Integrating SAM Treatment to Health Systems: Experiences & Recommendations
Examine the integration of SAM treatment into health systems, exploring strategic implications and practical recommendations presented at the SAM International Conference in London, Oct. 17, 2013. Learn about shifting dynamics from vertical to horizontal approaches, government and partner support in Nigeria and DR Congo, and strategic implications for sustainable SAM treatment availability and access.
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Presentation Transcript
From vertical to horizontal: Experiences & recommendations in integrating SAM treatment to health systems Maureen Gallagher SAM International conference London, Oct 17, 2013
Presentation Outline Setting the context Background HSS & SAM treatment Experiences How does it look? Strategic & practical implications Conclusion
Setting the context Universal health care Focus on design and implementation Health systems strengthening (HSS) - -WHO 2007 Integration institutionalization of SAM treatment
Background Changing landscape of treatment of acute malnutrition with huge advances the last 25 years Coverage still low at between 8-13% globally Need to strengthen treatment of SAM as a disease linkage Nutrition & Health Learning from experiences of Global Health Initiatives (GHI) shift from disease specific to health systems strengthening
Shifting dynamics of HSS Vertical Horizontal (from Wilson, U of Colorado)
Shifting dynamics of SAM treatment Vertical Horizontal
NIGERIA Government support Partner support
DR CONGO Government support Partner support
Where should we aim to go Government support Partner support
Strategic Implication Bringing nutrition into health & working through the HSS building blocks to achieve sustainable availability & access to SAM treatment Including SAM treatment as part of a minimum health package Shift role of partners from implementer to facilitator Simplifying CMAM protocols, implementation and follow-up Transitioning from donor financing to MoH financing basic minimum health package of which SAM treatment is part
Practical Implications General: Identifying new ways of working from being model oriented to process oriented Coordination of actors in working with one health system Design: Comprehensive assessment of health system Joint planning and implementation Simplification of protocols and systems Implementation: Human resources Supply chain
Next steps Health System Strengthening Task Force ToR developed with support of WHO & UNICEF ACF finalizing the CMAM Integration Guidelines Health System Assessment tool being tested by UNICEF & partners Experiences need to be further tested and documented in relation to quality of care and coverage
Conclusion There lies a significant opportunity ahead in the increasing MoH leadership and commitment in SAM treatment with the evolving role of partners in support of it to ensure that SAM treatment is available as part of regular health services, moving towards quality global coverage.
