1 Children are protected from and treated for malnutrition

2 Infants and children have an optimal age-appropriate dietary intake

3 Health 7: Children receive timely and effective treatment and prevention for illness

4 Health 8: Children have access to clean water, soap and live in a clean environment

5 Health 1: Women and girls prevent unintended pregnancy

6 Infants and children receive timely and effective treatment for acute malnutrition

7 Caregivers adopt best infant and young child feeding practices equally for boys and girls

8 Caregivers seek early and continuous support equally for boys and girls

9 Infant and young child nutrition support is accessible for women, men, girls and boys

10 Infant and young child nutrition support is of good quality

11 Treatment is of good quality

12 Treatment of acute malnutrition is accessible equally for boys and girls

13 Caretakers seek prompt treatment equally for boys and girls

14 Caretakers adopt household practices for proper management of acute malnutrition

15 Social norms support optimal feeding practices

16 Families and caregivers know, perceive a need for, believe in the efficacy of and have skills in applying best practices

17 Infant feeding support (i.e. orphans, HIV, relactation) is appropriate to the capacity of the caregiver

18 Womens workloads support optimal feeding practices (i.e. expression, work leave)

19 Women can positively cope with stressors that affect confidence and feeding decisions (i.e. IPV, trauma, peri-natal depression)

20 Caregivers play, sing and talk to infants and young children to promote feeding responsiveness, early learning and strengthen caregiver-child attachment

21 Families have sufficient resources to meet nutritional needs of boys and girls

22 Families have access to, availability of and use of nutritious food at all times

23 Women have voice and choice in meeting nutritional needs of children

24 Social norms and beliefs promote seeking skilled support (i.e. delivery, lactation problems)

25 Caregivers are aware of the signs of feeding problems and poor growth and where to access support

26 Indirect costs for referrals do not pose barriers to care seeking (i.e. transport, child care, permission, security)

27 Caregivers, including those among marginalized populations, perceive support to be affordable, safely accessible, and culturally appropriate

28 Sufficient numbers of skilled counsellors in infant feeding management and IYCF-E protocols are equitably and geographically distributed

29 Nutritional supplements, breastfeeding counselling kits, supplies and diagnostics are available at all service delivery points

30 Support is free of charge to the user

31 Providers are skilled to support women at delivery in adopting early and exclusive breastfeeding

32 Mechanisms exist to provide early and continuous skilled support after delivery (i.e. peer support groups, skilled ECD providers, etc)

33 Providers offer services at convenient times and locations for the caregivers

34 Sufficient numbers of trained providers on context-specific support are equitably and geographically distributed (i.e ebola, transitory refugees, non-breastfed, HIV, orphans, disasters, etc)

35 Services are flexible and meet the special needs of all women and children

36 Diagnostics, tools and reporting mechanisms are appropriate to the capacity of the provider

37 The supply chain is effectively managed and support/materials are available to minimize the dangers of artifiical feeding

38 Providers use data to monitor and correct IYCF service delivery

39 Providers are competent and apply the correct and contextually appropriate protocols (i.e ebola, transitory refugees, non-breastfed, HIV, orphans, emergencies, etc)

40 Sufficient motivated IYCF providers are working in an adequate environment

41 Knowledge, attitudes and practices of providers do not undermine optimal infant feeding practices

42 Providers are held accountable for providing quality care by the community (i.e. infant feeding code violations)

43 The management and prevention of malnutrition in children is responsive to the communitys voice

44 Decision makers engage communities in inclusive accountability mechanisms

45 Functioning management systems (HR, procurement, finance and monitoring)

46 Effective information monitoring systems using accurate and reliable data exist

47 Policies, regulations and laws support equitable local access, quality, accountability and responsiveness. Capacity management and processes in human, material

48 Capacity management and processes in human, material and financial resources are effective

49 Effective oversight exists to hold each level of the health system accountable to their mandate and protocols

50 Communities voice their needs and feedback regarding their nutrition services

51 Communities have the opportunity and capacity to voice their needs regarding their nutrition services

52 Providers use data to monitor and course correct treatment service delivery

53 Providers are competent and follow the correct protocols

54 Providers teach caretakers how to provide psycho-social stimulation

55 Sufficient motivated treatment providers are working in an adequate environment

56 Providers are held accountable for providing quality care by the community

57 Drugs, supplies and diagnostics are available at all service delivery points

58 Providers implement the full service delivery package for treatment of acute malnutrition free of charge to the user

59 Services are prompt, welcoming, culturally appropriate and non-stigmatizing

60 Providers offer treatment at convenient times and locations

61 The referral system is functioning and children who meet the enrollment criteria are not rejected at any entry point

62 Sufficient numbers of trained providers on simplified/expanded protocols for the population density and burden of malnutrition are equitably and geographically distributed

63 Diagnostics, tools and reporting mechanisms are appropriate to the capacity of the provider

64 The supply chain effectively and continuously reaches distant communities and is safely stored

65 There is adequate communication, participation and acceptance by the authorities and local community

66 Social norms and traditional medicine providers support proper treatment

67 Caretakers are aware of the signs of malnutrition and the existence of the program

68 Indirect costs for referrals do not pose a barrier to care seeking (i.e. transport, food at referral site, child care)

69 Caregivers, including those among marginalized populations, perceive services to be available, affordable, safely accessible, effective, necessary and culturally appropriate

70 Female caregivers have decision making power with freedom to access treatment providers and household funds

71 Social norms and beliefs support utilization of best practices in management of malnutrition

72 Caregivers know how to adhere to the correct treatment at home for malnourished children

73 Caregivers perceive a need for and believe in the efficacy of adhering to the correct treatment at home

74 Home management practices are appropriate to the capacity of the caregiver

75 The costs of home management and follow-up can be absorbed by the family (i.e. feeding responsiveness, missed work)

76 Families and caregivers value for boys and girls equally in the home management of malnutrition

77 Caregivers provide psycho-social stimulation to malnourished children