By Soni K C Parajuli | Project Leader
Integrated Management of Acute Malnutrition (IMAM) training (31st May and 1st June, 2026) was organized at Gajuri PHC, Dhading, with the objective of strengthening the technical capacity of health workers for early detection, treatment, and prevention of acute malnutrition in line with national IMAM guidelines. This program was organized by Himalayan HealthCare & funded by the CHAO FOUNDATION along with the TFISH FUND in coordination with Gajuri Rural Municipality, Dhading.
In Gajuri Rural Municipality (Dhading District), child malnutrition remains a public health concern. Studies show (26.8%) of children are underweight, (66%) are stunted, and (6.6%) suffer from wasting. Marginalized groups, like the Chepang community, face elevated risks.
Objectives of the training:
1. Enhance understanding of IMAM protocol, admission and discharge criteria
2. Develop competency in anthropometric assessment, appetite test, and classification of SAM/MAM
3. Strengthen skills on management of complications and counseling of caregivers
4. Improve accuracy of recording, reporting, and documentation
Participants: Total 16 participants, all health providers from Gajuri Rural Municipality ward nos. 1 to 6.
Trainers:
1. Bishnu P R (District Health Office)
2. Toyanath C (Public Health office, Informant)
[Both were experienced in IMAM facilitation]
Other Participants:
1. Kulmani B (Himalayan HealthCare Nepal)
2. Ram K S (Senior CMA, Health Section, Gajuri RM)
Program highlights:
Day 1: Overview of malnutrition burden, IMAM guidelines, screening & anthropometry, practical demonstration
Day 2: Treatment protocols, management of complications, IYCF counseling, reporting formats, group work and post-test
Chief Guest & Closing Ceremony
The closing session was held on 1st June 2026.
- Chief Guest: Mr. Jagdish P J, Administrative officer, Gajuri RM
- Special Guest: Mr. Taranath B, Ward Chairperson, Ward No. 1
Closing remarks were delivered by Mr. Ram K S, Senior CMA, Health Section, Gajuri Rural Municipality, where he also specially thanked HHC and stated how grateful he is for this program.
The chief guest emphasized the importance of quality IMAM service delivery at the PHC & BHC level and assured local government support for nutrition programs. Certificates of participation were also distributed to all trainees.
Kulmani B, sir, representing HHC, presented his thoughts on the training and emphasized the purpose of this training. After closing, every participant was provided with all the necessary materials for their respective HP along with banners for orientation and screening.
Key Achievements & Outcomes
All participants completed the training and demonstrated improved knowledge and skills in IMAM service delivery. They are now equipped to implement IMAM protocols at facility and community level.
Recommendations
1. Regular supportive supervision and onsite mentoring for trained staff
2. Ensure uninterrupted supply of IMAM commodities at Gajuri PHC
3. Conduct quarterly review meetings to monitor program progress
Conclusion
The IMAM training conducted for health workers of Gajuri RM has strengthened capacity for identification, classification, and management of SAM and MAM cases at community and facility level. Participants demonstrated improved understanding of MUAC screening, OTC admission/discharge criteria, RUTF dosage calculation, and follow-up procedures as per Nepal IMAM guidelines.
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