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. Add your MAMI activities to the map by completing this brief form.
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.
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).
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. To find out more about becoming a member, click below.
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.
Complementary MAMI initiatives
ENN is a member of the Council of Research and Technical Advice on Acute Malnutrition (CORTASAM) of the No Wasted Lives Initiative, representing a MAMI interest.
- On July 2 the MAMI GN hosted a webinar to launch the MAMI Care Pathway, released in May 2021. The recording & videos can be found on the MAMI Global Network YouTube channel.
- World Breastfeeding Week is coming up on August 1 – 7! Here are some MAMI-related events:
-2 August 14:00-15:00 CET: WFP Nutrition “A Dialogue on Breastfeeding: Whose Responsibility is it?”. Please use this Teams link to access the event.
-5 August 14:00-17:00 IST: The Indian Institute of Public Health Gandhinagar, the National Centre for Excellence for SAM Management (KSCH New Delhi), and the MAMI Global Network invite you to a webinar to discuss ‘Management of small and nutritionally at-risk infants under six months and their mothers (MAMI) in India’. Register here.
-11 August 2021 at 14:00-15:30 CET: The IFE Core Group and the GNC Technical Alliance is hosting “Shared Responsibilities for Infant and Young Child Feeding in Emergencies - Experiences implementing the IYCF Multi-sector Framework for Action”. Register here
- A MAMI Communications & Advocacy working group has been formed under the MAMI GN to support the development of a strategic plan for MAMI communications & advocacy. If you would like to get involved please contact the MAMI GN Coordinator at firstname.lastname@example.org.
- If you are currently implementing any MAMI-related projects, please add them to the MAMI Map that shows the latest MAMI-related programmes and research around the world. Add your MAMI activities to the map by completing this brief form.
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.
More like this
View this article as a pdf Summary of meeting report1 A two-day meeting of the MAMI Special Interest Group (SIG)2 was held on 12-13 December 2019, organised by Emergency...
FEX: Making connections: Joint meeting of WaSt Technical Interest Group and MAMI Special Interest Group
ENN coordinates two international technical groups, the Management of at-risk Mothers and Infants under six months Special Interest Group (MAMI SIG) and the Wasting and...
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...
An overview of the Network's governance structures, and ways of working are available here. The MAMI Global Network is currently developing its five-year strategy (2021-2026)...
Stronger evidence towards future scale up of management of at risk mothers and infants under six months (MAMI): Cluster Randomised Trial in Ethiopia Monday 14th December or...
A recording of the "Tackling Undernutrition Through Action and Accountability: Pre Summit Session" webinar hosted by ENN on 26th July 2021 is now available here on...
Tackling malnutrition is a global health priority, helping children both survive and thrive. A large proportion of infants under six months of age in the world are identified...
FEX: What’s new at ENN?
View this article as a pdf ENN strategic review: developing our new strategy together (2021-2026) As global leaders in knowledge management, evidence and learning, ENN is...
This is a summary of a Field Exchange field article that was included in issue 63 - a special edition on child wasting in South Asia. The original article was authored by...
View this article as a pdf Concern Worldwide and Irish Aid hosted a virtual conference on the community-based management of acute malnutrition (CMAM) in March 2021. The...
Resource: Management of At risk Mothers and Infants under six months (MAMI) Special Interest Group (SIG) meeting. 12 and 13 December 2019.
A two-day meeting of the Management of At risk Mothers and Infants under six months (MAMI) Special Interest Group (SIG) was convened by Emergency Nutrition Network (ENN) and...
View this article as a pdf The MAMI Global Network, co-chaired by the Emergency Nutrition Network (ENN) and London School of Hygiene and Tropical Medicine (LSHTM), has...
Resource: Meeting Report: Management of At risk Mothers and Infants under six months (MAMI) Special Interest Group (SIG) meeting
A one-day meeting of the Management of At risk Mothers and Infants under six months (MAMI) Special Interest Group (SIG) was hosted by ENN in collaboration with the London...
Resource: Stronger evidence towards future scale up: Cluster Randomised Trial in Ethiopia - Update 1.0, November 2020
Overview We are a consortium of two universities - Jimma University and the London School of Hygiene and Tropical Medicine a technical charity - the Emergency Nutrition...
Collaborators: London School of Hygiene and Tropical Medicine (LSHTM), Jimma University (Ethiopia), GOAL, and the Emergency Nutrition Network (ENN) Donors: Eleanor Crook...
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...
Video: Ethiopia and MAMI
This video is a presentation to the Ethiopian Nutrition Leaders Network Annual Meeting, 23rd November 2020 by Marie McGrath (ENN) and Carlos Grijalva Eternod (LSHTM). MAMI...
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...
Resource: Meeting Report: Management of At risk Mothers and Infants under six months (MAMI) Special Interest Group (SIG) meeting 2018
Meeting of the MAMI Special Interest Group. 17 January 2017. A one-day meeting of the Management of At risk Mothers and Infants under six months (MAMI) Special Interest Group...
View this article as a pdf This article is a summary of the Research Agenda Revisited published by the No Wasted Lives Secretariat and the Council of Research Technical Advice...
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