evidence-based blog of Filippo Dibari

Posts Tagged ‘coverage survey’

Is community-based treatment of severe acute malnutrition (SAM) at scale capable of meeting global needs?

In Under-nutrition on July 3, 2013 at 5:27 pm


(download Guerrero-Access for All-2013)

“In little over four decades, SAM treatment has gone from a small-scale clinical endeavour to a global public health service reaching over two million cases a year. Much of this scale-up has occurred in the last decade following the introduction of community-based SAM treatment approaches.

“Since the rapid-scale up of such community-based approaches, however, there have been few overarching reviews of their performance over time. This report, the first in a three part series, offers a comparative assessment of the performance and effectiveness of the model during two distinct periods of its development: from 2001-2006 when the majority of community-based treatment projects were implemented by NGOs; and from 2007-2013 when many community-based treatment programmes were integrated by ministries of health into regular health services.

“For each period, three components of the community-based treatment model are assessed: the capacity of treatment services to successfully cure SAM cases, their capacity to reach the highest proportion of the affected population (coverage) and their cost-effectiveness.

“The report has Three main conclusions:

  • “Community-based treatment models deliver exceptional clinical outcomes. The median cure rates of community based models in the 2001-2006 and 2007-2013 periods were 80% and 84% respectively. SAM cases admitted into treatment services today are as likely to be successfully cured today as they were a decade ago.
  • “In areas where SAM services are available, only a third of affected cases actually access treatment. The analysis shows that whilst high coverage can be achieved by community- based SAM treatment, the conditions necessary to do so are seldom met. The capacity of treatment services to meet global SAM needs depends on coverage being significantly and consistently improved.
  • “Community-based models are more cost-effective than in-patient models. Cost-effectiveness analyses show that some community-based models were two times more costeffective than in-patient models. In spite of their dependency on context-specific operational factors, recent evidence suggests that MoH delivered community-based SAM treatment services continue to be cost-effective interventions.”
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International Conference: A Decade Of Community-based Treatment of Severe Acute Malnutrition

In Under-nutrition on June 3, 2013 at 8:57 pm

by Coverage Monitoring Network

Action Against Hunger (ACF International) and the Coverage Monitoring Network are pleased to invite you to a unique, two-day Conference titled “What We Know Now: a Decade of Community-based Treatment of Severe Acute Malnutrition”. The two day conference will bring together technical experts, field practitioners and policy makers to help identify priority areas for research and action. The event will review available evidence and emerging performance data of community-based SAM treatment.

SAVE THE DATE: October 17th – 18th  2013  London, UK

Field practitioners, academics and nutrition organisations are invited to submit proposals for presentations.  Abstracts should be sent to: Sophie Woodhead [s.woodhead@actionagainsthunger.org.uk] by Friday August 2nd 2013.

For more info click here.

Semi-Quantitative Evaluation of Access and Coverage (SQUEAC)/ Simplified Lot Quality Assurance Sampling Evaluation of Access and Coverage (SLEAC) Technical Reference (2012)

In Under-nutrition on May 26, 2013 at 9:07 am

from FANTA web site.

FANTA, in collaboration with Valid International, Action Against Hunger, Concern Worldwide, Tufts University, and Brixton Health, has developed a technical reference guide for two new low-resource coverage assessment methods for evaluating access and coverage of Community-Based Management of Acute Malnutrition (CMAM) and other selective feeding programs.

The first method—Semi-Quantitative Evaluation of Access and Coverage (SQUEAC)—combines routine program monitoring data, an array of qualitative information, and small-sample quantitative surveys. This combination is used to identify key issues affecting timely presentation at a clinic program uptake and provides an estimate of the level of program coverage achieved. SQUEAC can be used in real time, allowing the collected data to be of immediate practical use to adjust program design and implementation.

The second method—Simplified Lot Quality Assurance Sampling Evaluation of Access and Coverage (SLEAC)—is a small-sample quantitative method. The keys features of SLEAC are simplicity, low cost, and versatility. SLEAC can be used to map and estimate coverage over large areas.

The report is available for download in whole or parts. If you have difficulty downloading the PDFs, please send an email to fantamail@fhi360.org with your mailing address and we can send you the files via CD-rom.

PDF icon Download the report [7.09 mb]

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