ABSTRACT
GLOBAL. What we know: The COVID-19 pandemic required that outpatient and community-based management of acute malnutrition (CMAM) programmes was adapted to reduce the risk of virus transmission. What this article adds: Experiences and lessons learned around initial adaptations made to CMAM programmes in the light of COVID-19 were gathered through multiple surveys and interviews with programmers in over 40 countries. The adaptations implemented most frequently were Family mid-upper arm circumference (MUAC), a change in the frequency and method of follow-up visits and modified admissions and discharge criteria. This article presents initial lessons learned and recommendations for each of these adaptations. Regardless of the adaptation made, close collaboration and clear communication between caregivers, communities, partners and government entities were found to be critical. Programme implementers should continue to aim to protect staff and programme participants while continuing service provision, using personal protective equipment and capitalising on virtual trainings and meetings as much as possible. Building staff surge capacity may also mitigate unexpected shifts in staffing structures due to illness or travel restrictions. Innovations and adaptability in the face of supply chain and other programmatic disruptions require flexible funding sources and partnerships.