| Автор | Sadler, Kate |
| Автор | Myatt, Mark |
| Автор | Feleke, Teshome |
| Автор | Collins, Steve |
| dc.description | AbstractObjectiveTo 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.DesignTwo surveys were implemented simultaneously one in each of the two programme areas. Each survey used a stratified design with strata defined using the centric systematic area sample method. Thirty 100 km<sup>2</sup> quadrats were sampled. The community or communities located closest to the centre of each quadrat were sampled using a case-finding approach. Cases were defined 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.ResultsOverall the period coverage was 24.55% (95% confidence interval (CI) = 17.8–31.4%) in the TFC programme and 73.64% (95% CI = 66.0–81.3%) in the CTC programme. The point coverage was 20.04% (95% CI = 13.8–26.3%) in the TFC programme and 59.95% (95% CI = 51.4–68.5%) in the CTC programme.ConclusionsIn 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. |
| Формат | application.pdf |
| Издатель | Cambridge University Press |
| Копирайт | Copyright © The Authors 2007 |
| Тема | Severe malnutrition |
| Тема | Treatment |
| Тема | Coverage |
| Тема | Malawi |
| Тема | Community-based therapeutic care |
| Тема | Therapeutic feeding centre |
| Название | A comparison of the programme coverage of two therapeutic feeding interventions implemented in neighbouring districts of Malawi |
| Тип | research-article |
| DOI | 10.1017/S1368980007711035 |
| Electronic ISSN | 1475-2727 |
| Print ISSN | 1368-9800 |
| Журнал | Public Health Nutrition |
| Том | 10 |
| Первая страница | 907 |
| Последняя страница | 913 |
| Аффилиация | Sadler Kate; Valid International Ltd, Unit 14, Standingford House, 26 Cave Street, Oxford, OX4 3TN, UK; Institute of Child Health |
| Аффилиация | Myatt Mark; Institute of Ophthalmology |
| Аффилиация | Feleke Teshome; Valid International Ltd, Unit 14, Standingford House, 26 Cave Street, Oxford, OX4 3TN, UK |
| Аффилиация | Collins Steve; Valid International Ltd, Unit 14, Standingford House, 26 Cave Street, Oxford, OX4 3TN, UK; Institute of Child Health |
| Выпуск | 9 |
