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A comparison of the programme coverage of the two therapeutic feeding interventions implemented in neighbouring districts of malawi

Author: Sadler, S., Myatt, M., Feleke, T. and Collins, S.
Year: 2007
Resource type: Research

Published in Public Health Nutrition (2006) 10(9), 907–913



To compare therapeutic feeding programme coverage for severely
malnourished children achieved by a community-based therapeutic care (CTC)
programme and a therapeutic feeding centre (TFC) programme operating in
neighbouring districts in Malawi.


Two surveys were implemented simultaneously one in each of the two
programme areas. Each survey used a strati?ed design with strata de?ned using the
centric systematic area sample method. Thirty 100 km2 quadrats were sampled. The
community or communities located closest to the centre of each quadrat were
sampled using a case-?nding approach. Cases were de?ned as children aged under
5 years with #70% of the weight-for-height median or bilateral pitting oedema.
Receipt of treatment was ascertained by the child’s presence in a therapeutic feeding
programme or by documentary evidence. Coverage in each quadrat was estimated in
two ways, a period estimate that provides an estimation of coverage for the recent
period preceding the survey and a point estimate that provides an estimation of
coverage at the exact point in time of the survey.


Overall the period coverage was 24.55% (95% con?dence interval
(CI) ¼ 17.8–31.4%) in the TFC programme and 73.64% (95% CI ¼ 66.0 –81.3%) in
the CTC programme. The point coverage was 20.04% (95% CI ¼ 13.8– 26.3%) in the
TFC programme and 59.95% (95% CI ¼ 51.4 –68.5%) in the CTC programme.


In this context, CTC gave substantially higher programme coverage than
a TFC programme. Given effective treatment, this enabled higher impact of CTC on
severe malnutrition in this population.


sadler-et-al-coverage-2-therap-progs-malawi-2007.pdf (PDF, 276kb)

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Sadler, S., Myatt, M., Feleke, T. and Collins, S. (2007). A comparison of the programme coverage of the two therapeutic feeding interventions implemented in neighbouring districts of malawi.



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