Evaluation of the CMAM Surge model pilot

The pliot Community Management of Acute Malnutrition (CMAM) Surge Model project was implemented in two sub-counties of Marsabit, Kenya between May 2012 and October 2014.

Concern’s outreach nutrition programme reaches communities who would otherwise have no access to health care. Clinics are held wherever possible, here under the shade of an acacia tree in Sahgel, Chalbi District in Marsabit, Kenya. Photo: Gideon Mendel.
Concern’s outreach nutrition programme reaches communities who would otherwise have no access to health care. Clinics are held wherever possible, here under the shade of an acacia tree in Sahgel, Chalbi District in Marsabit, Kenya. Photo: Gideon Mendel.

The aim of the CMAM surge model is to strengthen the capacity of government health systems to effectively manage increased caseloads of severe acute malnutrition (SAM) and moderate acute malnutrition (MAM), during predictable emergencies without undermining ongoing health and nutrition systems strengthening efforts. It is based on one of the fundamental principles of CMAM; that early detection of malnutrition leads to improved treatment outcomes and fewer cases of SAM, as children are treated before their malnutrition becomes severe.

The pilot project was initiated by Concern in collaboration with the Sub County Health Management Teams (SCHMT) as well as health facility staff in May 2012, in 14 health facilities drawn from Moyale, Chalbi and Sololo (Moyale and North Horr Sub-Counties) in Marsabit County. This pilot project was part of a larger ECHO funded project the ‘Marsabit County Emergency Recovery Project (March 2012 to February 2013)’ whose aim was to assist the two SCHMTs in Moyale and North Horr to strengthen their contingency planning capacity by February 2013.

The evaluation found that the pilot was able to show that it has contributed to strengthening the health system to increased caseloads of acute malnutrition during predictable and unpredictable emergencies without undermining ongoing health system strengthening efforts.

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