Farming Family in Uganda. (Morgana Wingard/USAID)
Farming Family in Uganda. (Morgana Wingard/USAID)

Inadequate nutrition, suboptimal care, and poor feeding practices put children under 5 years at higher risk of disease and mortality. The nutrition needs of many are inconsistently addressed, under-addressed, or unaddressed, causing morbidity and mortality. Providing adequate nutrition services as part of the continuum of care is an important part of reducing morbidity and mortality in children. Unfortunately, routine health services do not always provide those services in a consistent manner. Various packages, consisting of planning and implementation guidance, training materials, and job aids, have been designed to address gaps in nutrition services, but implementation of these packages is often fragmented.

USAID Advancing Nutrition conducted a review of the most-used packages, to help governments and non-governmental organizations compare the content of program packages; combine, adapt, or harmonize them as needed; and, ultimately, to strengthen and expand nutrition-related services. During this webinar, speakers shared this package review, and dove deeper into the MAMI, IMAM, NACS and C-IYCF packages. They also looked at how the packages have been adapted or adopted, how nutrition has been strengthened within the packages, and how these packages can be harmonized with country guidelines.




Sascha Lamstein, MS, PhD, is a Senior Technical Advisor with the USAID Advancing Nutrition project. Under the USAID Advancing Nutrition project, Dr. Lamstein is leading efforts to strengthen the delivery of nutrition services through the revision of preservice training, the use of digital tools, and the strategic selection and adaptation of service delivery packages. Prior to this, under the USAID-funded SPRING project, she co-led SPRING’s evaluation of the community infant and young child feeding (C-IYCF) counseling package in Nigeria and efforts to increase the attention given to adolescent girls’ nutrition. 

Kelsey Grey, MSc, is a MAMI Specialist with ENN responsible for managing the update of the MAMI Tool (pathway of care), a key programming resource to identify and manage at-risk mothers and infants under six months of age (MAMI). She joined ENN from the London School of Hygiene and Tropical Medicine where she completed her Masters of Science in Nutrition for Global Health and subsequently worked as a Research Assistant. 

Marko Kerac, MBBS, DTM&H, MPH, PhD, RNutr.,  is a Clinical Associate Professor and Program Director for the Nutrition for Global Health Masters of Science at the London School of Hygiene and Tropical Medicine. He has been working on MAMI since 2008, when he was the lead researcher on the original MAMI report in collaboration with ENN, ACF and UCL. He currently co-leads the MAMI Global Network and is Chief Investigator on a cluster trail of the MAMI approach in Ethiopia, working with GOAL Ethiopia, ENN and Jimma University.

Laura Kiige, MSc,  is a nutrition specialist working with UNICEF Kenya's country office. She is responsible for maternal, infant and Young child nutrition programming. She holds a Master of Science degree in nutrition from the University of Nairobi. Prior to UNICEF Kenya, Laura worked with the Kenyan Ministry of Health for more than five years, in various capacities, ultimately taking on the role of Program Manager, Infant and Young Child Nutrition.

Ezekiel Mupere, MBChB, MMed, MS., PhD, is a pediatrician and medical epidemiologist. He is also a teacher, researcher, consultant, and public health practitioner in pediatrics and child health, nutrition programming, and field epidemiology. Dr. Mupere holds a Masters and PhD in epidemiology and biostatistics from Case Western Reserve University. He is the head of the Department of Pediatrics and Child Health and a senior lecturer at Makerere University.