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SQUEAC, when CMAM program ends

This question was posted the Coverage assessment forum area and has 7 replies. You can also reply via email – be sure to leave the subject unchanged.

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SAJID SHAFEEQ

Provincial Coordinator (Nutrition)

Normal user

31 Jan 2014, 07:36

Dear All,

1. Just want to know & guidance please, can we conduct SQUEAC in a district where program ended few months ago? though all program records are available.

2. If currently working Union councils are 04 & 05 Union councils (UC) program ended few months ago, can we include all 09UC in the survey.

Many Thanks

Mark Myatt

Consultant Epideomiologist

Frequent user

31 Jan 2014, 11:24

I am not sure that you could properly call it a SQUEAC ... but ... you could do stage I activities and analyse data from registers and cards. You might learn something that you can apply to other programs.

SAJID SHAFEEQ

Provincial Coordinator (Nutrition)

Normal user

31 Jan 2014, 13:48

What about second part... any guidance or any particular measure to take...

Anonymous 81

Public Health Nutritionist

Normal user

31 Jan 2014, 14:44

Dear Dr. Sajid ,
The purpose of the investigation is to determine the coverage and identify factors that influence the program uptake. As per the findings, appropriate measures can be taken to improve the program. I am referring point coverage. we estimate the coverage when the program is active. If no more program, it clear the coverage is zero. so, you can't do stage two and three. In your case , you can conduct all stages of SQUEAC in the four unions councils where the program is still active.

Anonymous 2674

Normal user

30 Sep 2014, 13:56

Hello every one,

This is another question on whether to continue to SQUEAC third stage after doing first and second stages.

While doing the first and second stage of SQUEAC we have learnt that the program had major challenges, supply break being one of them. In most of the facilities there was a supply break for about two consecutive months.

Is it necessary to continue with the third stage knowing that the admission is patchy because of the supply break issues?

Thanks for your responses,

Anonymous 1310

Nutrition Manager

Normal user

30 Sep 2014, 15:21

The main purpose of SQUEAC is to investigate barriers and boosters of nutrition program and determine coverage.

As you have already identified major barriers and there is break up of supplies for last few months. You have also highlighted about patchy coverage.

So, in this condition, it will be better to use resources to address identified barriers in stead of going for stage 3.

Mark Myatt

Consultant Epideomiologist

Frequent user

30 Sep 2014, 16:10

Hello every one,

This is another question on whether to continue to SQUEAC third stage after doing first and second stages.

While doing the first and second stage of SQUEAC we have learnt that the program had major challenges, supply break being one of them. In most of the facilities there was a supply break for about two consecutive months.

Is it necessary to continue with the third stage knowing that the admission is patchy because of the supply break issues?

Thanks for your responses,

SQUEAC was originally just stage I and stage II. This gave us in-depth analysis of barriers and boosters, strengths, weaknesses, &c. Enough to accurately diagnose problems and proposed needed reforms. SLEAC was there if a "coverage survey" was needed. After the first few years of development and delivery of SQUEAC there was demand for coverage estimation so we developed stage III. Stage III was developed an "if needed and if indicated" add-on. SLEAC when on to become the basis of a wide-area coverage technique (a sensible re-tasking of sunk development costs).

WRT your situation ... You have identified a major barrier (maybe more) that needs to be addressed. Best to concentrate on fixing that than on a survey that will only tell you what you already know (i.e. coverage is not great because there is no RUTF). If the supply breaks were patchy then coverage will be patchy. You could try confirming that with a stage II hypothesis test but an OTP program without RUTF is not really an OTP program. If coverage is patchy than a single coverage estimate has very little utility.

So ... I agree with Sanjay.

Anonymous 2674

Normal user

1 Oct 2014, 07:50

Thanks a million dear Sanjay and Mark

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