1
EVALUATION OF COMMUNITY MANAGEMENT OF ACUTE MALNUTRITION (CMAM) UNICEF Evaluation Management Response Template Evaluation title: Evaluation of Community Management of Acute Malnutrition (CMAM) – Global Synthesis Report
Year: 2013
Office and person in charge for management response: Werner Schultink
Overall response to the evaluation: The overall direction of the evaluation was defined in consultation with PD Nutrition, specifically through input into the TOR. There are several strengths to the evaluation, in particular that it draws from a range of data sources (survey, case study, desk review) and covers the range of country contexts. While many of the conclusions confirm existing knowledge in the nutrition field, the consolidation provided by the evaluation provides valuable insight into the current status of CMAM implementation, views of staff, and specific details on case study countries. There were also some limitations to the evaluation, including the length of time to complete the evaluation (a period of 2 years) during which time CMAM practice continued to evolve. The desk review was drawing primarily on CMAM evaluations in case study countries, which may not reflect the wealth of information already available in existing CMAM evaluations and risks overlooking innovative examples of how to move CMAM practice forward. In some instances the teams were not optimally prepared with background information, affecting their general understanding of country contexts and issues which in turns affected the efficiency of the evaluation and accuracy of the findings and recommendations. The recommendations do not differentiate between typologies of country contexts in terms of maturity of programme, scale or burden, or strategic direction of the nutrition programme. Overall, the recommendations provide a valuable moment to take stock and reflect on concrete ways to improve and mainstream UNICEF’s direct and partnership roles in CMAM in terms of policy level engagement, capacity building, and supply chain issues. HQ Nutrition will identify typologies of support required at CO level (action under recommendation 6), prioritize regional level issues through events such as 2 RO workshops on CMAM and nutrition information, as well as continue support to lesson learning internally through various activities outlined in the response, as well as externally through CMAM Forum. The majority of activities outlined in the response involve RO consultation which will also serve to sharpen response focus on regional level and country specific issues related to CMAM along the broad areas outlined in the evaluation.
Planned use of evaluation: The evaluation will be shared externally (email circulation, posting on the Evaluation external website, and presentation at an interagency technical meeting on community based SAM treatment in London in November 2013) as well as internally (with ICON as well as targeted dissemination through ROs to COs). The material from the evaluation will be cited and incorporated where relevant in UNICEF nutrition policy papers and technical briefs that are developed in future. The actions covered in the management response will form the basis for the 2014 workplan development for HQ and RO Nutrition.
Evaluation Recommendation or Issue 1: Continue to work with governments, WFP, WHO, IPs, and other stakeholders to secure a common
understanding on the most effective means of addressing MAM in order to unify approaches, to strengthen community-based preventive
measures, and to prevent SAM and relapses into SAM.
Management Response: (Agree, Partially Agree, Disagree): Agree
If recommendation is rejected or partially accepted, report reasons:
2
Actions planned Responsible
Office/Person
Expected
completion
date
Implementation
stage: Not Started
Underway
Completed
Cancelled
Actions taken Supporting
documents
In order to better understand the
relationship between SAM treatment
and MAM treatment, UNICEF and
WFP will engage in a strategic review
of the outcomes from the recent SAM
and MAM mappings in order to
identify and address key issues related
to these two components of CMAM.
NiE/SAM
with inputs
from RO
Q2 2014 Underway Initial discussions with WFP and
agreement on review, though scope and
timing TBD.
UNICEF will continue to play a
technical role in the MAM Task Force
under the Global Nutrition Cluster
(GNC) in order to ensure that guidance
on decision making for MAM
treatment and prevention in
emergencies promotes appropriate
linkages between programming to
prevent and treat acute malnutrition.
NIE/SAM Q4 2013
(for revision
of GNC
guidance
document)
and
continued
TF
participation
through
2014
Completed Review of field testing of version 1 of
the MAM decision making tool
undertaken and revision of the guidance
finalized by MAM Task Force.
