Innovations from Anosy in Ensuring the Continuum of Treatment Between SAM and MAM Programs, Madagascar
This case study is part of a compendium of country-level case studies produced by the Delivery System for Scale project that explore promising, context-specific approaches to scale the management of wasting treatment for children under five. In Madagascar, the management of severe and moderate acute malnutrition (SAM and MAM, respectively) are handled by different Government entities, which complicates the provision of comprehensive, quality care across the continuum between the two conditions. Despite these challenges, Anosy region serves as a unique and powerful example of local collaboration for integrated SAM and MAM management, highlighting the positive changes that can result from mainstreaming such collaboration within individuals, across teams and within routine operational procedures. This case study, therefore, describes the innovations that were implemented in Anosy, their advantages and limitations, and relevant considerations for other regions and national stakeholders moving forward.