1. Recommendations of CMAM TWG Nutrition Sector – North Nigeria
OTP/SC Set up
Recommendations of CMAM TWG
Nutrition Sector – North Nigeria
Maiduguri, January 2018

2. 1. Standard – Normal context (HF available and operational) Cont .
Stabilization Centre
Can be integrated in a HF with 24h/7 services (General Hospital, Teaching Hospital)
secondary medical package must be available
Fixed OTP
can be integrated in any HF running health services (PHC, PHCC)
OTP can also be integrated in a general hospital if no other HF near
Outreaches services (mobile approach)
Must be attached to a HF and report to this HF
To reach villages or population living in remote area (more than 5 Km from HF)
To cover some specific location (IDP camps, isolate population, etc)
First support activities in HF before running outreaches
No mobile OTP or Clinic not attached to a HF

3. 1. Standard – Normal context (HF available and operational) Cont ..
Challenges:
Need to ensure that data are reported to LGA and SNO (separate reporting for HF and outreaches)
Direct reporting by Partners to SNO and Nutrition Sector
(in addition to HF Report)

4. 2. New accessible area (no HF functional)
Mobile OTP
directly managed by implementing Partner
Need assessment (to be done before set up of OTP)
Discussions with SPHCDA and SNO
Contact Partners already present in the LGA
Contact Nutrition Sector
Contact LGA Nutrition Focal Person
Field assessment
Report presented in coordination meeting and shared

5. 2. New accessible area (no HF functional) Cont .
Minimal requirements
Catchment population:
Urban: 5000 peoples minimum
Rural: 2000 peoples minimum
Caseload of SAM cases (>200 new admissions/OTP/month)
Minimum distance from an Existing Mobile OTP (rural context): 5Km
Report of activities (monthly)
To LGA focal Person
To SNO
To Nutrition Sector (5W)

6. 3. New emergency (sudden movement of population)
Mobile OTP directly managed by implementing Partner
Partner already operating in the area to be contact first
(ability to scale up or not)
Need to coordinate with SPHCDA and Nutrition Sector and share information and updates on weekly basis
Rapid assessment to be done before set up of OTP
(by implementing Partner or join with other actors)
Report of activities (Weekly/monthly)
To LGA focal Person
To SNO
To Nutrition Sector (5W)

7. Important Notice
for new accessible area and new emergency: It’s important to adjust intervention according to the context and move to normal context when possible (no need to maintain initial design when context change).