A review of community-centred early warning early action systems
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The Community-Based Therapeutic Care Institutionalisation Project was implemented in Malawi from 2010 – 2013.
This final evaluation sought to determine the following: measure the extent to which the Community-based Therapeutic Care Institutionalization in Malawi (CTCIM) project institutionalized Community-Based Management of Acute Malnutrition (CMAM) at national and district health offices; to evaluate the capacity of health providers to implement CMAM; and to provide lessons learned and best practices to the Government of Malawi (GoM), USAID/Malawi, and other stakeholders on how best to scale up and institutionalize CMAM in order to combat acute malnutrition in Malawi.
The findings demonstrate that the CTCIM project met all of its objectives and handed over its deliverables as planned. The project developed capacity to implement CMAM services in 81% of the facilities and created its own monitoring and evaluation (M&E) tool, which for a long time was the only M&E tool available to the Ministry of Health to monitor malnutrition at national and district levels. The CMAM Advisory Services (CAS) model was reported to be an effective way to assist national and district level teams and mentor staff. CAS also documented and shared best practices through Learning Forums that gathered district staff and helped them learn from one another. All interviewed health staff reported that these forums were very useful and would be missed if they were not continued.