cost and local production hasn’t markedly reduced cost

Valid International, Sri Lanka

2011 cost of CMAM $6.4 million 67,000 .

UNICEF 54%, WFP 30%, GoK 16%

Kenya

MoH, Kenya

RUTF $21.5 million per year, to treat around 300,000 SAM cases

Ethiopia

CMAM financing is ad hoc

CMAM is financed mostly by humanitarian aidFunding is short term and unpredictable Funding is rarely through governmentLittle by government

ACF, Kenya

Moving forward 1. Acute malnutrition - a development concern2. Country level costing and financing vision3. Multi-year Funding (MYF) and mixed

funding for chronic contexts

WFP, Pakistan

5. Funding via governments (matched, pooled)

6. UN agency roles - process for establishing responsibilities

7. Donor coordination: technical and funding

MoH, Ethiopia