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.
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)
More like this
By Mark Myatt This article gives an overview of the coverage estimation method developed for the Community Therapeutic Care (CTC) Research Programme in Malawi1. Coverage is...
By Simon Kiarie Karanja Simon Karanja is currently the regional nutrition advisor with GOAL in East Africa. Previously he worked as the CTC Coordinator for GOAL Ethiopia and...
FEX: Is there a systematic bias in estimates of programme coverage returned by SQUEAC coverage assessments?
View this article as a pdf Lisez cet article en français ici By Mark Myatt and Ernest Gueverra Mark Myatt is a consultant epidemiologist. His areas of expertise...
en-net: Estimating Coverage
Dear Advisors We are currently finishing a SQUEAC assessment in a high SAM prevalence area. Because of a number of reasons, we decided not to do Stage 3, but rather end the...
By Mark Myatt Mark Myatt is a consultant epidemiologist and senior research fellow at the Division of Epidemiology, Institute of Opthalmology, University College London. His...
FEX: Cost effectiveness of community-based and inpatient therapeutic feeding programmes to treat SAM in Ethiopia
Health Extension Worker testing the appetite of a malnourished child, Menkere health post, Tigray region By Asayehegn Tekeste, Kebede Deribe, Dr Mekitie Wondafrash and Dr...
By Mark Myatt Mark Myatt is a consultant epidemiologist and senior research fellow at the Division of Ophthalmology, Institute of Ophthalmology, University College London....
As we all know, coverage is an internationally recognized indicator of performance for selective feeding program (SFP) and CSAS is the current gold standard for assessing...
By Jason Stobbs, AAH-USA Jason Stobbs is a long-serving member of Action Against Hunger - USA, volunteering over the past four years in diverse contexts such as Afghanistan,...
we are on process to conduct caregivers satisfaction towards the services through systematic random sampling. The plan is to conduct in five health facilities. we have...
By David Doledec, ACF-USA A qualified nurse, David Doledec joined Action Contre la Faim in 2002, working in Democratic Republic of Congo, Sudan, Liberia and Uganda before...
By David Rizzi David Rizzi graduated in Pharmacy and later took an MSc in Development at the Rome University La Sapienza, Italy. He holds a second MSc in Public Health...
en-net: resources on CSAS
I'm trying to learn more about CSAS, but can only find summary or simple documents. Does anyone know where there is a proper, detailed manual on CSAS? That does help. Thanks...
By Mark Myatt Mark Myatt is a consultant epidemiologist and senior fellow at University College London. His areas of expertise include infectious diseases, nutrition, and...
FEX: Improving estimates of numbers of children with severe acute malnutrition using cohort and survey data
Summary of Research Isanaka S, Boundy EO, Graise RF, Myatt M and Briend A. (2016). Improving Estimates of Numbers of Children With Severe Acute Malnutrition Using Cohort and...
en-net: Negative Confidence Interval
What does negative confidence interval implies? In some assessment findings, I noticed a -ve CI. For e.g., SAM 0.2 [-0.2-0.6 95%CI]. Also, how wider the CI that we allowed to...
I want to see the coverage of micro-nutrient powder in different areas of Bangladesh. For this I am using two stage sampling. For analyzing purpose I want to use block weighted...
FEX: Outpatient therapeutic programme (OTP): an evaluation of a new SC UK venture in North Darfur, Sudan (2001)
Summary of internal evaluation1 by Anna Taylor (headquarters nutrition advisor for SC UK) North Darfur experienced a severe drought in 1999 and 2000. This caused widespread...
en-net: SLEAC investigation
I would like to know if it is necessary to calculate the confidence interval for a sleac investigation in one health district.
Dear all, We are currently conducting a SQUEAC investigation in two townships of the Northern Rakhine State in Myanmar. We have been doing well so far but we are now facing a...
Reference this page
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. www.ennonline.net/coveragemalawi