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Financing the Management of Acute Malnutrition at Scale

Financing the Management of Acute Malnutrition at Scale. ACF Conference : A Decade of CMAM October 17-18th 2013 Carmel Dolan, J eremy Shoham :ENN Technical Directors Lola Gostelow ENN consultant. Background.

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Financing the Management of Acute Malnutrition at Scale

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  1. Financing the Management of Acute Malnutrition at Scale ACF Conference : A Decade of CMAM October 17-18th 2013 Carmel Dolan, Jeremy Shoham :ENN Technical Directors Lola Gostelow ENN consultant

  2. Background • CMAM Conference held in Addis in November 2011- issues raised concerning short term financing, sustainability of long term financing • ENN undertook review into current arrangements • Interviewed government, agencies and key people • Visits to Kenya, Ethiopia to construct case studies. • Case studies Nigeria, Malawi • Meetings with all main donors and foundations • Final reports and ODI-ENN publication May 2013

  3. 70+ countries are scaling up CMAM • 15 % of global SAM is being treated via CMAM (2.6 million) • Coverage for MAM – approx 15% (4.6 million) WFP, Kenya

  4. CMAM is cost-effective • Treatment of SAM is expensive: $70-200 per child ACF, Mali

  5. Valid International, Sri Lanka RUTF is over 50% of total cost and local production hasn’t markedly reduced cost

  6. Kenya • 2011 cost of CMAM $6.4 million 67,000 . • UNICEF 54%, WFP 30%, GoK 16% Ethiopia • RUTF $21.5 million per year, to treat around 300,000 SAM cases MoH, Kenya

  7. CMAM financing is ad hoc • CMAM is financed mostly by humanitarian aid • Funding is short term and unpredictable • Funding is rarely through government • Little by government ACF, Kenya

  8. Moving forward • Acute malnutrition - a development concern • Country level costing and financing vision • Multi-year Funding (MYF) and mixed funding for chronic contexts WFP, Pakistan

  9. Funding via governments (matched, pooled) • UN agency roles - process for establishing responsibilities • Donor coordination: technical and funding MoH, Ethiopia

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