Assessment of Parallel CMAM Supply Chain for Harmonisation and Integration into National Supply System

UNICEF

Malawi

Health Service Delivery; PHC/MNCH/RH/Nutrition/W&S; Nutrition_E; Medical Products, Technologies; PSCM, financing and cost/pricing; Procurement and Supply Chain Assessments & Strengthening

Malawi is a global leader in Community-based Management of Acute Malnutrition (CMAM) programme and has achieved a higher level of coverage than most countries. The CMAM approach was adopted since 2004 with the aim of increasing coverage and accessibility of treatment and management of acute malnutrition. Since then, UNICEF and other partners have been providing support to the Government for CMAM scaling-up, achieving high coverage of interventions to identify, treat and manage SAM in under-five children. The CMAM is an innovative approach that promotes early detection of cases of acute malnutrition, expanded access to treatment in decentralized sites, greater community involvement and support, and extended coverage. However, there are still challenges with institutionalizing CMAM to ensure integration and sustainability. One of those challenges is directly related to the supply chain of some of the key inputs required to be able to treat SAM, in particular RUTF.
The purpose of this assignment is to:
• Map the current parallel CMAM supply chains in Malawi at national and district level, and the national supply system for health inputs
• Provide recommendations for a more harmonized, effective and efficient supply chain for nutrition intervention supplies
• Facilitate the discussion around an integrated/harmonized supply chain for nutrition commodities ensuring participation of all stakeholders.
• Identify the key milestones deemed to be a pre-requisite for possible integration of essential nutrition commodities into the national healthcare supply chain system under CMST (Central Medical Stores Trust).