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Coverage Monitoring Network Profile

Since the start of operations in August 2012, the Coverage Monitoring Network (CMN) has supported a total of 50 coverage assessments, with nine implementing organisations (including non-governmental organisations (NGOs), Red Cross societies and governments) in 21 different countries. The table below gives the coverage rate and main barriers to accessing CMAM services identified in the assessments:

Country

Region

Coverage rate

Main barrier identified

Senegal

Matam

17%

Community awareness

Sudan 

Mornei, Darfur 

59%

Insufficient screening and case finding 

Ethiopia

Dolo Ado  

79%

Insufficient screening and case finding

Haiti

Port-au-Prince 

45%

Stigma

Ivory Coast

Danane 

25%

RUTF stockouts

Rwanda

Gisagara

30%

Distance

South Sudan

Kapoeta 

40%

Distance

Yemen 

Sana’a

34%

Lack of follow-up of defaulters

Burkina Faso

Diapaga 

N/A

Lack of awareness about the programme

Burkina Faso

Yako 

31%

Lack of awareness about malnutrition

Niger

Keita 

28%

RUTF stockouts

Niger

Mayahi 

31%

Interface with the programme

Chad

Batha 

20%

Lack of awareness about the malnutrition

DRC

Bafwasende 

40%

Insufficient screening and case finding

DRC

Opala 

N/A

N/A

Cameroon

Maroua 

35%

Lack of awareness about  malnutrition

Pakistan

TMK 

63%

Lack of awareness about the programme

Philippines

Cotabato 

63%

Lack of awareness about the programme

Nigeria

Katsina 

53%

Interface with programme

Senegal 

Matam

15%

Community awareness

Mali

Kita 

25%

High defaulting linked to poor quality care

Somaliland

Sanaag 

N/A

Conflict in the area and stigmatisation

Chad

Kanem 

37%

Distance

Chad

Bahr-el-Gazel 

27%

Distance & population movement

Kenya

Laikipia 

42%

Lack of awareness about the programme

Ivory Coast

Toulepleu

42%

Lack of awareness about malnutrition

Ivory Coast

Zouan Hounien 

21%

Lack of awareness about  malnutrition

Chad

Iriba 

36%

Lack of awareness about the programme

Chad

Amdam 

N/A

N/A

Afghanistan

Kabul 

36%

Lack of awareness about the programme

Chad

Kanem 

37%

Lack of awareness about the programme

Kenya

Garbatulla 

50%

Insufficient screening and case finding

Angola

Huambo

N/A

Lack of Awareness about malnutrition

Burkina Faso

Mani

26%

Lack of Awareness about malnutrition

Burkina Faso

Bogandé

30%

Distance

Niger

Gaya

30%

RUTF stockouts

Niger

Zinder

51%

Distance

Niger

Tera

60%

RUTF stockouts

Kenya

Dagoretti

61%

Stigma

Kenya

Embakasi

31%

Stigma

Kenya

Kasarani

52%

Long waiting for treatment

Kenya

Njiru

26%

Migration

Somalia

Garowe

85%

Alternative Health practitioners

Somalia

Bosaso

86%

Alternative Health practitioners

Sudan

South Darfur

51%

Wrong admission criteria

Sierra Leone

Freetown

52%

Lack of awareness about the programme

Mauritania

Guidimaka

35%

Lack of Awareness about malnutrition

DRC

Kandakanda

31%

Lack of awareness about the programme

Pakistan

Badin

63%

Lack of Awareness about malnutrition

 

As part of the first phase of the project, the CMN conducted five regional trainings in Pakistan, Kenya, Burkina Faso, Democratic Republic of the Congo (DRC) and Nepal. In these locations, trained professionals are now conducting coverage assessment independently and/or with remote support from the CMN and other peers in-country.

The implementation of project activities in a wide range of contexts has highlighted the need for a deeper understanding of the broader issues and factors influencing nutrition programmes. These include (but are not limited to): access to urban programmes, implementing assessments in large geographical areas, the challenges and opportunities in identifying key community figures, working with local media, the emerging need for evaluating the coverage of treatment programmes for moderate acute malnutrition, operating remotely in insecure or inaccessible areas, and the widely acknowledged (but not always understood) goals of capacity building. The experiences of the CMN team with these issues are increasingly being documented and can be found in the blog-section of the CMN website.

In its efforts to increase access to technical support, the CMN is currently finalising the French translation of the SQUEAC/SLEAC technical documents, originally published by the Food and Nutrition Technical Assistance (FANTA), Valid International, Brixton Health and their partners. The French translation is scheduled to be released in September 2013, and will be a valuable resource for the increasing number of francophone nutrition practitioners seeking to implement coverage assessments.

The CMN remains committed to helping nutrition stakeholders understand the context-specific factors influencing their performance and to take the experiences gathered so far to new locations. Over the next few months, the CMN will be launching new activities and publications designed to stimulate further debate about the challenges and opportunities faced by nutrition programmes around the world.

For further information, contact: Jose Luis Alvarez, CMN Project Coordinator, email: cmnproject@actionagainsthunger.org.uk

All reports and data are available in the CMN website www.coverage-monitoring.org.

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Reference this page

Coverage Monitoring Network Profile. Field Exchange 46: Special focus on urban food security & nutrition, September 2013. p43. www.ennonline.net/fex/46/coverage