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.
- Join the Global Breastfeeding Collective on August 3rd 2022 for World Breastfeeding Week to learn about the Ten Steps to Successful Breastfeeding, find tools and resources to help adopt them in health systems, and be inspired by stories about the Ten Steps in action. The MAMI Global Network will be presenting in the second part of this webinar on ‘Enhanced Lactation Support for Small and Nutritionally At Risk infants <6mo’. More info and registration here.
- The MAMI Global Network India Chapter will be launched during World Breastfeeding Week. Huge congratulations to the team that have been driving the MAMI work in India. On Thursday 4th August at 1500 IST, they will be holding a webinar ‘Adaption of Management of small and nutritionally at-risk infants under six months and their mothers Care Pathway (MAMI CP) to Indian context’. Register here.
- USAID MOMENTUM IHR webinar recording now available. MAMI Care Pathway in South Sudan: Learnings to Date. Available here.
- Join the World Health Organization (WHO), The BMJ, the Partnership for Maternal, Newborn & Child Health (PMNCH) and Children in All Policies 2030 (CAP2030) in a webinar series that will expose industry marketing tactics to influence health professionals on Thursday 8th September 2022. More information and registration here.
- The International Maternal Newborn Health Conference 2023 (IMNHC2023) will take place in Cape Town, South Africa, May 8-11, 2023. The conference will come together to accelerate solutions to improve maternal and newborn survival and prevent stillbirths in a coordinated and inclusive manner. Abstract Submissions and Country Delegations Applications now open until September 1, 2022, more info here. Don't miss the opportunity to be part of IMNHC 2023!
- IYCF-E Repository: a summary of peer-reviewed papers on Infant and Young Child Feeding (IYCF) in an emergency context has been compiled for the IFE Core Group by the Johns Hopkins Center for Humanitarian Health at Johns Hopkins Bloomberg School of Public Health, the Friedman School of Nutrition Science and Policy at Tufts University and the Gillings School of Global Public Health at the University of North Carolina at Chapel Hill. The repository originates from the identified need to develop a system to compile and share new IYCF-E research. To receive email updates on new research, please subscribe here.
- 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.
- At the June MAMI Implementers group, Elisa Vanlerberghe presented on maternal mental health screening and assessment for planned services for the management of small and nutritionally at-risk infants u6m and their mothers in South Sudan by the MOMENTUM Integrated Health Resilience (MIHR) project and partners. Watch the presentation here. If you would like to join the Implementers group, please email firstname.lastname@example.org.
- The MAMI Global Network now has a LinkedIn Group. Do join here for further networking opportunities with colleagues around the globe interested in sharing knowledge, best practice, and experiences of working on programmes addressing small & nutritionally at-risk infants under six months & their mothers.
- 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 email@example.com.
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 firstname.lastname@example.org 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