Implementation of CMAM involves
• Working with communities to help the communities identify cases of malnutrition and to encourage early presentation before patients become critically ill.
• Provision of safe, effective ready-to-use therapeutic food (RUTF) for people to use at home, rather than costly treatment in inpatient centres.
• Delivery of RUTF through existing structures, reducing costs through integration of the treatment of malnutrition into health structures.
The CMAM model, in combination with ready-to-use foods (RUFs), moved the treatment of severe acute malnutrition from in-patient (hospital) to out-patient (community), and brought dramatic improvements in impact. It was universally adopted by the agencies of the Unites Nations and all major organisations treating acute malnutrition in 2007 as the preferred intervention approach for the treatment of severe acute malnutrition. Today, it is in use in over 60 countries, and this has led to the surge of RUTF demand.
For further information:
WHO, WFP, UNSCN and UNICEF: Joint United Nations statement on Community-based Management of Severe Acute Malnutrition, 2007 WHO: Management of severe malnutrition: a manual for physicians and other senior health workers, 1999
WHO Guideline: Updates on the management of severe acute malnutrition in infants and children, 2013