Kenya, Uganda, Niger, Chad and Ethiopia, 2016 - 2019

The CMAM Surge approach strives to improve the effectiveness of CMAM services without undermining the capacity and accountability of government health actors and without negatively affecting other services. The CMAM Surge approach is primarily designed to strengthen health systems to better anticipate, prepare for, and cope with periodic surges to manage acute malnutrition. The approach leads health facility staff through a series of steps which involves improved understanding and use of facility data, analysis of staff capacity for dealing with increasing caseloads, and identification of actions to react to increased caseloads.

At a global level the Surge approach has been spearheaded by Concern Worldwide. Concern has implemented the approach in Kenya, Uganda, Niger, Chad and Ethiopia.

The Centre for Humanitarian Change (CHC) has a long history of engagement with the Surge Approach as well as other initiatives aimed at Health Systems Strengthening and at promoting a culture of learning in the nutrition and health sectors.

The following outputs are available and up and coming as CHC continues its flagship work with the Surge Approach:


1. Evaluation of Concern’s CMAM Surge Capacity Model in Kenya. Peter Hailey successfully conducted the evaluation of Concern’s Surge pilot in northern Kenya
2. Review of Concern’s Surge programme in Karamoja, Uganda. Peter Hailey supported the review conducted in Karamoja by Brenda Muwaga.
3. Supported review of Concern’s Surge Approach Toolkit. CHC was contracted to facilitate a series of workshops in East and West Africa in order to review the draft Global Surge Approach Toolkit (Operational Guide and Facilitators Guide). The toolkit can be found here
4. CMAM Surge approach – evaluation and learning consultancy in Ethiopia and Niger. CHC is currently contracted by Concern to review the Surge approach in Ethiopia and Niger. The objectives of the contract are to: (1) produce guidance on whether or not the Surge approach is achieving its objective of protecting service quality during spikes of acute malnutrition; and (2) to produce learning points on the Surge approach which can be shared across contexts (Available soon)

Contact us

Centre For Humanitarian Change.

P.O Box 8-00606, Sarit Center,Nairobi,Kenya.

Valley View Office Park,Block A.6th Floor,

City Park Drive,Off Limuru Road,Parklands

Cell : +254726102609