The CMN supported the development of 45 action plans between May 2014 and December 2015 across the nine priority countries of the CMN. Based on these experiences, the CMN technical advisors worked together to prepare a learning document: Improving Coverage: Lessons learned from the CMN The document presents activities and case studies across three of the four domains of the Tanahashi model which influence effective service delivery: enabling environment, supply and demand. Drawn from the results of many different coverage assessments, the learnings are for the benefit of those involved in the design and implementation of CMAM programmes. Some of the key learnings include:
  • Enabling environment: CMAM programmes cannot take place in isolation. Many actors at health district level should be involved in the planning and management of the service. In this way, CMAM stands a better change of being linked with other health interventions at district level.
  • Supply: Supply is not reduced to the logistical perspective of bringing CMAM to the communities; it is a rather complex combination of processes that guarantee a constant and sustained availability of CMAM services. Therefore responsibility for ensuring supply should be shared between implementers of the programme and the community.
  • Demand: In the context of CMAM services, achieving "demand" constitutes more than just identifying a need in a community and promoting access to the services. It involves engaging with the community and engendering local ownership. However resistance to community engagement remains a large obstacle. Therefore a change in culture in NGOs and health staff is crucial to ensure that local communities are put at the heart of CMAM.
A trial version of a dynamic infographic is available here. It allows users to flick through Determinants of Coverage and find specific activities that have either been tested or proposed as solutions to individual barriers.