Mohamed Hussein, Health TS - Save the Children Somalia.

Hi! I am Karen Calani, Sr. Technical Advisor with Food for the Hungry. I’m based in Guatemala.

Habtamu F Lashtew, MCGL Nutrition Focal

Chawanangwa Jere, Nutrition Field Monitor UNICEF-Malawi

Hi everyone, I am Kali Erickson, independent consultant, based in Guatemala.

Florence, nutrition Program Office/IYCF_E, SCI Rwanda

Elsie Mawala-Nutrition Officer. UNICEF Malawi CO

Hi. I am Oscar Cordon. Technical Services and INnnovation Director with Action Against Hunger US

Joseph Monehin, Senior Child Health Advisor, USAID Washington.

Hi all, Hailemariam Legesse, UNICEF Sierra Leone

SYLVESTER KATHUMBA-PRINCIPAL NUTRITIONIST- MINISTRY OF HEALTH-MALAWI

Good day, Altrena Mukuria-Ashe, Sr. Technical Officer, USAID Advancing Nutrition, USA

Stanley Mwase, Nutrition Specialist, UNICEF Malawi

Chifundo Rambiki- Nutrition Field Monitor, UNICEF Malawi

Nancy Brady, Senior Advisor, JSI based in Boston, MA

Hi everyone. I am Mercy Kaluwa - , Strengthening Community Health Systems Project Manager

Email childhealthtaskforce@jsi.com for co-chair nominations

Bakht Anwar - MSc student at the London School of Hygiene and Tropical Medicine

Hello Everyone, I am Mathias Mndala- Strengthening community health systems project Coordinator, Save the children, Malawi.

Francis Kuweruza_ Nutrition Field Monitor, UNICEF Malawi

Hi Everyone, Ifeanyi Ume, Technical Lead Child Health Nutrition & Malaria, USAID Integrated Health Program (IHP) Nigeria.

Hi, Patricia Jodrey, USAID Washington, Child Health team lead

Hi Everyone,Dr Ritu Agrawal, Maternal Health Advisor, Institute of Global Public Health, University of Manitoba, based in India.

Hi everyone. Dr. Khawaja Masuood Ahmed, National Coordinator for Nutrition and Fortification with the Ministry of Health, Government of Pakistan

Hello everyone,Dorothy Akongo MPHworking with Busoga Health Forum-Uganda

45 peer-reviewed articles, 4 non-peer-reviewed papers, 7 unpublished papers, 10 program technical documents, and 28 reports were reviewed.

Greetings everyone from David Hamer, Boston University School of Public Health

Feel free to put your questions in the chat!

Is it possible to know some examples of successful experiences working on RUTF with the private sector?

Are there studies looking into possibilities of RUTF production using local inputs? If not, should this be a potential research area going forward?

On Quality of service delivery I would like to learn how special babies are identified at ICCM site for referral to inpatient care!! Do we have weighing scales in the ICCM sites!!? Secondly how effective is the referral system for those Children with complicated SAM?

bonsoir from Guinée !

Apologies if I missed this, but can you share more about why MAM is not part of this review and/or if available documentation/evidence could be used to support program and policy recommendations to include treatment for MAM in integration (or if it did not)? Combined treatment as a simplified approach comes to mind, but did you come across anything else?

While local production of RUTF is desirable, however the cost of locally produced RUTF seems to be higher than imported ones, how can this be addressed?

merci de nous partager les présentations après la session merci !

Ethiopia, India, Pakistan and Malawi are country examples for local production and working with private sector to produce RUTF

On remuneration/ incentives, can you share examples of what worked in other countries? Even thou it might be country specific

Bounjour Daouda. Oui, nous partagerons la présentations après le webinaire et ici sur le site web: https://www.childhealthtaskforce.org/fr/%C3%A9v%C3%A9nements

Could any experiences be shared of how CHWs are reporting CMAM activities especially in areas where education level of CHW is low ?

With exemption on taxes on import of raw material, cost of local production of RUTF has been reduced in Pakistan. Ministry of Health took the initiative for this exemption

Was there any kind of workload analysis of the integration on CHWs? It will be interesting to know what was found.

Could you speak about the recommended criteria for prevalence of SAM to judge when it's most appropriate and cost-effective to integrate CMAM/iCCM? Especially for a country with low and falling prevalence of SAM.

It is good to hear from countries their experiences in integrating treatment of SAM in iCCM

Given the number of challenges that are stacked up, on the surface, it doesn't seem to me a very compelling case for governments with limited resources to invest in this approach at the national level. It also feels like the same place ICCM was in two decades ago debating whether CHWs could treat pneumonia. I'm wondering in your review, whether you were able to assess how much governments are invested in this strategy? I am concerned with nutrition research and pilots taking place with CHW cadres outside of iCCM. I do think we need to move towards more operational guidance of successful approaches as well as reframing child survival advocacy to include wasting.

Hi, Chia-Ying from R4D, we just did a study on access to RUTF, and on private sector partnership, if you're referring to food companies, what we've learned from stakeholder conversation is that food companies have expressed concerns with limited market size, low margins and complexities of the RUTF market as a commercial venture. There may still be potential for technical assistance or capital investments in production capacity via CSR programs.

Also building on Casie's comment-- I think Kali's question is a really important /related one that we still don't quite have an answer to. What do govt's want to achieve and how much will it cost vs. strengthening traditional CMAM? is ICCM integration the best approach? what about CMAM surge?

I like Casie's question

Thanks Adam and Habtamu

Thank you so much! Good discussion and appreciate the study!!!

thx