As part of coordinated workplanning
for 2014 between UNICEF and WFP,
UNICEF will define its strategic role
in collaboration with WFP to prevent
acute malnutrition and will actively
participate in WFP’s efforts to
consolidate the evidence base and
approach for treatment of MAM and
prevention of acute malnutrition
through existing technical platforms.
NIE/SAM and
WFP HQ,
with inputs
from RO
Q1 2014 Underway Initial agreement on coordinated
workplanning secured from WFP.
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Evaluation Recommendation or Issue 2: Establish a guideline or framework for integration of CMAM into the health system and with other
interventions that is useful at national level when based on capacity assessments and national health, nutrition and community development
strategies.
Management Response: (Agree, Partially Agree, Disagree) Agree
If recommendation is rejected or partially accepted, report reasons:
Actions planned Responsible
Office/Person
Expected
completion
date
Implementation
stage: Not Started
Underway
Completed
Cancelled
Actions taken Supporting
documents
UNICEF and WHO will continue to
co-lead the Task Force on Integration
of the Management of SAM into
Health Systems. The Task Force aims
to facilitate analysis of existing
integration approaches, develop
technical guidance and tools, develop
communication materials for engaging
with stakeholders, and support
capacity for implementation of the
guidance and tools. While the Task
Force will develop collective
materials, its role is also to facilitate
interagency sharing and learning in
order to promote best practice,
including documentation of criteria for
integration and sustaining integrated
services.
NIE/SAM
with the range
of partners in
the integration
Task Force,
with inputs
from UNICEF
Health
Section
Q3 2014 Underway The TOR for the Task Force has been
revised based on partner feedback in
2013. A Task Force telcon in Q4 2013
reviewed the TOR and defined key
activities and deliverables for 2014.
TOR for the
integration
Task Force,
minutes from
the Dec 2013
telcon.
Nutrition and Health will work in
close collaboration to ensure that
Nutrition is part of community based
service packages. Inputs from Health
will be essential as integration of
nutrition into health services will be
limited by function of the health
system. UNICEF Health and Nutrition
NIE/SAM and
UNICEF
Health
Section
Ongoing
through Q4
2014
Underway Tool kit developed with Health and HIV
section that specifically includes SAM:
“Guide on country level adaptation for
coverage determinant indicators for
health, nutrition and HIV interventions
delivered through the health system.”
Ongoing work with UNICEF Health to
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will continue to work with RO to
support the mainstreaming of the
MORES approach at CO level as a
means to identify bottlenecks and
solutions in order to increase effective
coverage of SAM at different service
delivery platforms (community, health
facility and outreach).
continue building UNICEF capacity in
MoRES application, including technical
support to COs upon request.
In order to complement government
capacity in supply chain management
(recommendation 9) a strategy will be
developed to assess feasibility of
integrating CMAM commodities into
existing national supply systems (e.g.
essential medicines).
SD &
NIE/SAM
Q3 2014 Not started Assessment conducted in Ethiopia based
on CO request. Report shared with RO.
Assessment planned for Burundi and
Pakistan (USAID Funding) based on SD
workplan priorities.
Supply Chain
Assessment
Methodology
Evaluation Recommendation or Issue 3: Facilitate coordination and technical support at regional/national level to expand or develop
national CMAM guidelines as CMAM is integrated with other interventions such as IYCF.
Management Response: (Agree, Partially Agree, Disagree): Agree
If recommendation is rejected or partially accepted, report reasons:
Actions planned Responsible
Office/Person
Expected
completion
date
Implementation
stage: Not Started
Underway
Completed
Cancelled
Actions taken Supporting
documents
Structured technical support will
continue to be provided to CO in 2014
based on coordinated planning with
RO, prioritizing countries that are
developing or revising CMAM
guidelines.
