# Childhood Wasting

Following are the spatial distribution (in maps), per locality estimates and overall estimates (in tables) of child wasting prevalence indicators for each round of the stepped wedge study in selected localities in Kassala state. Severe acute malnutrition (SAM) prevalence Locality Round 1 Round 2 Round 3 Round 4 $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL Aroma 435 6.2% 3.13% 10.76% 872 1.34% 0.59% 2.35% 618 1.24% 0.86% 1.7% 419 7.09% 3.64% 10.98% Telkuk 901 1.52% 0.65% 2.64% 1004 2.98% 1.75% 4.44% 1190

# Childhood Illnesses

Period prevalence of diarrhoea Locality Round 1 Round 2 Round 3 Round 4 $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL Aroma 519 9.36% 6.63% 12.25% 1006 28.59% 25.58% 32.58% 738 15.26% 13.96% 16.46% 505 10.45% 7.48% 13.89% Telkuk 1044 10.23% 8.56% 12.18% 1190 28.78% 24.85% 32.13% 1407 11.1% 9.58% 12.81% 997 6.03% 4.19% 7.92% River Atbara 1002 8.33% 6.23% 10.8% 1303 25.91% 21.08% 29.15% 735 12.18% 9.68% 15.23% 572 13.04% 9.47% 17.09% El Girba 975 7.3% 6.25% 8.48% 1386 26.37% 22.89% 30.17% 1255

# Infant and child feeding index

ICFI of 6 or exclusively breastfed Locality Round 1 Round 2 Round 3 Round 4 $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL Aroma 220 27.47% 22.04% 34.64% 432 31.43% 26.55% 35.81% 313 46.59% 43.7% 49.15% 257 30.73% 25% 37.79% Telkuk 420 37.11% 32.83% 41.49% 509 38.91% 34.77% 43.6% 575 39.98% 36.46% 43.45% 469 40.7% 34.84% 47% River Atbara 438 26.75% 20.75% 32.94% 523 41.45% 36.86% 47.43% 306 38.56% 33.75% 44.69% 247 54.59% 43.63% 64.06% El Girba 392 38.13% 34% 41.46% 568 37.85% 33.65%

# Breastfeeding

Ever breastfed Locality Round 1 Round 2 Round 3 Round 4 $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL Aroma 220 97.62% 95% 99.58% 429 90.18% 87.37% 92.99% 313 97.71% 96.92% 98.49% 254 96.21% 92.79% 98.9% Telkuk 419 97.17% 95.24% 98.61% 508 96.08% 94.23% 97.59% 572 95.83% 94.07% 97.31% 467 97.67% 95.77% 99.17% River Atbara 438 97.15% 93.99% 99.35% 522 94.77% 92.45% 96.44% 306 93.8% 90.98% 96.45% 247 95.09% 91.55% 97.99% El Girba 390 98.05% 95.31% 99.31% 564 97.04% 94.8% 98.72% 562 97.81% 96.72%

# Women’s dietary diversity

Women consuming 5 or more food groups Locality Round 1 Round 2 Round 3 Round 4 $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL Aroma 487 21.15% 13.31% 30.99% 1188 15.78% 13.07% 18.53% 1100 37% 33.56% 39.42% 829 5.95% 2.99% 9.49% Telkuk 831 18.32% 8.74% 26.3% 1701 10.63% 8.45% 13.65% 1887 9.29% 7.3% 11% 1597 9.72% 7.38% 12.08% River Atbara 979 21.85% 11.66% 34.22% 1788 25.4% 20.43% 31.37% 1184 36.75% 33.44% 39.3% 971 54.4% 43.99% 64.27% El Girba 738 61.66% 55.19% 65.04% 1777 32.03%

# Child MUAC and oedema screening

Children whose MUAC has been measured in the past month Locality Round 1 Round 2 Round 3 Round 4 $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL Aroma 447 34.02% 26.49% 42.08% 889 24.07% 21.03% 27.13% 635 52.03% 50.21% 53.88% 434 60.21% 52.33% 67.83% Telkuk 924 19.27% 16.24% 22.37% 1040 36.08% 30.24% 41.26% 1244 57.04% 53.78% 60.26% 853 59.83% 55.39% 64.37% River Atbara 877 24.89% 20.1% 31.25% 1133 47.12% 40.87% 51.75% 640 58.85% 54.44% 63.42% 482 59.68% 53.86% 65.22% El Girba 880 24.29% 22.31%

# PLW MUAC screening

Women whose MUAC was measured in the past month Locality Round 1 Round 2 Round 3 Round 4 $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL Aroma 492 8.34% 4.06% 13.17% 1197 12.48% 10.5% 14.99% 1104 9.01% 8.01% 10.3% 835 18.17% 12.71% 23.92% Telkuk 831 6.02% 3.32% 9.42% 1711 11.49% 8.27% 16.35% 1913 20.61% 15.83% 26.79% 1616 6.78% 3.59% 12.19% River Atbara 984 0.51% 0% 1.34% 1796 1.89% 1.04% 3.74% 1188 7.04% 3.74% 11.69% 977 5% 1.72% 9.5% El Girba 748 2.98% 1.95% 3.9%

# Water, sanitation and hygiene

Improved source of drinking water Locality Round 1 Round 2 Round 3 Round 4 $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL Aroma 492 16.85% 8.62% 26.69% 1197 22.1% 18.91% 24.88% 1104 74.27% 67.77% 78.2% 835 47.24% 27.06% 66.63% Telkuk 831 25.51% 2.41% 44.03% 1711 50.18% 35.31% 60.8% 1913 7.92% 2.13% 13.67% 1616 17.35% 5.5% 31.25% River Atbara 984 15.36% 7.18% 29.11% 1796 6.89% 1.08% 9.68% 1188 33.49% 15.63% 55.83% 977 26.74% 11.66% 42.61% El Girba 748 86.12% 73.06% 91.36% 1785 23.95% 4.54% 48.04%

