Financing the Management of Acute Malnutrition at Scale

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

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

� 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

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

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

Kenya � 2011 cost of CMAM $6. 4 million 67, 000. �UNICEF 54%, WFP 30%, Go. K 16% Ethiopia �RUTF $21. 5 million per year, to treat around 300, 000 SAM cases Mo. H, Kenya

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

Moving forward 1. Acute malnutrition - a development concern 2. Country level costing and financing vision 3. Multi-year Funding (MYF) and mixed funding for chronic contexts WFP, Pakistan

5. Funding via governments (matched, pooled) 6. UN agency roles process for establishing responsibilities 7. Donor coordination: technical and funding Mo. H, Ethiopia