NIE/SAM and
RO
Ongoing Underway
The IYCF in Emergencies toolkit will
be revised and where relevant,
linkages to other nutrition
interventions such as CMAM will be
strengthened.
NIE/SAM and
IYCF with
input and
support of RO
Q2 2014 Underway TOR developed and funding secured for
the consultant to facilitate the revision.
TOR
In order to determine needs for NIE/SAM and Q 2 2014 Not started
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revision or additional guidance in
relation to IYCF and CMAM, a
stocktaking will be undertaken on
dissemination, adaptation and use of
current IYCF in CMAM guidance.
IYCF with
input and
support of RO
Evaluation Recommendation or Issue 4: Strengthen community outreach by ensuring adequate investment in CMAM awareness-raising
activities and their integration with outreach for other public health interventions.
Management Response: (Agree, Partially Agree, Disagree) Agree
If recommendation is rejected or partially accepted, report reasons:
Actions planned Responsible
Office/Person
Expected
completion
date
Implementation
stage: Not Started
Underway
Completed
Cancelled
Actions taken Supporting
documents
Recommendation 2 addresses
integration of CMAM into health
structures, while this recommendation
focuses on the community
mobilization aspect. Linked to
integration work outlined under
recommendation 2 (MoRES/DHSS
and other efforts to support integration
and scaling-up) the outreach
component of CMAM will be
examined from the supply and demand
sides. If the need for specific guidance
is identified in recommendation 2,
guidance will be developed for
community outreach based on best
practice, literature review, and partner
consultation.
NIE/SAM,
C4D, with
input and
support from
the RO and
CO in
partnership
with
ACF/CMN
Q4 2014 Underway Data collection underway
Structured technical support will be
given to CO who are
revising/expanding community
outreach activities, in coordination
with RO.
NIE/SAM in
collaboration
with RO
Ongoing
through Q4
2014
Underway
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Evaluation Recommendation or Issue 5: Decentralize nutrition information systems to strengthen data collection and analysis at district
level supporting and reinforcing the MoHs’ lead role and joint accountability among the MoH and partners for improving quality.
Management Response: (Agree, Partially Agree, Disagree): Agree
If recommendation is rejected or partially accepted, report reasons:
Actions planned Responsible
Office/Person
Expected
completion
date
Implementation
stage: Not Started
Underway
Completed
Cancelled
Actions taken Supporting
documents
Technical support will be provided to
RO and COs to map and assess
existing information systems
(including reporting on supply
availability) and identify opportunities
for institutionalization of nutrition
information systems at CO level
(linked to MoRES implementation and
Health System Strengthening).
NIE/SAM
with RO and
SD support
Ongoing
through Q4
2014
Underway Pakistan and Vietnam assessments and
provision of technical support.
Nutrition information system mapping
and bottleneck tool drafted.
Mission
reports.
The development of software and
systems for the use of Rapid SMS in
routine nutrition information systems
and surveys at national and
subnational levels will be documented
and lessons learned disseminated.
NIE/SAM,
ROs and
ACF/CMN
Q4 2014 Underway Presentation of current work at a series
of conferences. To date, this includes a
global audience in Oct 2013 in London,
and WCARO and ESARO regional
audience in Q1 2014.
Ongoing support for Rapid SMS in
selected countries on request, with a
specific focus on countries supported by
Food For Peace as this is a funded
activity under the grant proposal.
Evaluation Recommendation or Issue 6: Define a standardized monitoring system to assess the quality of the CMAM services to inform the
MoH, UN partners, IPs and other stakeholders where more capacity is needed.
Management Response: (Agree, Partially Agree, Disagree) Partially agree
If recommendation is rejected or partially accepted, report reasons: There is no one monitoring system that will fit every country context.
Countries will always need to adapt global standards to the specific context. The HQ role will be in sharing available experience, provision of
technical support, and further development of tools and resources that can be adapted at country level to fit country level realities and systems.
