What is MAMI?
MAMI stands for the Management of small & nutritionally At-risk Infants under six months & their Mothers.
Small and nutritionally at-risk infants under six months of age are at higher risk of mortality and morbidity compared to their well grown, well-nourished counterparts.
At a population level, small and nutritionally at-risk children are those identified as wasted, stunted and underweight and a combination of these. Small babies with a low birth weight contribute to the burden.
A recent review of Demographic and Health Survey data (54 countries) found a high prevalence of at-risk infants under six months of age:
- 20.1% of infants are underweight
- 21.3% are wasted
- 17.6% are stunted
- 17.8% were born with a low birth weight
The MAMI vision is that every small and nutritionally at-risk infant under six months and their mother is supported to survive and thrive
MAMI aims to achieve this vision by supporting infant and maternal nutrition, health and maternal mental health to reduce the risk of adverse outcomes among infants under six months of age. It is about building on existing systems and services and strengthening the links between these services. For more on MAMI, see this summary.
The MAMI Global Network is made up of programmers, researchers and policymakers. We are a group working towards realising the MAMI vision.
Our vision is that local, national, and international collaborators work together to improve policy, programmes and practice for small and nutritionally at-risk infants under six months and their mothers (MAMI).
Our mission is to build an effective and energetic network to enhance mutual capacity, bridge disciplines, address evidence gaps and champion MAMI care.
The MAMI Global Network is coordinated by ENN and co-led by ENN and the London School of Hygiene and Tropical Medicine (LSHTM). Find out more about the Network’s governance and coordination, including the steering committee and five-year strategy.
The MAMI Global Network does not directly implement programmes but supports three broad areas of work: Evidence, Policy and Practice. We are focused on Getting Research (evidence) into Policy AND Practice (GRIPP).
The map below shows the latest MAMI-related programmes and research around the world. The mapping was originally created by the MAMI Global Network in November 2019 and is maintained by Save the Children.
If you have any planned or ongoing MAMI research, implementation, policy work please let us know by filling out this form so we can add this onto our map, thank you.
See our MAMI YouTube page for more videos and information.
The MAMI Global Network is funded by Irish Aid and the Eleanor Crook Foundation (ECF).
This recording by Marie McGrath, ENN Technical Director shares key principles of the MAMI approach, how this collective effort has evolved, resources available to support practitioners and exciting potential looking ahead.
Highlights of the MAMI Global Network so far:
- Supporting normative policy guidance change: Through advocacy and engagement of group members, community based management of uncomplicated cases of acute malnutrition in infants under 6 months is now recommended in the WHO 2013 update of SAM guidance
- Developing tools to put policy into practice (see ‘Practice’)
- Building the evidence base on assessment of at-risk infants under 6 months (see ‘Practice’)
- Stop-gapping guidance for critical programme questions: A review of micronutrient supplementation, antibiotics and deworming in treatment of malnourished infants under 6 months is now being finalised, to address programmer questions in the face of low direct evidence.
Current members are individuals within UN agencies, NGOs, academics, independent agencies and individuals. We welcome any individual or organisation who is interested in MAMI to become a member. To join the network, please fill in this brief MAMI Global Network Membership Form and you will be added to our mailing list to receive monthly network updates and opportunities for further participation.
The MAMI Global Network aims to hold an annual meeting to provide an opportunity for interested individuals and organisations to meet, share information and forge partnerships to further the MAMI agenda.
- MAMI Global Network members can now connect, share experiences and learn from each other on the MAMI Global Network LinkedIn Group. Join here.
- The MAMI Care Pathway Package is now partly available in French here. We thank the members of the MAMI Global Network who have translated these documents.
- If you want to join the informal MAMI researchers discussion group, please email Tabitha.Van-Immerzeel@lshtm.ac.uk
- The MAMI Global Network will become the MAMI Global Technical Working Group of the Global Nutrition Cluster Technical Alliance. This is a great opportunity to more closely connect with and contribute to meet the needs of frontline practitioners working in emergencies and in high burden contexts. We will create a MAMI Global Network working group to meet this demand. Further information will be shared shortly, including a terms of reference and a call for members and a co-chair for the working group.
- Call for MUAC data: We are compiling a list of all published studies and grey literature that include MUAC data for infants under 6 months of age. Please share your published and unpublished research that includes MUAC data for this age group. Please send to firstname.lastname@example.org.
- The Problem with the Formula Milk Industry. The World Health Organization (WHO), the BMJ, the Partnership for Maternal, Newborn & Child Health (PMNCH) and Children in All Policies 2030 (CAP2030) are hosting a webinar series that expose industry marketing tactics to influence health professionals. During Webinar 1 health professionals shared their experiences of formula milk marketing and ideas for how to counter it. Recording of Webinar 1 can be found here. Webinar 2 will explore the role of health professional associations in using their voice and power to take a stand. This follow-up webinar is taking place on September 29, for which you can register here.
- Launch webinar of WHO's Implementation Guide for improving quality of care for maternal, newborn and child health: Implementation guide for national, district and facility levels. In this launch event, Ministries of Health leads and partners shared their experience and lessons learned in implementing quality of care for MNCH programs at national, district and facility levels. Recording of the event is available here and questions from the chat that were not addressed during the event, but answered offline by the presenters can be viewed here.
- Accelerating the 10 Steps to Successful Breastfeeding in West and Central Africa. Leveraging Experiences from Southeast Asia. In August 2022, UNICEF, WHO, Irish Aid and Alive & Thrive's offices in West Africa and Southeast Asia collaborated to present a webinar on implementing the Baby Friendly Hospital Initiative recommendations. Presentation slides are available here and webinar recording is available here.
- WHO Online public consultation open: Clarification on Sponsorship of Health Professional and Scientific Meetings - WHO is now inviting public comment on a draft Clarification on Sponsorship of Health Professional and Scientific Meetings by Companies that Market Foods for Infants and Young Children via an online public consultation. Submit your comments by 11h59m on 17th October 2022 here.
- Broadly Conceived is a humanities reading group focusing on (in)fertility, pregnancy, childbirth, maternity and more. Anyone interested in the monthly reading is welcome to attend, although they’re particularly excited to hear from students, researchers and professionals with a special interest in the Broadly Conceived topics. For their next meeting they’ll be discussing representations of breastfeeding and breast milk in TV and film. Links to video clips will be sent mailing list subscribers, alongside supplementary reading by Katherine A. Foss. To learn more go to the Broadly Conceived blog or sign up to their mailing list.
- The MAMI Global Network participated in the Global Breastfeeding Collective’s webinar “Take ten steps up for breastfeeding” and “Two more reasons to step up” on August 3rd. Listen here to a 10-minute presentation that introduces practical details and examples of applied practice for the MAMI Care Pathway Package, followed by an update on the Infant Feeding in Emergencies (IFE) Operational Guidance. Q&As from the session are available here. The presentation is available in: English - Africa, Europe and Asia Pacific (with a case study on Rwanda), English - the Americas (with a case study on Colombia), Arabic, Spanish, Portuguese and Russian. For more information read here.
- USAID MOMENTUM IHR webinar recording now available. MAMI Care Pathway in South Sudan: Learnings to Date. Available here.
We are currently working to strengthen the reach and content of our website to provide a wider range of materials in both English and French. Please come back soon to see updated materials, or contact us on email@example.com if you would like particular materials or information.
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Reference this page
Marie McGrath (). Management of small and nutritionally at risk infants under six months and their mothers (MAMI). www.ennonline.net/ourwork/research/mami