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Inclusion and exclusion errors in the targeted supplementary feeding programme of Ethiopia

Bibliographic Data

ID15535598
AuthorsSamson Gebremedhin (0000-0002-7838-2470, Hawassa University, corresponding author), Tilahun Bekele (0000-0003-3945-7967, Addis Ababa University), Negusse Retta (Addis Ababa University)
Year2018
Volume14
Issue4
Pagese12627-e12627
Publication date2018-06-11
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/mcn.12627
PMID29888862
OpenAlexW2808534385
LanguageEN
Citations received3
References cited3

Ethiopia's targeted supplementary feeding (TSF) programme aims to rehabilitate moderately malnourished children and pregnant and lactating women in selected chronically food-insecure districts. Screening for malnutrition is made by health extension workers through the quarterly community health days (CHD) events based on mid-upper arm circumference (MUAC) thresholds. This validation study examined the extent of targeting errors of inclusion (providing aid to the nonneedy) and exclusion (failure to reach the needy) in the TSF programme, among preschool children in 6 TSF districts. The study was conducted within 7 days after the completion of the CHD event. Multistage cluster sampling was employed to recruit 1,104 children. Data were collected using interviewer-administered questionnaire and by reviewing CHD registers. A paired t test was used to compare the MUAC measurements taken during the CHD and during the survey. The study found a global acute malnutrition prevalence of 13.0%. During the CHD, only 54.8% of the children were screened for malnutrition. The overall inclusion and exclusion errors of the TSF were 16.5% and 40.3%, respectively. The reasons for the exclusion errors were low coverage of the screening programme (67.2%) and MUAC measurement errors (32.8%). The mean including standard deviation (M ± SD) of the MUAC measured by health extension workers (11.8 ± 0.9 cm) was significantly lower than the measurements made by fieldworkers in the survey (12.1 ± 1.0 cm; p < .001). The study concluded that high targeting errors are committed in the TSF programme of Ethiopia. Targeting can be enhanced through accurate measurement of MUAC and maximization of the coverage of the screening programme

Alternative medicine · Anthropometry · Environmental health · Inclusion (mineral · Inclusion and exclusion criteria · Malnutrition · Child Nutrition and Water Access · Food Security and Health in Diverse Populations · Medicine · Poverty, Education, and Child Welfare · Internal Medicine · Pediatrics

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    Open Access•Mary de Boer, Anna Kalbarczyk et al.•SSM - Qualitative Research in…•2026

  • Time to Recovery From Moderate Acute Malnutrition and Its Predictors Among Children 6–59 Months of Age Enrolled in Targeted Supplementary Feeding Program in Darolebu District, Eastern Ethiopia

    Open Access•Mohammed Yahya Rashid, Jemal Yusuf Kebira et al.•Frontiers in Public Health•2022

  • Inclusion and exclusion errors in the targeted supplementary feeding programme of Ethiopia

    Open Access•Samson Gebremedhin, Tilahun Bekele et al.•Maternal and Child Nutrition•2018

  • Targeting of Transfers in Developing Countries

    David Coady, Margaret Grosh et al.•Targeting of Transfers in…•2004

  • Inclusion and exclusion errors in the targeted supplementary feeding programme of Ethiopia

    Open Access•Samson Gebremedhin, Tilahun Bekele et al.•Maternal and Child Nutrition•2018

  • Food aid targeting in Ethiopia

    Open Access•Daniel C Clay, Daniel Molla et al.•Food Policy•1999

Citations per year0.38
Citation span2018 - 2026 (9)
Highly citedNo

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