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2012 Chad: Evaluation de la prise en charge communautaire de la malnutrition aiguë (PCMA) : étude de cas du Tchad -- (CMAM)



Author: UNICEF Chad

Executive summary

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Background:

Child malnutrition is chronic in Chad, particularly in the country’s Sahelian belt, where it is the underlying cause of more than a half of all deaths among the under-five age group. In response to a nutritional crisis, and in coordination with the Ministry of Public Health (MoH), UN agencies and NGOs, UNICEF initiated a large-scale Integrated Management of Acute Malnutrition1 (IMAM) programme in the Sahelian belt in 2009. The UNICEF Evaluation Office, in collaboration with the Chad Country Office, conducted this evaluation in order to assess the IMAM programme’s performance and to document lessons that would enable the programme to be extended. This evaluation in Chad is part of a wider evaluation undertaken by UNICEF in five countries, and will contribute to the production of a global synthesis report.
The evaluation is a descriptive analysis of the process and outcomes of the four main programme components, namely: (1) the Community Outreach for active screening, referral, monitoring and community awareness raising; (2) Outpatient Therapeutic Programmes (OTPs) for the management of children suffering from severe acute malnutrition without medical complications; (3) Supplementary Feeding Programmes (SFP) for treating children suffering from moderate acute malnutrition; and (4) Stabilisation Centres (SCs) for treating children suffering from severe acute malnutrition with medical complications. Cross-cutting issues as well as programme costs were also analysed. Primary and secondary data were collected through individual interviews, focus group discussions, direct observations and existing databases. The criteria of relevance, effectiveness, efficiency and sustainability were applied to the analysis of the four programme components, and to the cross-cutting issues.



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