Valid International, United Kingdom.
Disasters. 2010 Apr;34(2):571-85. doi: 10.1111/j.1467-7717.2009.01144.x. Epub 2009 Dec 11.
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.
以社区为基础的治疗性关爱（CTC）方案在治疗严重急性营养不良方面取得成功的最重要因素之一是其实现高覆盖率的能力。在 CTC 中，覆盖率是使用集中系统区域抽样（CSAS）方法来衡量的，该方法可提供方案覆盖范围的准确可靠估计以及有关未出席的主要原因的信息。CTC 方案的另一个重要特点是使用社会文化评估来确定获得服务的潜在障碍，并制定具体情况的应对措施。通过分析 CSAS 调查提供的未出席数据，结合社会文化评估数据，可以确定导致方案覆盖范围失败的共同因素。本文重点分析了来自五个非洲国家的 12 个 CTC 方案的数据。它确定了三个共同因素（到地点的距离、社区对方案的认识，以及在地点处理拒绝的方式），这三个因素加起来约占未出席人数的 75%。