In addition, standards monitoring is addressed through the MoRES approach. MoRES will support L3 monitoring to improve programme
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outcomes and quality. Capacity may be one component that can be unpacked further if identified as a critical bottleneck, under the MoRES
framework.
Actions planned Responsible
Office/Person
Expected
completion
date
Implementatio
n stage: Not Started
Underway
Completed
Cancelled
Actions taken Supporting
documents
At global level, information on
nutrition programming at CO level
will continue to be collected annually
through the Nutrition Dashboard
(NutriDash) in order to aid in
prioritization of support to ROs and
COs in CMAM. NutriDash will
continue to collect SAM programme
information, but is expanded this year
to cover aspects of IYCF and
micronutrient programming, as well as
supply forecasting. Results will be
made available through a web-based
platform, and databases will be
developed to facilitate strategic
oversight of programmes by HQ and
RO.
PD Nutrition
with ROs and
SD
Q1 2014 (for
preliminary
report)
Underway
The NutriDash questionnaire has been
expanded and updated based on
consultation with HQ, RO and selected
CO. The actual web-based data
collection tool was launched in
December 2013, with supply data due in
January 2014 and other programme
modules due in February 2014.
Linked to recommendation 2,
technical support will continue to be
provided to COs in applying the
MoRES approach to improve
monitoring and evaluation of SAM
programming.
NIE/SAM in
collaboration
with RO
Ongoing
through Q4
2014
Underway Technical support provided to Nigeria
CO upon request from the CO under the
high-burden country cluster.
Trip reports
Linked to recommendation 2, a
methodology for countries to assess
their supply chain capacity will be
developed, and technical support will
be provided to country-lead capacity
SD with input
and support of
NIE/SAM and
RO
Q3 2014 Not started
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development of national distribution
systems to deal with nutrition supplies.
Evaluation Recommendation or Issue 7: Strengthen planning for CMAM through conducting community assessments, and greater use of
joint integrated results-based planning exercises and mapping information to help prioritize areas for scaling up.
Management Response: (Agree, Partially Agree, Disagree): Agree
If recommendation is rejected or partially accepted, report reasons:
Actions planned Responsible
Office/Person
Expected
completion
date
Implementation
stage: Not Started
Underway
Completed
Cancelled
Actions taken Supporting
documents
The UNICEF Programme Guidance
Document: “Management of Severe
Acute Malnutrition in children:
Working towards results at scale” will
be finalized and disseminated.
NIE/SAM
with input and
support of RO
and SD
Q1 2014
disseminatio
n followed
by technical
support
Underway Draft being finalized after extensive
consultation. Caseload estimation annex
already circulated to support 2014
supply planning.
A “How-to-Guide for Risk Informed
Programing for Health, Nutrition and
HIV” will be developed to enhance the
capacity of UNICEF country offices,
programmes, and partners in risk prone
or fragile settings to: (1) use risk
information to develop flexible
programmes, (2) to strengthen systems
to adapt/adjust programmes based on
risk, and (3) make the guidance and tools
available to prepare and respond to
shocks. Considerations for SAM
programming, in addition to other
nutrition interventions, will be addressed
in the guidance and tools.
NIE/SAM,
HATIS,
Health, HIV,
with input and
support of RO
Q4 2014 Underway Concept note for guidance developed,
funding secured, lead consultant
recruited and additional consultants in
the process of being recruited.
Concept note,
TORs for
consultants
Evaluation Recommendation or Issue 8: Improve awareness and capacity for conducting treatment coverage surveys and using the
information to analyze trends.
Management Response: (Agree, Partially Agree, Disagree) Partially agree
If recommendation is rejected or partially accepted, report reasons: As detailed in the State of Global SAM Management Coverage
document, a range of methodological issues need to be addressed in relation to coverage surveys before we can advocate that these are
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undertaken in all contexts.
