Node 1. The child in this case is SAM. We are therefore checking whether child is in OTP. This can be done by asking mother whether child is in a specific nutrition programme. If the mother responds yes then we need to verify which programme this is. The verification can be done by either of two ways:
- Ask mother for a card or any other record from the programme in which child is admitted in; or,
- Ask mother for the treatment / food item / food supplement that the child has been given by the programme.
For the first option, it would be good to have an idea of the different kinds of cards or forms (if any) that each of the different programmes are using and providing to their beneficiaries. With this knowledge, it would be quite straightforward to verify whether or not the child is in the right programme.
For the second option, it would be good to have an idea of the different kinds of food items / food supplement that is given by each of the different programme to their beneficiaries. With this knowledge, it would facilitate in confirming whether or not the child is in the right programme.
Node 2. For all eligible children, the SBCC coverage protocol should be applied.
Node 3 and Node 5. If child is assessed / verified as being in OTP, the child is counted as covered by the OTP. If child is in any other programme, child is counted as not covered by the OTP.
Node 4. For the SAM children who are in the OTP, the cost-effectiveness questionnaire is administered. The cost-effectiveness questionnaire elicits from the respondents the cost they incur to be able to participate in the programme. The cost is estimated by asking the respondent how much time (in hours) they spend for every follow-up visit to and from the programme and by asking the respondent how much they can earn for an hour’s worth of labour. By multiplying the number of hours spent accessing the programme with the potential earnings they can gain from an hour’s worth of labour, we can arrive at a shadow cost which a mother or carer gives up every time they bring their child to the programme.
Node 6. For the SAM children who are not in the OTP, the barriers (OUT) questionnaire is administered. The barriers questionnaire elicits responses on reasons for non-attendance including knowledge and recognition of undernutrition and knowledge and awareness of the programme.