tailieunhanh - Framework for integration of management of SAM into national health systems

This health system assessment for Uganda was carried out during the first year of implementation of the HSSIP. Its findings, therefore, serve as a benchmark of the health system. By doing a similar assessment towards the end of HSSIP implementation, we will be able to gauge the progress made in the health system over the period covered by the plan. It is my hope that health workers, development and implementing partners, the private sector, civil society, and policymakers in Uganda and beyond will use this Health System Assessment report to identify ways in which they can further strengthen Uganda‟s health. | News UNICEF NYHQ2008-1649 Pirozzi Eritrea 2008 A Baby s MUAC is leasured in the rural village of Marat Anseba Region Eritrea _AJL-33 Framework for integration of management of SAM into national health systems By Katrien Khoos and Anne Berton-Rafael Katrien Ghoos is the Nutrition Specialist on Management of Acute Malnutrition Nutrition Information Systems Emergencies and Disaster Risk Reduction with the UNICEF Eastern and Southern Africa Regional Office ESARO . She is based in Nairobi Kenya. Anne Berton-Rafael is the UNICEF ESARO Nutrition consultant for this initiative based in Nairobi. Both authors have over 15 years of experience on management of acute malnutrition in emergency post-emergency and development context. Update credit to The authors wish to thank UNICEF ESARO UNICEF HQ and USAID OFDA for the support to this work. Special thanks also go to the several individuals and their organisations that already provided inputs to the initiative. These are UNICEF colleagues from Kenya Country Offices and from Regional offices in Dakar and Amman ACF-F FANTA Valid Carlos Navarro-Colorado CDC and Mark Myatt. Background In 2010 UNICEF approached VALID International to design and conduct a global mapping review of Community-based Management of Acute Malnutrition CMAM with a focus on severe acute malnutrition SAM 1. In addition to this global mapping regional analyses2 were conducted and indicated that 13 countries out of 183 in Eastern and Southern Africa Region ESAR had plans to scale up in 2010 2011. As of May 2010 over half 53 of CMAM programmes were integrated with Infant and Young Child Feeding IYCF and Integrated Management of Childhood Illness IMCI programmes. All countries had national coordination mechanisms and in only three countries out of 18 were UNICEF the sole RUTF provider. These findings suggested a certain degree of government ownership and sustainability. However despite roll out through government services in all countries .

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