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SQUEAC in NANGAHAR province (April, 2015)

To strengthen routine programme data: (Quantitative) coverage survey utilise the programme routine data To identify barriers & boosters: through Qualitative research. What factors push coverage up & down? To estimate coverage (survey data): coverage 30% or 40% or 50% etc. To improve program coverage: formulate recommendations and an action plan to improve programme coverage.
Stage 1: An analysis of all quantitative data, collection and analysis of qualitative information and the identification of negative and positive factors effecting coverage. Stage 2: Development and testing of hypothesize to confirm (or deny) assumptions related to areas of high or low coverage, and to ascertain whether coverage is uniform throughout the district Stage 3: Wide-area survey to determine district wide coverage estimate using Bayesian techniques
Key findings: 
With use of Bayesian technique, the assessment presented point coverage of 52.6% (41.6% - 63.4%). After quantitative and qualitative data collection, the assessment confirmed range of factors having a negative effect on coverage. The most significant barriers identified were: 1) Insecurity in some areas, which affected screening activities and also supervision of service delivery; 2) Distance and lack of health posts combined to cause low program awareness in far areas; 3) Short duration of the funding of nutrition partners in the past have affected the continuity of services to children admitted in the program and credibility to the service (with the current funding coming to an end in May, it is likely that all gains made in the program will be lost); 4) Staff shortage was also noted to be a key factor where caregivers were uncomfortable with the long waiting time or rescheduling of their visits. Several boosters to coverage were also identified. These included: 1) Training on IMAM for most of the OTP staff and follow up OTJ sessions, enhancing that all the staff have updated management information; 2) Consistent supply of RUTF was noted which was much attributed to the low rates of defaulting and the high admission numbers; 3) There was high awareness of the program in the community especially the villages which were near the OTP sites; 4) Most of the caregivers of the children in the program as well as the general population had a positive opinion about the program as being beneficial and lifesaving to the children who were severely malnourished.
Assessment Report: 
Publicly Available
Assessment Questionnaire: 
Not Available
Assessment Data: 
Publicly Available
Assessment Date(s): 
01 Apr 2015

Level of Representation

District / Province / Locality / County
Report completed
Unit(s) of Measurement: 
Collection Method(s): 
Structured Interview
Key Informant Interview
Baseline data analysis
Population Type(s): 
Leading/Coordinating Organization(s): 
Action against Hunger
Participating Organization(s): 
Save The Children