Overview
Comprehensive community-based approaches to treat wasting do not yet exist at scale in India. Under POSHAN Abhiyaan, the Indian government has demonstrated its commitment to the large-scale implementation of treatment services for severely wasted children. With SAM prevalence ranging from 2.2% to 11.9%, which are unusually high rates when compared with other countries, implementing the CMAM model is essential to meet the need and is feasible given India’s highly developed health and nutrition infrastructures at the community-level into which services can be integrated. CMAM guidelines have been in development since 2017, although they are not yet published. Meanwhile, states are moving ahead with the CMAM agenda. The complex policy environment and the limited evidence base for CMAM in India has led to the development of multiple treatment protocols which vary as to their adherence to the global protocols. Therefore, a better understanding of these revised models, which have a limited evidence base for effectiveness, is essential.
UNICEF seeks to hire an agency to undertake a comprehensive external evaluation of CMAM services provided through government systems in India. The specific objective will be to evaluate the relevance and appropriateness, effectiveness, coverage, efficiency and sustainability in two states (Gujarat and Madhya Pradesh), considering programme outcomes over the last one-year period. In addition, the evaluation will focus on assessing cross-cutting issues, such as coordination and management, equity (specifically gender and caste), and information and data management on programme performance. Gujarat and Madhya Pradesh have been chosen as they have adopted different treatment protocols, one which uses a therapeutic food that meets WHO standards and the second which uses a therapeutic food that does not meet WHO standards.
Report Details
| Year Published | |
| Type | |
| Joint | No |
| Partner/s | N/A |
| Consultant name | Paul Binns, Hugh Lort-Phillips, Federico Ercolano, Patrizia Pajak, Alexandra Rutishauser-Perera |
| Agency Focal Point | Atishay Mathur |
| Focal Point Email | amathur@unicef.org |
| Managed by Independent Evaluation Office | No |
| Geographic Scope | Country |
| Country/ies |
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Evaluation of CMAM programme in three states
