lessons in the integration of cmam & imci activities_whitney_5.12.11

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SupportingSupportingCMAM Scaling upCMAM Scaling up

Democratic Republic of Congo Democratic Republic of Congo

May 2011

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Mapping of Acute Malnutrition

• EDS 2007: All provinces MAG> 10%

• Territory surveys 2009/2010:

100 territories surveyed, only 3 territories with MAG <5%.

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Mapping of Acute Malnutrition

Conflicts

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Context Acute malnutrition is present all over DRC

Causes are structural as well as contextual

Poor coverage of nutrition programs

Scale up CMAM implementation

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Context Acute malnutrition is present all over DRC

Causes are structural as well as contextual

Poor coverage of nutrition programs

Scale up CMAM implementation

High cost efficiency

04/10/23

Context Acute malnutrition is present all over DRC

Causes are structural as well as contextual

Poor coverage of nutrition programs

Scale up CMAM implementation

High cost efficiency

Sustainable integration within health programs

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Opportunities

From ACF • Professional and qualified

technical personnel• Co facilitator of the

national Nutritional Cluster

• Provides technical guidance and support to the MoH

From MoH • Political will to address

acute malnutrition• Policies, strategies

implemented and updated

• Effective and fruitful collaboration with ACF

From communities• Concerned by the problem• Will to take part into the program

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ACF Strategy

Support all levels of management and implementation

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ACF Strategy

Support all levels of management and implementation

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ACF Strategy

Technical capacity Building

Local level

Theoretical and on the job training, on going formative supervision

Medical personnel, community volunteers

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ACF Strategy

Technical capacity Building

Local level

Central level

Training of trainers and theoretical training, Update of protocols in line with international nutrition guidelines

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ACF Strategy

Technical capacity Building

Local level

Provincial level Central level

Training of trainers, theoretical training, creation of provincial pools

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ACF Strategy

Support all levels of management and implementation

Support all components of the nutrition program

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ACF Strategy

Technical capacity Building

Material support

Local level Provincial level

Central level

Supply, equipment, logistic chains, cash, rehabilitation, Transport for supervision

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ACF Strategy

Technical capacity Building

Material support

Organisa-tional

support

Local level Provincial level

Central level

Implication of partners from project designStock maintenance, supply requisition, activity report, organizational charts, data analysis, communication with higher levels and suppliers & partners

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ACF Strategy

Support all levels of management and implementation

Support all components of the nutrition program

Capacity to identify and

address emergencies

Achievements

PUNC

Regular Programs

2010 mapping of ACF nutrition interventions

Challenges still to be addressed

Short funding cycles

Bottle neck for the RUTF supply

High turn over of medical staff and managers

Lack of communication/integration of MoH main offices

Lack of leadership on Community workers management

Too little analysis of data generated (surveillance?)

Prevention of SAM (MAM, FSL, WASH),

…..

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Thank you!!!!!!!