AD1. CMAM Orientation- Introduction by hmb46803

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									CMAM Orientation
  22nd – 25th July, 2009
  Islamabad, Pakistan
        Overview of Orientation
 Day   1
     Principles of CMAM
     Components of a CMAM programme
     Classification of Malnutrition
     Innovations in CMAM
     Admission & Discharge Criteria
     Discussion
        Overview of orientation
 Day   2
     Community Mobilisation
     Ready to Use Therapeutic food
     CMAM video
     Admission / Discharge Exercise
     Supplementary Feeding Programme (SFP)
     Outpatient Therapeutic Programme (OTP)
     Discussion
        Overview of Orientation
 Day   3 (Friday – 2 hr lunch)
     Inpatient Therapeutic Care
     Introduction to M & E
     Reporting
     Programme Outcomes
     Programme performance
        Overview of Orientation
 Day   4 (Saturday – ½ day)
     Integration
     Programme Planning
     Open Session / Discussion
     Conclusion (13.00)
               What is CMAM?
   Community based public health approach to
    treating malnutrition
   Benefits at individual & population level
   Improves access to care
   Close liaison with community improves case
    coverage (proportion of diseased subjects
    receiving care)
   Reduces opportunity costs to family
   Supports family coping mechanisms and /or
    family unit
                      Other terms used for CTC

   CTC – Community based Therapeutic Care
       Emergency Approach


   CMAM – Community based Management of Acute Malnutrition
       Developmental Approach


   CBSM – Community Based management of Severe Malnutrition

   IMAM – Integrated Management of Acute Malnutrition
Causes of death (U5 worldwide)
Projections of Underweight Prevalence in African Subregions in 2015 Compared With the
                            Millennium Development Goal
                  Causes of Malnutrition
                                    (UNICEF 1990)

                                      Malnutrition

 Immediate
   Causes            Inadequate
                                                              Disease
                      food intake
(Affecting the
  Individual)
                                              Inadequate
                   Household                   maternal                Public Health
  Underlying       Food security                  care
   Causes
                 Access to       Access to Health care, direct caring Health environment
 (Household                      behaviour, women’s role,             Basic heath service
                 food
   Level )                       Status ,right, social organization
                 Availability
                                                PEST
    Basic                                 •Local priorities
    Causes                      •Formal and informal infrastructures
                                         •Political ideology
    (society                                •Resources
     Level)                        •Human, Structural, Financial

								
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