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MAMI Care Pathway Package, Version 3 (2021)

Author: MAMI Global Network, ENN, LSHTM
Year: 2021
Resource type: Field tool

• The MAMI Care Pathway approach applies an integrated care pathway model to the context of at-risk mother-infant pairs.
• Central to the MAMI approach is integrated continuity of care between existing systems and services across health (including maternal, neonatal and paediatric) and nutrition services.
• It builds on what exists, including Integrated Management of Childhood Illnesses (IMCI) and UNICEF/WHO breastfeeding counselling materials. Expanded content includes maternal mental health and early childhood development.
• It involves early treatment to prevent immediate and future poor outcomes, such as more severe or recurrent malnutrition, illness, poor development and death. This means it encompasses both prevention and treatment. The MAMI Care Pathway Package is not a vertical ‘off-the-shelf’ intervention. Rather, it provides a framework and content to help connect and adapt services in different contexts.

The MAMI Care Pathway Package provides practitioners with a resource to screen, assess, and manage small and nutritionally at risk infants under six months and their mothers (MAMI).

The aim of the MAMI Care Pathway Package 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 MAMI Care Pathway 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 and updated to Version 2.0 in 2018. Version 3 is now available. It has been updated from the 2018 version through stakeholder consultation, literature reviews, and based on learnings of previous implementation experiences.   

Development of the MAMI Care Pathway Package was funded by the Eleanor Crook Foundation, Irish Aid and the Waterloo Foundation.

Suggested citation: MAMI Global Network, ENN, LSHTM. MAMI Care Pathway Package. v3. 2021. https://www.ennonline.net/mamicarepathway 

The MAMI Care Pathway Package comprises:

• MAMI Care Pathway Package: This document, together with the MAMI Counselling Cards and Support Actions Booklet and the MAMI Health Workers Support Materials User Booklet, comprises the complete package that contains all resources and instructions for operationalising the care pathway. This document should be reviewed first as an orientation on the various elements of the package.

These documents are included in the MAMI Care Pathway Package but also available to download as stand-alone documents:

• MAMI Care Pathway User Guides:
  • MAMI Rapid Screening Guide
  • MAMI Assessment Guide
  • MAMI Maternal Mental Health Assessment Guide
  • MAMI Feeding Assessment Guide
  • MAMI Outpatient Care: Management Guide
  • MAMI Outpatient Care: Maternal Mental Health Support Summary
• MAMI Health Worker Support Materials:
  • MAMI Assessment Form
  • MAMI Maternal Mental Health Assessment Form
  • MAMI Feeding Assessment Form
  • MAMI Enrolment and Follow Up Form

       Available as stand-alone documents only:

  • MAMI Health Workers Support Materials User Booklet
  • MAMI Counselling Cards and Support Actions Booklet (standard version)
  • MAMI Counselling Cards and Support Actions Booklet (crop lines for printing)
• Materials to support adaptation/integration of the MAMI Care Pathway:
  • MAMI Care Pathway: Overview (blank)
  • MAMI Care Pathway: Who, What, Where (blank)

The MAMI Care Pathway Package may require adaptation, development of programme-specific materials, and different levels of training for implementation. Please share with us your experiences using the MAMI Care Pathway Package by filling in this brief feedback form. We’ll use your feedback to shape future versions of the MAMI Care Pathway Package.  

The MAMI Care Pathway Package is currently available in English. Editable versions of some health worker materials are available upon request in MS Word format (please contact mami@ennonline.net).

This video gives an overview of the MAMI Care Pathway Package. For more details on the contents of the package, watch this video on the MAMI Global Network Youtube channel. 

Reference this page

MAMI Global Network, ENN, LSHTM (2021). MAMI Care Pathway Package, Version 3 (2021). www.ennonline.net/mamicarepathway

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