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Determinants of coverage in Community-based Therapeutic Care programmes: towards a joint quantitative and qualitative analysis

机译:基于社区的治疗护理计划覆盖率的决定因素:进行定量和定性分析

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One of the most important elements behind the success of Community-based Therapeutic Care (CTC) programmes for the treatment of severe acute malnutrition has been their ability to achieve high levels of coverage. In CTC, coverage is measured using the Centric System Area Sampling (CSAS) method, which provides accurate and reliable estimates of programme coverage as well as information on the primary reasons for non-attendance. Another important feature of CTC programmes is their use of socio-cultural assessments to determine potential barriers to access and to develop context-specific responses. By analysing data on non-attendance provided by CSAS surveys, in conjunction with data from socio-cultural assessments, it is possible to identify common factors responsible for failures in programme coverage. This paper focuses on an analysis of data from 12 CTC programmes across five African countries. It pinpoints three common factors (distance to sites, community awareness of the programme, and the way in which rejections are handled at the sites) that, together, account for approximately 75 per cent of non-attendance.
机译:基于社区的治疗护理(CTC)计划成功治疗严重急性营养不良的成功背后最重要的因素之一是其实现高覆盖率的能力。在CTC中,覆盖范围是使用中心系统区域采样(CSAS)方法进行测量的,该方法可提供准确而可靠的计划覆盖范围估算,以及有关缺勤主要原因的信息。反恐委员会方案的另一个重要特点是,它们使用社会文化评估来确定获取信息的潜在障碍并制定针对具体情况的对策。通过分析CSAS调查提供的有关缺勤的数据以及社会文化评估的数据,可以确定造成计划覆盖范围失败的常见因素。本文重点分析来自五个非洲国家的12个反恐委员会计划的数据。它指出了三个共同的因素(到现场的距离,社区对该计划的了解以及在现场处理拒绝的方式),这三个因素共同构成了缺勤的大约75%。

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