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Evaluation of community-based management of acute malnutrition in Yemen

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This is a summary of the following report: UNICEF (2022) Evaluation of community-based management of acute malnutrition in Yemen.

Background

In Yemen, nearly 3 million children under five years of age suffered from acute malnutrition in 2021, of whom 500,000 suffered from severe acute malnutrition (SAM). The community-based management of acute malnutrition (CMAM) approach was introduced in Yemen in 2008, implemented exclusively through health facilities. Implementation modalities have since been diversified by the Government of Yemen (GoY) and partners, putting 3,923 outpatient therapeutic programmes (OTPs) and 24,000 community health volunteers (CHVs) in place by 2019. The CMAM programme is implemented in 22 governorates of Yemen across four components: (1) community outreach; 2) the management of SAM without complications through OTPs; (3) the management of SAM with complications through therapeutic feeding centres (TFCs); and (4) the management of moderate acute malnutrition (MAM) through therapeutic supplementary feeding programmes (TSFPs). This report presents the findings from a formative evaluation of the CMAM programme.

Methods

The independent evaluation was conducted between May 2021 and January 2022 using quantitative and qualitative data, predominantly from secondary sources. This was supplemented with primary data from 19 key informant interviews with stakeholders from organisations including UNICEF, the World Health Organization, the World Food Programme, Yemen’s Ministry of Population & Public Health (MoPHP) and 24 community interviews with mothers, caregivers and health workers.

Results

Conclusion

This evaluation highlighted the continued need for the CMAM programme in Yemen. However, areas requiring attention include updating national CMAM guidelines to reflect global guidelines, advocating for greater political and financial commitment from the GoY and ensuring that essential documents are completed and robust and reliable monitoring data is available. Specific recommendations to guide the continuation and improvement of the programme are outlined in the report.   

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Evaluation of community-based management of acute malnutrition in Yemen. Field Exchange 67, April 2022. p93. www.ennonline.net/fex/67/yemencmamreport

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