CMAM Provider - Damboa

Role
Purpose:

The
CMAM Service Provider is responsible for the direct and effective
implementation of the Outpatient Therapeutic Program (OTP) and/or Supplementary
Feeding Program (SFP) components of CMAM. This role involves the accurate
assessment, treatment, monitoring, and counseling of children (and sometimes
pregnant/lactating women) suffering from acute malnutrition, ensuring adherence
to national and international protocols to achieve successful recovery and
prevent relapse. The provider is a key link between the community and the
formal health system for malnutrition treatment.

Key
Responsibilities:

Clinical
Assessment and Admission:

• Conduct thorough anthropocentric assessments (weight,
  height/length, MUAC, bilateral pitting edema) for all children and
  relevant individuals presenting for CMAM services.
  
• Assess for medical complications and danger signs, and evaluate
  appetite using the appetite test.
  
• Accurately apply admission and discharge criteria for OTP and SFP
  based on national guidelines.
  
• Ensure proper registration and documentation of all beneficiaries
  in relevant registers and individual treatment cards.
  

2.
Treatment and Management:

• Outpatient Therapeutic Program (OTP):
  

• Provide Ready-to-Use Therapeutic Food (RUTF) to children with Severe
  Acute Malnutrition (SAM) without complications, based on their weight and age.
  Administer routine medications (e.g., broad-spectrum antibiotics,
  deworming, Vitamin A, measles vaccination if needed) according to
  protocol.
• Monitor the child's progress weekly, identifying improvements,
  deterioration, or non-response.
  
• Provide clear instructions to caregivers on RUTF administration,
  hygiene, and danger signs requiring immediate return.
  
• Refer complicated cases or those failing to respond to a
  Stabilization Centre (SC) or higher-level care.
  

• Supplementary Feeding Program (SFP):
  

·       Provide Ready-to-Use Supplementary
Food (RUSF) or other fortified blended foods to children with Moderate Acute
Malnutrition (MAM).

·       Conduct regular anthropometric
monitoring to ensure progress and prevent deterioration to SAM.

·       Provide targeted nutrition and
hygiene education.

3.
Counselling and Education:

• Provide comprehensive Infant and Young Child Feeding (IYCF) counselling, emphasizing exclusive breastfeeding, appropriate
  complementary feeding practices, and dietary diversity.
  
• Counsel caregivers on hygiene practices, safe water, and
  sanitation.
  
• Educate caregivers on danger signs of malnutrition and other
  illnesses, and the importance of timely follow-up.
  
• Address misconceptions and cultural barriers related to feeding
  and treatment.
  

4.
Data Management and Reporting:

• Maintain accurate, up-to-date, and confidential records of all
  beneficiaries, including admission details, weekly progress, RUTF/RUSF
  consumption, and discharge outcomes.
  
• Compile and summarize daily, weekly, and monthly program data
  (e.g., admissions, discharges, defaulters, recoveries) for reporting to
  the Nutrition Officer/Coordinator.
  
• Ensure data quality and consistency.
  

5.
Supply Chain Management:

• Monitor stock levels of nutrition commodities (RUTF, RUSF,
  therapeutic milk, routine medications) at the site level.
  
• Ensure proper storage conditions to prevent spoilage or damage.
  
• Prepare accurate requests for resupply to avoid stock-outs.
  

6.
Coordination and Referral:

• Coordinate closely with CMAM Screeners, Community Health
  Volunteers (CHVs), and local health facility staff.
  
• Facilitate timely and appropriate internal and external referrals
  (e.g., from community to OTP/SFP, from OTP to SC, to WASH, health, or
  protection services).
  
• Participate in review meetings and contribute to program
  adjustments based on field observations.
  

Qualifications and Experience:  

• Bachelor's degree or Higher National Diploma (HND) in Nutrition
  & Dietetics, Public Health, Nursing, Community Health Extension Work
  (CHEW), Clinical Medicine, or a related medical/health field.
  
• Minimum of 1-3 years of proven experience in direct implementation
  of Community-Based Management of Acute Malnutrition (CMAM) programs.
  
• Demonstrated hands-on experience with anthropometric measurements,
  appetite testing, and administering routine medications within a CMAM
  context.
  
• Strong experience in providing Infant and Young Child Feeding
  (IYCF) counselling.
  
• Proficient in data collection, record-keeping, and basic reporting
  for nutrition programs.
  
• Experience working in community settings and with vulnerable
  populations.
  
• Prior experience in Maiduguri, Borno State, Nigeria, or
  similar humanitarian/emergency contexts, is a significant advantage.