Table 3.
| Indicators | Ethiopia | Kenya | Malawi | Nepal | Pakistan | Bangladesh |
|---|---|---|---|---|---|---|
| Health system characteristics | ||||||
| Adequate health budget | > 75% donor support | > 80% donor support | > 90% donor support | > 50% donor support | Human resources and infrastructure supported by government | Overall budgetary allocation for nutrition is poor |
| Availability of community based front line workers | Good | Good | Weak | Weak | Good | Inadequate; not utilized for CMAM |
| Nutrition indicators in health MIS | No | Yes | Yes | No | Yes | Yes |
| Supply of RUTF, F-75, F-100 | Weak national supply chain | F-75, F-100 supply good. Interrupted supply of RUTF | Good. Local production of RUTF | Good | Interrupted supply of RUTF at times | Sensitivity around RUTF, interrupted supply of F-75, F-100 |
| CMAM services integrated with other health services | *IMNCI, **ICCM, immunization | aIMCI, bIYCF | HIV/AIDS | IMCI, IYCF | Unclear | IMCI |
| Intervention components | ||||||
| Active screening by government staff | Good | Good | Good | Good | Yes | Weak |
| Inpatient care by WHO protocol | Yes | Yes | Yes | Yes | Yes | Yes |
| Community mobilization | Good | Good | Good | Good | Good | Weak |
| Management of MAM | Weak | > 80% recovery rate | 89% recovery rate | Weak | > 90% recovery rate | No services until now |
| Program outcomes (outpatient) | ||||||
| Recovery (SPHERE standard, > 75%) | 83.0% | 80.7% | 91% | 86.1% | 91.5% | No national program |
| Default (SPHERE standard, < 15%) | 5.0% | 12.9% | 6.0% | 9.0% | 7.5% | No national program |
| Mortality (SPHERE standard, < 10%) | 0.6% | 1.5% | 1.0% | 0.7% | 0.2% | No national program |
| Broad Context | ||||||
| National policy support | Yes | Yes | Yes | Yes | Yes | Yes |
| National guideline on CMAM | Yes | Yes | Yes | Yes | Yes | Yes |
| Donor supporting CMAM | Yes | Yes | Yes | Yes | Yes | Yes |
| NGOs implementing CMAM | Yes | Yes | Yes | Yes | Yes | Yes |
*IMNCI Integrated management of neonatal &childhood illnesses, **ICCM integrated community case management, aIMCI Integrated management of childhood illness, bIYCF Infant and young child feeding