1. Integration of Treatment of Severe Acute Malnutrition into National Health Services Sandra Mutuma Senior Nutrition Advisor Action Against Hunger AAH/ACF UK s.mutuma@aahuk.org Tel: 0208 2936135

2. 22 avril 20142 MALNUTRITION OVERNUTRITIONUNDERNUTRITION underweight ACUTE Wasting GAM MAMSAM Marasmus kwashiorkor Micronutritient deficiencies CHRONIC Stunting Wasting: 1 Million Children death / year UNDERNUTRITION: 3.5 Million Child deaths / year ONE THIRD of the total annual death

3. 22 avril 20143 Focus on ACFIN Nutrition Programmes India :Explo Mission Chad CAR Zimbabwe Somalia Ethiopia Myanmar Bangladesh Mauritania Haiti DRC Uganda Mixed (MOH/ACF) Direct implementation MOH Integrated Burkina Sierra L Mali Liberia Ivory coast Guatemala Nicaragua Nigeria : Explo Mission South Sudan Pakistan Kenya Guinea Niger

4. What is integration? Definition of integration The responsibility for the management of caseload of acute malnutrition is taken on by the MOH, and CMAM becomes part of a basic package of child health services. It forms part of a holistic approach to reducing undernutrition, including prevention, and takes into account other components of the health system

5. Thank you! Any questions?