Menu ENN Search

Evaluation of accelerated Child Survival and Development programme in West Africa

Summary of published research1

UNICEF implemented the Accelerated Child Survival and Development (ACSD) programme in 11 West African countries between 2001 and 2005, to reduce child mortality by at least 25% by the end of 2006. Three packages of interventions were implemented: immunisation 'plus' (i.e. including vitamin A supplementation and distribution of insecticide treated nets (ITNs)), antenatal care and improved management of pneumonia, malaria and diarrhoea. Researchers from John Hopkins University undertook a retrospective evaluation of the programme in Benin, Ghana and Mali.

Data from Demographic Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS) were used to compare changes in coverage for 14 ACSD interventions, nutritional status (stunting and wasting), and mortality in children younger than 5 years in the ACSD focus districts with those in the remainder of every country (comparison areas), after excluding major metropolitan areas.

The study found that mortality in children younger than 5 years decreased in ACSD areas by 13% in Benin, 20% in Ghana and 24% in Mali. However, these decreases were not greater than those in comparison areas in Benin or Mali. ACSD districts showed significantly greater increases in coverage for preventive interventions delivered through outreach and campaign strategies in Ghana and Mali than did comparison areas, but not in Benin. Coverage in ACSD areas for correct treatment of childhood pneumonia, diarrhoea, and malaria did not differ significantly from before to after programme implementation in Benin and Mali. However correct treatment decreased significantly in Ghana for malaria (from 78% to 53%, p < 0.0001) and diarrhoea (from 39% to 28%, p = < 0.05). No significant improvements in nutritional status attributable to ACSD were recorded in the three countries.

The authors concluded that the ACSD project did not accelerate child survival in Benin and Mali focus districts relative to comparison areas, probably because coverage for effective treatment interventions for malaria and pneumonia were not accelerated, causes of neonatal deaths and under-nutrition were not addressed, and stock shortages of ITN restricted the potential effect of this intervention. Changes in policy and nationwide programme strengthening may have benefited from inputs by UNICEF and other partners, making an acceleration effect in the ACSD focus districts difficult to capture.

The authors also stated that future programmes should learn from these results. Examples of steps to be taken include:

Show footnotes

1Bryce. J (2010). The Accelerated Child Survival and Development programme in west Africa: a retrospective evaluation. www.thelancet.com, vol 375, February 13th, pp 572-582, 2010.

More like this

FEX: Upcoming research shared at ACF research conference

At the ACF research conference, November 6th, 2016, experiences were shared from a number of studies where final results will be made available in 2017. A snapshot of what to...

FEX: Child Survival Week as a platform for promoting vitamin A supplementation in Niger

By Doudou Halidou Maïmouna, Banda Ndiaye and Aissa Diatta Lisez cet article en français ici Dr Doudou Halidou Maïmouna is a paediatrician and holds a...

FEX: Management of acute malnutrition programme review and evaluation

Summary of evaluation1 Young girl recovering from severe malnutrition, OTP centre in Kaedi, Mauritania By Yvonne Grellety, Hélène Schwartz and David Rizzi Yvonne Grellety is...

FEX: Management of severe acute malnutrition by community health workers: Early results of Action Against Hunger research

View this article as a pdf By Pilar Charle-Cuellar, Noemi Lopez-Ejeda, Magloire Bunkembo, Abdias Ogobara Dougnon and Hassane Toukou Souleymane Pilar Charle Cuellar is a...

FEX: Impact on child acute malnutrition of integrating small-quantity lipid-based nutrient supplements into community-level screening for acute malnutrition in Mali

Research snapshot1 The impact of community-based management of acute malnutrition (CMAM) is often limited by low coverage of screening for acute malnutrition. A two-arm...

FEX: Needs of host population versus refugees in Tanzania

Summary of published presentation1 Tanzania, arrival of refugees from Rwanda, Kegenyi camp, Ngara region A paper, presented at the Berlin symposium on Nutrition in the...

