Judge (ret.) Shlomo Shoham Former Commissioner for Future Generations The Israeli Parliament
ACF Conference : A Decade of CMAM October 17-18th 2013 Carmel Dolan, Jeremy Shoham :ENN Technical...
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Transcript of ACF Conference : A Decade of CMAM October 17-18th 2013 Carmel Dolan, Jeremy Shoham :ENN Technical...
ACF Conference : A Decade of CMAMOctober 17-18th 2013
Carmel Dolan, Jeremy Shoham :ENN Technical Directors
Lola Gostelow ENN consultant
Financing the Management of Acute Malnutrition at Scale
BackgroundCMAM Conference held in Addis in November 2011- issues
raised concerning short term financing, sustainability of long term financing
ENN undertook review into current arrangementsInterviewed government, agencies and key peopleVisits to Kenya, Ethiopia to construct case studies. Case studies Nigeria, MalawiMeetings with all main donors and foundationsFinal 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
2011 cost of CMAM $6.4 million 67,000 .
UNICEF 54%, WFP 30%, GoK 16%
Kenya
MoH, Kenya
RUTF $21.5 million per year, to treat around 300,000 SAM cases
Ethiopia
CMAM financing is ad hoc
CMAM is financed mostly by humanitarian aidFunding is short term and unpredictable Funding is rarely through governmentLittle by government
ACF, Kenya
Moving forward 1. Acute malnutrition - a development concern2. Country level costing and financing vision3. 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
MoH, Ethiopia