Actions planned Responsible
Office/Person
Expected
completion
date
Implementation
stage: Not Started
Underway
Completed
Cancelled
Actions taken Supporting
documents
The technical paper “The State of
Global SAM Management Coverage”
developed by UNICEF/ACF/CMN in
2013 consolidated for the first time
review of the availability, accessibility
and coverage of SAM management
worldwide. The findings will be
disseminated widely in various fora to
stimulate partnership around
addressing technical gaps. A 2014
paper will be developed.
NIE/SAM,
ACF, CMN,
with input and
support of RO
Q4 2013 for
2013 report,
and Q2
2014 for
2014 report
Completed/
Underway
2013 report developed, HQ and RO
inputs secured and addressed, and
document shared internally and
externally. Initial discussions on scope
of 2014 report undertaken.
Final
document
Advocacy will be undertaken with
partners to secure practical action to
address critical methodology issues in
relation to coverage assessment, in
order to consolidate UNICEF’s
approach to coverage surveys. Some
of this work will be accomplished
through the current PCA partnership
with ACF-UK.
NIE/SAM,
ACF with
input and
support of RO
Q4 2014 Underway Active PCA in place PCA
Two regional-level workshops will be
designed and delivered by HQ in
collaboration with RO with a focus on
integration of CMAM into government
systems and supply management, and
strengthening nutrition information
systems and coverage assessment.
Priority areas for action identified will
guide further follow up by HQ.
NIE/SAM,
ACF, CMN,
with input and
support of RO
Q1 2014 Underway Events in planning stages, e.g. agenda
and materials developed and invitation
sent.
Concept note
and agenda
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Evaluation Recommendation or Issue 9: Strengthen means to reduce costs and promote national assumption of costs for ready to use
therapeutic and supplementary foods.
Management Response: (Agree, Partially Agree, Disagree): Agree
If recommendation is rejected or partially accepted, report reasons: The evaluation highlights the potential for local production to address
some of the cost issues, however it must be noted that local production is not the one and only way to reduce costs. There are a range of
efficiencies – negotiated costs, reduced wastage through better forecasting- that can be explored.
Actions planned Responsible
Office/Person
Expected
completion
date
Implementation
stage: Not Started
Underway
Completed
Cancelled
Actions taken Supporting
documents
SD will continue efforts to expand the
RUTF market, to promote market
competitiveness, and to investigate
means to reduce RUTF prices.
Knowledge shortfalls in relation to the
RUTF market and RUTF prices, which
have been noted to be limiting factors,
will be addressed through enhanced
communication.
SD with
support of
NIE/SAM and
RO
Q4 2014 Underway
SD and NIE/SAM will continue to
work with RO and CO to identify
appropriate strategies for next steps in
local production. This work will
include documentation of experience
in local production, actual costs,
limitations and potential mitigation
factors, as well as conditions for
sustainability. These experiences will
be documented and disseminated in
the form of an advocacy brief/policy
stance paper.
SD with
support of
NIE/SAM and
RO
Q4 2014 Underway
A supply chain guideline for RUTF
and other supplies relevant to SAM
treatment will be developed. This
guideline will build off of the existing
SD with
NIE/SAM and
partners
Q4 2014 Not started
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supply chain guideline developed by
WFP and partners with input from
UNICEF (released November 2013).
That foundational guideline addresses
supply forecasting, food safety and
food quality issues, and logistics of
supplies for treatment of MAM and
prevention of acute malnutrition.
Evaluation Recommendation or Issue 10: Conduct further operational research to find alternative RUTF formulas to promote feasibility of
local production that meets international standards.
Management Response: (Agree, Partially Agree, Disagree) Partially Agree
If recommendation is rejected or partially accepted, report reasons: The information on which this recommendation is based seems to be
limited.
There is a need to clarify between operational research (which confirms practicalities of using particular product in programmatic
environment) versus clinical research (that is needed to identify whether a formula will achieve intended treatment outcomes). Significant
reduction of RUTF price can be achieved only by replacing the most costly ingredient (i.e. milk powder) with a less costly alternative which
would require clinical trials. Currently Valid Nutrition is undertaking work in this area. Once results are available, published and endorsed, the
feasibility of manufacturing (e.g. local production) can be initiated.
