Adapting the MAMI care pathway package in India: Progress and direction

A series of consultations in India between 2018 and 2021 has guided the adaptation of the MAMI Care Pathway Package (an integrated care model) to the Indian context, to strengthen policy provision and frontline care of infants under the age of six months with early growth failure. Adaptation has involved integrating key components within existing community and facility-based programmes. Further steps identified in a 2021 consultation on pilots in Maharashtra, Bihar and West Bengal include to increase coverage and utilisation of existing health and nutrition services; to strengthen community-level support during the first six months of life; to improve the counselling skills of frontline workers; to strengthen growth promotion activities; and to build the capacity of nutrition rehabilitation centres (NRCs).