FEX: Critical analysis of MICAH programme

Summary of published research1 The efficacy of some single nutrition interventions has been frequently and thoroughly evaluated, e.g. iron supplementation, vitamin A...

FEX: Use of a two-stage approach to identify intervention priorities for reduction of acute undernutrition in Abaya district of Ethiopia

By Katja Siling, Asrat Dibaba and Mark Myatt Katja Siling is an independent consultant helping organisations increase their learning capability and fulfil their mandate...

FEX: A series of three related published papers share findings regarding quality of care, treatment outcomes and cost-effectiveness of uncomplicated SAM treatment delivered by community health workers (CHWs) in rural Mali.

By Eleanor Rogers, Karen Martínez, Jose Luis Alvarez Morán, Franck G. B. Alé, Pilar Charle, Saul Guerrero, Natalie Sessions and Chloe Puett Quality of...

FEX: Effectiveness of public health systems to support national rollout strategies in Ghana

By Michael A. Neequaye and Wilhelmina Okwabi Wilhelmina Okwabi is Deputy Director of Nutrition of the Ghana Health Service (GHS), a position she has held for 2 years. Her...

FEX: Decentralisation and scale up of outpatient management of SAM in Ethiopia (2008-2010)

By Sylvie Chamois Sylvie Chamois has been a Nutrition specialist with UNICEF Ethiopia and Burundi for the past 9 years. Before joining UNICEF, she spent 6 years working as a...

FEX: Creating an enabling policy environment for effective CMAM implementation in Malawi

By Mr Sylvester Kathumba Mr Sylvester Kathumba is Principal Nutritionist with the Ministry of Health, Malawi. This article was authored by Mr Sylvester Kathumba with policy...

FEX: Regional perspectives on simplified approaches for the management of children with acute malnutrition: West and Central Africa

View this article as a pdf By Sophie Woodhead, Dolores Rio and Noel Zagre Sophie Woodhead is a Nutrition Specialist with UNICEF in the West and Central Africa Regional...

FEX: Measuring coverage at the national level in Mali

By Sophie Woodhead, Jose Luis Alvarez Moran, Anne Leavens, Modibo Traore, Anna Horner, Saul Guerrero Based within the ACF-UK Operations Team, Sophie Woodhead coordinates all...

Resource: ConcernWorldwide’s Learning from 15 years of Community Management of Acute Malnutrition Programming

Concern Worldwide (Concern) has been engaged in Community Management of Acute Malnutrition (CMAM) at community, facility, district, national, and international level since...

FEX: Carbon Dioxide Production in Acutely Ill Malnourished Children

Summary of published paper1 A recent study set out to test the hypothesis that the rate of carbon dioxide production is less in marasmic children with acute infection when...

FEX: Community case management of severe acute malnutrition in southern Bangladesh

Summary of study1 Bangladesh has the fourth-highest number of children (approximately 600,000 at any one time) suffering from severe acute malnutrition (SAM) in the world....

FEX: Scaling up ORS and zinc treatment for diarrhoea reduces mortality

Summary of editorial1 With most countries still not on track to achieve millennium development goal 4 - that of reducing child mortality by two thirds from 1990-2015, a recent...

en-net: Vitamin A supplemntation for severe wasting

Is it contraindicated to give Viatamin A for severe wasting during admission given the child didn't received in the last six months? until recently, my information was not to...

FEX: Meeting demand peaks for CMAM in government health services in Kenya

By Regine Kopplow, Yacob Yishak, Gabrielle Appleford and Wendy Erasmus Regine Kopplow is a Global Nutrition Advisor with Concern Worldwide. She previously worked in various...

Close

Reference this page

Evaluation of accelerated Child Survival and Development programme in West Africa. Field Exchange 39, September 2010. p22. www.ennonline.net/fex/39/evaluation

(ENN_4044)

Close

Download to a citation manager

The below files can be imported into your preferred reference management tool, most tools will allow you to manually import the RIS file. Endnote may required a specific filter file to be used.