Replacing other ingredients in RUTF (e.g. peanuts) will not lead to price reduction but will make product more palatable/acceptable in
countries where peanuts are not part of common diet. This option may also be explored; however the research must be undertaken outside
programmatic environment. It is unlikely such research will be funded and managed by manufacturers; hence CIFF is funding development of
database of potential RUTF ingredients. UNICEF can then use the outcomes of this research as the basis of further strategic discussions in
relation to its approach to leading/managing such research.
Finally, UNICEF needs to clarify its role in relation to operational and clinical research in relation to nutrition.
Actions planned Responsible
Office/Person
Expected
completion
date
Implementation
stage: Not Started
Underway
Completed
Cancelled
Actions taken Supporting
documents
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SD will lead development of an
agency level approach to engaging in
development of alternative RUTF
recipes and guidelines for their
introduction into the programmatic
environment.
SD with
NIE/SAM
Q4 2014 Underway
SD will lead UNICEF’s engagement
in the process of alternative recipe
development by supporting initiatives
from manufacturers and leveraging
initiatives such as the CIFF-funded
project of consolidating potential
ingredient database.
SD with
NIE/SAM
Q4 2014 Underway
SD will support the development of
guidance for countries to follow when
embarking on alternative recipe
development.
SD and
NIE/SAM
Q4 2014 Not started
Evaluation Recommendation or Issue 11: Strengthen policies and partnerships that sustainably support scale up.
Management Response: (Agree, Partially Agree, Disagree): Agree
If recommendation is rejected or partially accepted, report reasons:
Actions planned Responsible
Office/Person
Expected
completion
date
Implementation
stage: Not Started
Underway
Completed
Cancelled
Actions taken Supporting
documents
In order to build off of best practice in
the field and refine UNICEF’s
engagement in nutrition governance in
relation to CMAM programming,
structured lesson learning on policy
level engagement, integration of SAM
management into government systems,
and scale up of programing will be
undertaken. Findings will be
disseminated widely and will be used
NIE/SAM
with input and
support of RO
Q3 2014 Underway Scope of the lesson learning drafted
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to update available guidance.
Technical support will continue to be
provided to CO to strengthen
engagement in SUN countries and
advocate for adoption of SUN (or
SUN-like mechanisms) through
technical briefs, consolidation of
evidence, and guidance.
UNICEF senior management will
continue to play a key advocacy role
in promoting partnerships,
coordination platforms and donor
support (in particular linking
humanitarian and development
funding streams).
UNICEF senior management will
continue to support advocacy with
government officials as requested for
uptake of SUN.
PD Nutrition
and senior
management
with input and
support of
ROs
Ongoing
through Q4
2014
Underway
UNICEF senior management advocacy
with high-level delegation from Sudan
to adopt SUN.
A mapping of requirements for
registration of CMAM commodities
and putting them into the market will
be undertaken.
SD with
NIE/SAM
support
Q4 2014 Not started Review of registration requirements
already undertaken in Ethiopia and
Tanzania.
Evaluation Recommendation or Issue 12: Plan and implement exercises which strengthen a joint vision among UNICEF, WFP, WHO, IPs
and the MoH on acute malnutrition.
Management Response: (Agree, Partially Agree, Disagree) Agree
If recommendation is rejected or partially accepted, report reasons:
Actions planned Responsible
Office/Person
Expected
completion
date
Implementation
stage: Not Started
Underway
Completed
Cancelled
Actions taken Supporting
documents
UNICEF will continue to provide
support and technical guidance to RO
NIE/SAM
with input and
Q4 2014 Underway
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and CO in relation to joint
workplanning and partnership
opportunities with relevant agencies
around acute malnutrition
programming.
support from
RO
UNICEF will advocate for revision of
the 2007 joint statement on CMAM in
order reaffirm respective roles and
collaboration in relation to CMAM
across the continuum of care.
