In June 2011, the WK team conducted a baseline demographic survey of the communityof Redacted. This formed the basis for a community-based nutrition program with thefollowing elements:1.
Supplementation of all children 6-59 months of age. Initially this was withPlumpydoz, transitioned to Chispitas in October 2012 according to Ministry of Health Guidelines.2.
Supplementation of all pregnant women, as above.3.
Deworming every 6 months.4.
Anemia testing every 6 months.
Program Size, Retention, Process Outcomes
There are currently 94 children enrolled in the program. This means that the program ismaintaining its size. Our baseline survey in June 2011 identified 102 children in thetarget age range. Our interim report in October 2012 identified 96 children. Obviously,there has been turnover, as children have aged in and aged out of the program over time.One problem we identified in the last progress report was suboptimal recruitment of children aging in to the program. In June 2011, there were 27 children 6-24 months of age and only 18 children 6-24 months of age in December 2011 that were regularlyshowing up. However, in October 2012, this has increased to 28 children and, in January2013, 24 children. Therefore, we conclude that the program is now adequately capturingeligible children once again.Coverage is also adequate. There have been three data collection time points since thelast report, and 76% of children have data available for at least two of those time points(83% in October 2012). At the last distribution points for supplements, 72% of eligiblechildren received supplements from our staff (74% in October 2012). We believe thecoverage is better than this because supplements are left with local staff to give out tothose who do not show up to distribution points, but documenting distribution by thewomen’s committee has been spotty.
Here we compare baseline community data from December 2011 with data from January2013.1.
Mean population level weight for age Z score for all children 6-59 monthsincreased from -0.89 to -0.70 (not statistically significant at p=0.19)2.
Mean population level height for age Z score increased from -2.17 to -1.80(highly statistically significant at p=0.03)