Menu ENN Search

C-MAMI Tool, Version 2 (2018)

Author: ENN, GOAL, LSHTM, Save the Children & collaborators
Year: 2018
Resource type: Field tool

The C-MAMI Tool provides a health worker with a format to assess, identify/classify and manage at risk mothers and infants under six months in the community (C-MAMI) who are nutritionally vulnerable.

The aim of the C-MAMI Tool is to help put the latest WHO technical guidance into practice. It was developed as a first step to help fill a gap in programming guidance. The tool draws upon and complements existing national and international guidance and protocols. It is modelled on the Integrated Management of Childhood Illness (IMCI) approach.  

Version 1.0 of the C-MAMI Tool was produced in 2015.  Version 2.0 is now available, an update informed by programme experiences; a Save the Children/GOAL evaluation in Bangladesh and Ethiopia; and peer review of experts and programmers working in this area, coordinated by ENN.

Version 2.0 development was funded by Save the Children and ENN (Irish Aid).

The C-MAMI v 2.0 Package comprises:

  1. C-MAMI Tool
  2. Counselling and Support Actions Booklet
  3. Counselling Cards
  4. C-MAMI Programme Management Cards

The C-MAMI Tool may require adaptation, development of programme-specific materials and different levels of training for implementation.

The C-MAMI v 2.0 Package is currently available in English. A word version, to facilitate adaptation, is available on request. Contact: Marie McGrath, ENN.



C-MAMI-Tool-Total-C-MAMI-Package-.pdf (PDF, 12.3mb)

C-MAMI-Tool-Overview-.pdf (PDF, 279kb)

1.-C-MAMI-Tool-v2.pdf (PDF, 132kb)

2.Counselling-and-support-actions-booklet-C-MAMI-Package.pdf (PDF, 7.1mb)

3.Counselling-Cards-C-MAMI-Package.pdf (PDF, 7.5mb)

4.-Programme-Tools-C-MAMI-Package-.pdf (PDF, 65kb)

More like this

FEX: Updated C-MAMI Tool now available

The C-MAMI (Community Management of At risk Mothers and Infants under six months of age) Tool provides a health worker with a format to assess and manage at risk mothers and...

FEX: C-MAMI tool evaluation: Learnings from Bangladesh and Ethiopia

By Sarah Butler, Nicki Connell and Hatty Barthorp Sarah Butler is the Director of Emergency Nutrition at Save the Children, USA. She has more than ten years' experience in...

FEX: Piloting the C-MAMI approach in the Rohingya response in Bangladesh

By Anne Marie Kueter, Alice Burrell, Sarah Butler, Mostofa Sarwar and Habibur Rahaman Anne Marie is a nutritionist with over five years' experience in humanitarian nutrition...

Management of At Risk Mothers and Infants (MAMI)

Donors: Irish Aid Collaborators: LSHTM, University of Washington, KEMRI-Wellcome Trust Project and CHAIN (Kenya), WHO, UNHCR, UNICEF, Save the Children, ACF, Goal, MSF, World...

FEX: Management of acute malnutrition in infants less than six months in a South Sudanese refugee population in Ethiopia

By Mary T Murphy, Kassahun Abebe, Sinead O'Mahony, Hatty Barthorp & Chris Andert Sinead O'Mahony is a nutrition advisor at GOAL's HQ. She has both a research and operational...

FEX: Special Section on MAMI: Editorial

This issue of Field Exchange features six articles on managing nutritionally vulnerable infants under six months of age. This MAMI 1 section provides a snapshot of developments...

FEX: The cost of implementing the C-MAMI tool to treat nutritionally vulnerable infants in Bangladesh

By Natasha Lelijveld, Mostofa Sarwar, Golam Mothabbir, Sarah Butler and Nicki Connell Natasha Lelijveld is a Research Fellow at the Centre for Global Child Health at the...

FEX: Management of At risk Mothers and Infants (MAMI) meeting

A one-day meeting of the Management of At risk Mothers and Infants (MAMI)1 Special Interest Group (SIG) took place in London on 17 January 2018. The meeting was hosted by ENN...

FEX: Improving community management of uncomplicated acute malnutrition in infants under six months (C-MAMI): Developing a checklist version of the C-MAMI tool

Summary of MSc project report1 By Sonja Read Sonja Read is a public health nutritionist from the London School of Hygiene and Tropical Medicine. She has previously worked in...

FEX: MAMI Interest Group meeting

On 27th January 2016, ENN, London School of Hygiene and Tropical Medicine (LSHTM) and Save the Children co-hosted a one day meeting of a Management of Acute Malnutrition in...

FEX: Revised CMAM Training Guide

The Food and Nutrition Technical Assistance III Project (FANTA), in collaboration with partners (Action Against Hunger, Alliance for International Medical Action (ALIMA),...

Resource: Infant Feeding in Emergencies (IYCF-E) orientation package (2010)

IFE Module 1, v 2.1, 2010 This is a package of resources to help in orientation on infant and young child feeding in emergencies (IFE). These resources are targeted at...

FEX: Report on innovations in CMAM

By Anne Marie Kueter, Claudine Prudhon, Emily Keane and Megan Gayford The implementation of community-based management of acute malnutrition (CMAM) as the standard model of...

FEX: Community management of uncomplicated malnourished infants under six months old: barriers to national policy change

By Sonja Read and Marie McGrath Sonja Read is a public health nutritionist and was lead researcher (ENN consultant) on the project. Marie McGrath is ENN Technical Director...

FEX: The MAMI Project – Key findings and recommendations

Summary of report1 Child malnutrition is a major global public health issue. The burden of acute malnutrition in children 6 months to 5 years is well recognised, and the...

ENN Latest

Field Exchange Issue 58 is now out! If you haven't subscribed already, you can do so for free here. Also check out our FEX pages for articles in French and a selection of...

en-net: Est-ce que vous utilisez l'outil C-MAMI version 1 (2015) ?

Save the Children and GOAL are conducting an external evaluation of their C-MAMI Tool pilots that have been implemented in Bangladesh and Ethiopia since 2015. As part of the...

Infant Feeding in Emergencies (IYCF-E) orientation package

Donors: IASC Nutrition Cluster Collaborators: The ENN and the IFE Core Group ENN project lead:Marie McGrath Timeframe: 2001-2010 Background This is a package of resources...

FEX: Minimising the risks of artificial feeding in emergencies

The Operational Guidance on Infant and Young Child Feeding in Emergencies (V 2.0) specifically deals with handling breastmilk substitutes (BMS) in emergencies, including...

FEX: The Paediatric Development Clinic: A model to improve medical, nutritional and developmental outcomes for high-risk children aged under-five in rural Rwanda

By Kathryn Beck, Catherine M Kirk, Jessica Bradford, Christine Mutaganzwa, Evrard Nahimana and Olivier Bigirumwami Kathryn Beck is the Nutrition Specialist at Partners In...


Reference this page

ENN, GOAL, LSHTM, Save the Children & collaborators (2016). C-MAMI Tool, Version 2 (2018).