Hi,
In Mozambique we have adopted the IMAM approach, and it is called the Nutrition Rehabilitation Program (NRP). The Program has 3 components, namely:
1. NRP I - this provides guidance for screening, diagnosing and treating patients under 15 years of age (with or without HIV/AIDS and TB)
2. NRP II - this provides guidance for screening, diagnosing and treating patients older15 years of age (with or without HIV/AIDS and TB), including pregnant and lactating women
3. Community based NRP - to mobilize community and raise awareness. Is targeted for community leaders, traditional healers, community health workers and preventive medicine technicias
The 2nd component, is currently being rolled-out at national level, but it was piloted last year.
In Mozambique the MUAC tape is being used either by community health workers (screening) or at the facility level (confirm diagnostics).
The NRP in Mozambique was a joint effort between technical assistance, clinical partners (including PEPFAR partners), community partners and different categories of doctors. From my experience, the utilization of MUAC tape is effective, is people are aware of the need/importance of using it for county wide benefits (including effective forecasting of nutritional commodities), the equipment is available and the health workers have been trained on how to use, if registry books are available and also is consumables are available.
it is still a major challenge in Mozambique as well, so I don´t think I am in a position to provide precise information on what works or not, as we have different contexts across the country, different professionals and different levels of engagement to nutrition; just wanted to share a bit of my experience and also hear back from other countries.