NIE/SAM and
senior
management
Q4 2014 Underway Linked to proposed joint workplanning
with UN sister agencies and work under
recommendations 1 and 2.
UNICEF and UNHCR will develop
technical guidance to guide
development of country level LOUs
between the two agencies in relation to
activities addressing treatment of acute
malnutrition.
NIE/SAM and
senior
management
Q1 2014 Underway UNHCR technical guidance drafted and
pending finalization
UNICEF and WFP will proactively
identify and promote best practice in
relation to SAM and MAM treatment
(e.g. planning, screening and referral,
etc).
NIE/SAM
with input and
support of RO
and WFP
Q4 2014 Underway Linked to joint workplanning with WFP
under recommendation 1
Evaluation Recommendation or Issue 13: Based on training needs assessments, job descriptions and appropriate supervision, scale up on the
job training (OJT), training of trainers (TOTs), pre-service training (PST) and refresher training ensuring coverage of districts.
Management Response: (Agree, Partially Agree, Disagree): Agree
If recommendation is rejected or partially accepted, report reasons:
Actions planned Responsible
Office/Person
Expected
completion
date
Implementation
stage: Not Started
Underway
Completed
Cancelled
Actions taken Supporting
documents
UNICEF will define its engagement in
relation to pre-service training as a
complement to on the job training,
TOTs and refresher training. Existing
initiatives will be mapped and
potential partnerships identified for
NIE/SAM Q4 2014 Not started
15
development and delivery of technical
support in these areas. Relevant
bottlenecks (such as human resource
management in relation to mitigating
capacity loss due to staff turnover, and
updating certification criteria of
specific cadres in terms of
institutionalization of capacity inputs)
will be identified and addressed.
Evaluation Recommendation or Issue 14: Strengthen prevention of SAM through ensuring that management of acute malnutrition is part of
a minimum package of nutrition interventions in all priority countries.
Management Response: (Agree, Partially Agree, Disagree) Agree
If recommendation is rejected or partially accepted, report reasons:
Actions planned Responsible
Office/Person
Expected
completion
date
Implementation
stage: Not Started
Underway
Completed
Cancelled
Actions taken Supporting
documents
Technical support will continue to be
provided to COs to design nutrition
programmes to promote delivery of
high impact nutrition interventions in
both SUN and non-SUN countries.
Additional focused support will be
provided to high-burden countries.
PD Nutrition
with input
from ROs
Q4 2014 Underway
Other relevant actions are already
detailed in relation to integration
(recommendation 2), scale up
(recommendation 11) and monitoring
of scale up (recommendation 6).
Underway
16
Evaluation Recommendation or Issue 15: Strengthen knowledge and lesson dissemination and sharing of successful approaches to
integration and scaling up.
Management Response: (Agree, Partially Agree, Disagree): Agree
If recommendation is rejected or partially accepted, report reasons:
Actions planned Responsible
Office/Person
Expected
completion
date
Implementation
stage: Not Started
Underway
Completed
Cancelled
Actions taken Supporting
documents
UNICEF will continue its partnership
and engagement in the CMAM Forum
in terms of sharing of technical
documents, lessons learned, and inputs
into technical briefs on integration and
SAM programming.
NIE/SAM and
CMAM
Forum with
inputs from
RO
Ongoing
through Q4
2014
Underway Financial and technical support
provided through current PCA.
Two UNICEF e-newsletters will be
developed and disseminated to share
field experience and best practice.
NIE/SAM
with inputs
and support of
RO and CO
Q2 and Q4
2014
Not started
A short technical brief on “state of
play” for community-based treatment
of SAM will be developed and
disseminated.
NIE/SAM
with support
of RO and
Evaluation
Office
Q3 2014 Underway Initial scope outlined.