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Kenya | Garissa | Simplified Lot Quality Assurance Sampling Evaluation of Access and Coverage


This report describes the process and presents the results of the IMAM program coverage assessment conducted in Garissa County from 12th November to 3rd December 2013. The first two days were scheduled for sensitization meeting, while actual data collection process took place from 14th to 28th November 2013. Preliminary SLEAC results were shared at the County health management team (CHMT) on 29thNovember 2013 while presentation and validation of the results were disseminated on 3rd December 2013 at Garissa County health and nutrition forum.


SLEAC methodology was employed to achieve the stated objectives. SLEAC is a rapid low-resource survey method that classifies coverage (e.g. low, moderate or high) at the service delivery unit (SDU) level and can estimate coverage over several service delivery units. The Sub-counties were selected as units of classification because service delivery in Garissa County is managed at Sub-County level.

Key findings: 

The assessment was conducted to evaluate access and coverage of integrated management of acute malnutrition (IMAM) program among children aged 6 to 59 months with severe acute malnutrition (SAM) and moderate acute malnutrition (MAM). The most recent integrated nutrition survey1 carried out in April 2013 indicated wasting rates had reached the serious interpretation level2 with a Global Acute Malnutrition (GAM) rate of 12.0% (9.3-15.5 95%CI). No coverage assessment had been conducted before at Garissa County level. The program assessment was conducted in November 2013 using Simplified Lot Quality Assurance Sampling Evaluation of Access and Coverage (SLEAC) with the main objective of mapping out coverage at Sub-County level and also provides possible recommendations for program reforms.
The assessment was a participatory process conducted with financial and human resources from Ministry of Health (MOH) Garissa County, Action Against Hunger (ACF), Mercy USA, UNICEF, Terre des homes (TDH), and Agency for peace and development (APD). Members from MOH West Pokot also participated as survey team supervisors; this was a follow up on enhancing capacity earlier built on SLEAC methodology3. Coverage was classified based on the coverage standards as follows:
 Low coverage: 20% or less.
 Moderate: 20% up to less than 50%.
 High coverage: 50% and above.
The estimates in some Sub-Counties were below the SPHERE minimum standards of 50% for IMAM coverage in a rural setting.

Sample size: 
Assessment Report: 
Publicly Available
Assessment Questionnaire: 
Publicly Available
Assessment Data: 
Publicly Available
Assessment Date(s): 
12 Nov 2013 to 03 Dec 2013

Level of Representation

Report completed
Unit(s) of Measurement: 
Collection Method(s): 
Population Type(s): 
Children under 5
Leading/Coordinating Organization(s): 
Action against Hunger
Participating Organization(s): 
Action against Hunger
Other location: 
Community Management of Acute Malnutrition
Infant and Young Child Feeding