Children under five with acute malnutrition reached with interventions
Indicator Name
Indicator ID in PRIME
Definition
This indicator is a coverage indicator for community-based management of acute malnutrition (CMAM) and will calculate the proportion of children with acute malnutrition who receive therapeutic care. This is also known as treatment coverage.
Acute malnutrition: includes both severe acute malnutrition (SAM), defined as having a Weight-for-Height z-score more than 3 Standard Deviation below the median of the WHO child growth standards (WHZ < -3SD) and/or MUAC<115mm and/or having nutritional oedema (for OTP coverage), and moderate acute malnutrition (MAM), defined as diagnosed with WHZ >= -3SD and less than -2SD and/or MUAC between 115mm and <125mm (for TFSP).
Weight-for-length is used for infants less than 12 months, and Weight-for-Height is for children 12-59 months, who are able to stand.
Numerator
Number of acutely malnourished children 6 to 59 months who received community management of acute malnutrition in the project area.
Denominator
Total number of children under 5 with acute malnutrition in the same project area.
Data can come from two different sources: Coverage survey for point coverage or program/project data recording. If a coverage survey is not available, then proxy coverage can be calculated using # of children 6 to 59 months with acute malnutrition, defined as above, admitted for community management of acute malnutrition over a specified period in the project area, as the numerator. Numerator and denominator should come from same source—either both from a coverage survey or both from program/project data.
Means of verification include SQUEAC/SLEAC, Census surveys, or other population-based surveys that are adequately powered to measure coverage,e OR use program data recording for proxy coverage by using # of children under 5 with acute malnutrition admitted for treatment over a specified period and estimated caseload of acute malnutrition for same period.
Coverage assessment methods set out to measure the "treatment" coverage of CMAM programs, i.e., at the time of the assessment, the percentage of severely or moderately acutely malnourished children in a defined area (eg, a health district or region) who are successfully enrolled in program. SQUEAC is a semi-quantitative method that provides an in-depth analysis of barriers and boosters to coverage. It is designed for use as a regular service monitoring tool, utilizing intelligent analysis of routine monitoring data, complemented by other regularly collected relevant data.
SLEAC is a rapid, low-resource survey method that classifies coverage at the Service Delivery Unit level. The SDU may be a health centre catchment area, commune, or district. A SLEAC survey identifies category of coverage achieved by service delivery unit being assessed. The advantage of this approach is that relatively small sample sizes (e.g., 40) are required in order to make an accurate and reliable classification. For a Humanitarian setting Spheres Handbook can be used to assess this indicator (https://handbook.spherestandards.org/en/sphere/#ch007_004)