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 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:
- Materials to support adaptation/integration of the MAMI Care Pathway:
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.
More like this
Resource: MAMI Care Pathway Package, v3 - Other translations
Read the MAMI Care Pathway Package in English here Afan Oromo Some materials from the MAMI Care Pathway Package (V3) are available in Afan Oromo and are being used as part of...
Resource: C-MAMI Tool, Version 2 (2018)
The C-MAMI Tool has now been updated as the MAMI Care Pathway Package. Find the updated version here The C-MAMI Tool provides a health worker with a format to assess,...
MAMI Practice
MAMI Practice The MAMI Care Pathway Package (2021, Version 3) is a set of resources and materials that was co-created by members of the MAMI Global Network. Previously known...
FEX: Adapting the MAMI Care Pathway Package in India: Progress and direction
View this article as a pdf Praveen Kumar is Director Professor at Lady Hardinge Medical College and associated Kalawati Saran Children's Hospital, New Delhi, India, and Deputy...
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: MAMI and the 2023 WHO recommendations: We’re talking the same talk!
Marie McGrath Technical Director at Emergency Nutrition Network (ENN) and Co-Chair of the MAMI Global Network What we know: The World Health Organization (WHO) severe wasting...
Blog post: MAMI and the new 2023 WHO recommendations on ‘at-risk’ infants under 6 months: we’re talking the same talk!
Lisez cet blog en français ici. The much-anticipated 2023 WHO guideline on the prevention and management of wasting and nutritional oedema (acute malnutrition) in...
IYCF-E Resources
NEW: Visit the IYCF-E HUB established in May 2021 for a global, comprehensive and interactive repository of essential IYCF-E resources! For a list of key IYCF-E resources and...
en-net: IEC/BCC materials
I am looking for IEC/BCC materials (Posters, flip charts, manuals) focusing on breast feeding, complementary feeding, maternal nutrtition and WATSAN that is designed for South...
MAMI News and Events
MAMI News If you would like to receive MAMI Global Network's monthly updates please subscribe here. Past issues of the newsletter can be viewed here. If you would like to...
en-net: IYCF training guide for community workers or any volunteers
Currently there are lots of documents regarding IYCF published by UN (WHO/UNICEF/UNHCR), NGO, and national governement level. These documents are mainly focused on strategy how...
FEX: GOAL’s experiences of management of at-risk mothers and infants (MAMI) programming in Ethiopia
This article has been updated since the original version was published in March 2020. View this article as a pdf Lisez cet article en français ici By Alice Burrell...
Blog post: World Breastfeeding Week 2022: How is ENN ‘Stepping up for Breastfeeding’?
World Breastfeeding Week webinar and Q&A The above video is the Africa, Europe and Asia Pacific recording, with a case study on Rwanda. ENN shared information about the MAMI...
FEX: A review of nutrition-related service delivery packages: What they train providers to deliver
View this article as a pdf Summary of research1 By Sascha Lamstein and Kelsey Torres Sascha Lamstein is a senior technical advisor for the United States Agency for...
FEX: China case study: Capacity building of primary health workers. From piloting to national Infant and Young Child Feeding programming
Xinya Zhu is a Nutrition Officer at UNICEF China Shuyi Zhang is an Associate researcher at the Capital Institute of Pediatrics Tao Xu is the Division Director of Child Health...
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 View this article as a pdf Anne Marie is a nutritionist with over five years'...
en-net: Behaviour Change Communication Images/Tools
Dear all, I have seen La Leche League and Safely Fed Canada images that can help with communicating messages for nutrition/IYCF and COVID-19. I wonder whether others have...
FEX: Managing at risk mothers and infants under six months in India – no time to waste
View this article as a pdf Lisez cet article en français ici By Praveen Kumar, Sila Deb, Arjan de Wagt, Piyush Gupta, Nita Bhandari, Neha Sareen and Satinder...
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 View this article as a pdf Lisez cet article en français ici Sinead O'Mahony is a...
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...
Reference this page
MAMI Global Network, ENN, LSHTM (2021). MAMI Care Pathway Package, Version 3 (2021). www.ennonline.net/mamicarepathway
(ENN_7027)