Children under five with malnutrition reached with interventions

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 the 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, 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 the estimated caseload of acute malnutrition for the 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 the 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 the category of coverage achieved by the 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)