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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.
- The Indian Institute of Technology, Bombay, India have created some Health Spoken Tutorials, a series created with the intention to train health workers. The tutorials cover crucial topics and vital information that will help the entire community to easily understand and grasp the most important aspects or practical details of a Breastfeeding, Complementary feeding and Pregnant & Lactating Mothers Nutrition. The tutorials are available in English here.
- The Steering Committee (2021-2023) has now been appointed. Find out more here.
- In February the MARCH Centre held a discussion with Alice Allan, lactation consultant, on her novel ‘Open My Eyes’, a story set in Ethiopia with child and maternal themes worth reflecting on. The discussion and subsequent Q&A is now available to view on the LSHTM site.
- Global Health Media have a released an app, Birth and Beyond, to “provide mothers, fathers, and other caregivers with easy access to our videos on labor, birth, breastfeeding, and the first two years after birth.” It is 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