Management of acute malnutrition and anticipatory actions protocols: an integrated approach methodological note

This methodological note presents operational approach, based on field experience, for integrating MAM  components into an AA protocol focused on an external hazard (flood, drought, cyclone, man-made shock). In 2025, Action contre la Faim (ACF) developed and tested a rapid methodology with the support of its partner ‘Swedish International Development Agency’ (SIDA) aimed at integrating the Management of Acute Malnutrition (MAM) into Anticipatory Action (AA) protocols in Mali and Madagascar. This approach addresses a problem that has been identified in many humanitarian contexts: national and sectoral AA frameworks, although increasingly widespread, remain insufficiently attuned to nutritional issues. Natural disasters and man-made crises have an immediate impact on food security, health and access to healthcare. In areas where acute malnutrition rates are already high, these disruptions lead to a rapid deterioration in nutritional status, exacerbated by breakdowns in MAM services. Integrating nutrition into AA helps to ensure continuity of care, bolster community capacity and prevent avoidable deteriorations before the onset of a shock.

This document is particularly aimed at operational and technical managers, with DRM or health & nutrition profiles, from civil society or the authorities. It aims to support the revision and creation of AA protocols incorporating MAM components. It can be useful both for capital-based teams involved in national AA working groups and protocols, and for sub-regional teams responsible for implementation and data collection in the field.