Since 2003 while Public Nutrition Department was established one of the aim of this department was the quality treatment of acute malnutrition in the country, however this department started the efforts In 2008, when Public Nutrition Department introduced a new approach for management of Severe Acute Malnutrition through out-patient treatment called Community-based Treatment Care (CTC) the guidelines and protocols were revised. However, based on international experiences and the comparative advantages, the MoPH introduced Community-based Management of Acute Malnutrition (CMAM) in 2010 that replaced the CTC and subsequently guidelines were revised. Since then, the nutrition partners are implementing the CMAM with support from Nutrition cluster as an emergency response mechanism.
In order to address the need at all levels and develop a sustainable programming model, the MoPH decided to scale up management of acute malnutrition through BPHS and EPHS and redirected its focus from “emergency focused” to “development and sustainable programming” so nutrition was integrated in BPHS and named as IMAM (Integrated Management Acute Malnutrition) which is constituted from four main components which are
1: OPD-MAM = Out Patient Department for Moderate Acute Malnutrition
2: OPD-SAM = Out Patient Department for Severe Acute Malnutrition
3: IPD-SAM = In Patient Department for Severe Acute Malnutrition
4: Community Outreach program
Currently we have 670 OPD-SAM sites in 29 provinces which treat acute malnourished under-five children, 117 IPD-SAM sites to treat complicated malnourished cases, community outreach activity in all provinces and OPD-MAM services in 24 provinces.
Public Nutrition Department is a leading agency for delivering of all nutrition activities in the country but beside that the technical and financial support of international agencies are also saleint for example support of UNICEF for provision consumable and non-consumable materials, WFP for provision of dry ration for pregnant and lactating mothers and RUSF for moderate malnourished children and WHO for provision of some technical and capacity building support.
PND with support of other committed partners would like to expand the OPD-SAM program to 5 other provinces as well in 2016 and increase the number of OPD-SAM sites from 670 to 1000 by end of 2016, meanwhile for better follow up and treatment of complicated patients we would like to establish IPD-SAM sites in all district hospitals where there is no these services which may increase accessibility of clients to quality services