# Household hunger scale

Mean household hunger scale Locality Round 1 Round 2 Round 3 Round 4 $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL Aroma 492 0.39 0.24 0.59 1197 0.28 0.23 0.38 1104 0.1 0.09 0.13 835 0.1 0.05 0.17 Telkuk 831 0.46 0.23 0.77 1711 0.54 0.48 0.62 1913 0.45 0.37 0.52 1616 0.2 0.12 0.29 River Atbara 984 0.23 0.13 0.33 1796 0.16 0.09 0.21 1188 0.03 0.01 0.06 977 0.04 0.01 0.1 El Girba 748 0.29 0.24 0.33 1785 0.25 0.19 0.32 1750

# OTP coverage

SAM case-finding effectiveness Locality Round 1 Round 2 Round 3 Round 4 $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL Aroma 25 32% 13.71% 50.29% 28 7.14% -2.4% 16.68% 16 25% 3.78% 46.22% 25 28% 10.4% 45.6% Telkuk 19 21.05% 2.72% 39.38% 49 6.12% -0.59% 12.84% 75 25.33% 15.49% 35.18% 44 31.82% 18.06% 45.58% River Atbara 43 13.95% 3.6% 24.31% 39 7.69% -0.67% 16.06% 26 7.69% -2.55% 17.94% 17 23.53% 3.37% 43.69% El Girba 12 16.67% -4.42% 37.75% 42 30.95% 16.97% 44.93% 32 15.62%

# TSFP coverage

MAM case-finding effectiveness Locality Round 1 Round 2 Round 3 Round 4 $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL Aroma 34 20.59% 7% 34.18% 67 22.39% 12.41% 32.37% 48 10.42% 1.77% 19.06% 43 13.95% 3.6% 24.31% Telkuk 56 12.5% 3.84% 21.16% 111 11.71% 5.73% 17.69% 104 27.88% 19.27% 36.5% 70 15.71% 7.19% 24.24% River Atbara 72 8.33% 1.95% 14.72% 110 2.73% -0.32% 5.77% 41 9.76% 0.67% 18.84% 49 22.45% 10.77% 34.13% El Girba 53 16.98% 6.87% 27.09% 102 11.76% 5.51% 18.02% 73 15.07%

# FBPM coverage

At-risk case-finding effectiveness Locality Round 1 Round 2 Round 3 Round 4 $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL Aroma 56 17.86% 7.83% 27.89% 117 3.42% 0.13% 6.71% 71 2.82% -1.03% 6.67% 62 3.23% -1.17% 7.62% Telkuk 114 8.77% 3.58% 13.96% 118 4.24% 0.6% 7.87% 122 12.3% 6.47% 18.12% 109 7.34% 2.44% 12.24% River Atbara 118 4.24% 0.6% 7.87% 135 0.74% -0.71% 2.19% 90 1.11% -1.05% 3.28% 42 9.52% 0.65% 18.4% El Girba 86 2.33% -0.86% 5.51% 119 1.68% -0.63% 3.99% 132 3.03%

# Home fortification coverage

Home fortification coverage Locality Round 1 Round 2 Round 3 Round 4 $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL Aroma 333 6.01% 3.45% 8.56% 662 1.81% 0.8% 2.83% 484 0.83% 0.02% 1.63% 299 7.02% 4.13% 9.92% Telkuk 717 3.35% 2.03% 4.66% 733 5.87% 4.17% 7.57% 920 9.02% 7.17% 10.87% 610 8.85% 6.6% 11.11% River Atbara 640 5.78% 3.97% 7.59% 832 0.12% -0.12% 0.36% 471 4.25% 2.43% 6.07% 378 3.97% 2% 5.94% El Girba 721 2.22% 1.14% 3.29% 922 2.6% 1.58% 3.63% 791 4.8%

# Community sensitisation

Mothers who have heard of community sensitisation activities Locality Round 1 Round 2 Round 3 Round 4 $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL Aroma 492 14.23% 6.77% 23.84% 1197 24.37% 19.97% 27.76% 1103 22.73% 21.09% 24.24% 835 9.75% 5.33% 15.41% Telkuk 831 8.72% 4.03% 14.82% 1711 8.98% 6.57% 12.43% 1913 5.05% 3.75% 6.43% 1616 7.91% 5.34% 10.59% River Atbara 984 3.82% 1.95% 6.68% 1796 8.1% 4.54% 10.08% 1187 7.84% 5.34% 10.4% 976 3.78% 0.74% 7.97% El Girba 748 14.73% 12.03% 16.58% 1785

# Mothers club

Mothers who have heard of mothers clubs Locality Round 1 Round 2 Round 3 Round 4 $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL $$n$$ Estimate 95% LCL 95% UCL Aroma 492 4.08% 1.84% 7.29% 1197 1.7% 1.18% 2.24% 1103 1.25% 0.9% 1.58% 835 0.63% 0.09% 1.55% Telkuk 831 0.79% 0% 1.95% 1711 0.52% 0.23% 0.96% 1913 0.38% 0.16% 0.65% 1616 0.15% 0% 0.43% River Atbara 984 1.8% 0.81% 3.59% 1796 0.09% 0% 0.25% 1187 0.18% 0% 0.54% 976 0.1% 0% 0.6% El Girba 748 2.25% 1.54% 3.22% 1785 0.67%