Table 3 Country experiences of successful CMAM programs nationally [31, 37]
Indicators | Ethiopia | Kenya | Malawi | Nepal | Pakistan | Bangladesh |
|---|---|---|---|---|---|---|
Health system characteristics | ||||||
 Adequate health budget | > 75% donor support | > 80% donor support | > 90% donor support | > 50% donor support | Human resources and infrastructure supported by government | Overall budgetary allocation for nutrition is poor |
 Availability of community based front line workers | Good | Good | Weak | Weak | Good | Inadequate; not utilized for CMAM |
 Nutrition indicators in health MIS | No | Yes | Yes | No | Yes | Yes |
 Supply of RUTF, F-75, F-100 | Weak national supply chain | F-75, F-100 supply good. Interrupted supply of RUTF | Good. Local production of RUTF | Good | Interrupted supply of RUTF at times | Sensitivity around RUTF, interrupted supply of F-75, F-100 |
 CMAM services integrated with other health services | *IMNCI, **ICCM, immunization | aIMCI, bIYCF | HIV/AIDS | IMCI, IYCF | Unclear | IMCI |
Intervention components | ||||||
 Active screening by government staff | Good | Good | Good | Good | Yes | Weak |
 Inpatient care by WHO protocol | Yes | Yes | Yes | Yes | Yes | Yes |
 Community mobilization | Good | Good | Good | Good | Good | Weak |
 Management of MAM | Weak | > 80% recovery rate | 89% recovery rate | Weak | > 90% recovery rate | No services until now |
Program outcomes (outpatient) | ||||||
 Recovery (SPHERE standard, > 75%) | 83.0% | 80.7% | 91% | 86.1% | 91.5% | No national program |
 Default (SPHERE standard, < 15%) | 5.0% | 12.9% | 6.0% | 9.0% | 7.5% | No national program |
 Mortality (SPHERE standard, < 10%) | 0.6% | 1.5% | 1.0% | 0.7% | 0.2% | No national program |
Broad Context | ||||||
 National policy support | Yes | Yes | Yes | Yes | Yes | Yes |
 National guideline on CMAM | Yes | Yes | Yes | Yes | Yes | Yes |
 Donor supporting CMAM | Yes | Yes | Yes | Yes | Yes | Yes |
 NGOs implementing CMAM | Yes | Yes | Yes | Yes | Yes | Yes |