Major activities | Children (n) | Average time taken in minutes for each provider | Consumables under each activity | |
Under research (R) | For government (G) | |||
1. Survey and identification | House visits: 185 500 Surveyed/covered: 48 634 –Identified with potential risk (<13 cm MUAC): 2861 | 2 ALWs: 29 each | ASHA: 25 | Survey register, MUAC tape, stationary (included under the overall administrative costs) |
2. Screening and enrolment | Screened: 2902 HemoCue and appetite tests: 546 Minor treatment: 1328 Enrolled/treated: 371 | Physician: 46 Nutritionist: 91 OM team (2): 9 each ALW-FU: 30 Escort team (2): 100 | Physician: 33 Nurse: 56 ANM: 7 | eeZee Paste, medicines for minor ailments |
3. Management through cointervention and counselling | Counselled and given amoxicillin: 371 Mebendazole: 162 Iron: 102 | Physician: 17 Nurse/nutritionist: 18 | Physician: 17 Nurse/nutritionist: 18 | Amoxicillin, mebendazole, iron tablets |
4.1 Management of RUTF-C regimens during week 1 | Children counselled and provided RUTF-C: 124 | Storekeeper: 13 Nutritionist: 48 ALW-FU: 45 | Pharmacist: 13 Nutritionist: 14 | eeZee Paste, containers |
4.2. Management of RUTF-L regimens during week 1 | Children counselled and provided RUTF-L: 124 | Storekeeper: 17 Nutritionist: 48 ALW-FU: 40 | Pharmacist: 17 Nutritionist/nurse: 12 | Sugar, skimmed milk powder, peanut paste, vitamin, soya bean and sunflower oil, mineral mix, and jars |
4.3.Management of A-HPF regimens during week 1 | Children counselled and provided A-HPF: 123 | Storekeeper: 24 Nutritionist: 63 ALW-FU: 88 | Pharmacist: 24 Nutritionist/nurse: 10 | Pulses, rice, oil and sugar; eggs and milk; jars and utensils; and Ricona LP bottle |
5.1. Weekly management and follow-up of child on RUTF-C | Children treated: 124 | OM staff: 55 ALW-FU: 12 Storekeeper: 13 | Nurse: 27 Pharmacist: 6 | eeZee Paste containers |
5.2. Weekly management and follow-up of child on RUTF-L | Children treated: 124 | OM staff: 55 ALW-FU: 12 Storekeeper: 17 | Nurse: 27 Pharmacist: 6 | Sugar, skimmed milk powder, peanut paste, vitamin, soya bean and sunflower oil, mineral mix, and jars |
5.3. Weekly management and follow-up of child on A-HPF | Children treated: 123 | OM staff: 55 ALW-FU: 13 Storekeeper: 29 | Nurse: 27 Pharmacist: 8 | Pulses, rice, oil and sugar; eggs and milk; jars and utensils; and Ricona LP bottle |
6. Diagnosis and treatment during treatment phase: weeks 2–16 | Consultation in clinic: 371 On phone: 157 Home: 14 Emergency: 102 | Physician in clinic: 30 Consultation over phone: 10 Home visits: 55 ALW: 120 min to escort the child to clinic | Physician in clinic only: 30 | Medicines for minor ailments |
7. Peer support with supervision for feeding* | Children treated through peer support: 182 | Peer supporter and supervisors: costs 132 rupees per treated child per week | ASHA: cost per treated child: 150 rupees13 |
*The costs under research were per week and government costs were per child followed and obtaining MUAC below a certain level. If treatment is over 10 weeks on average, the government costs will be 150/10 or 15 rupees per week much lower than research.
A-HPF, augmented, energy-dense, home-prepared food; ALW, ASHA-like worker; ALW-FU, ALW follow-up worker; ANM, auxiliary nurse midwife; ASHA, Accredited Social Health Activist; MUAC, mid-upper arm circumference; OM, outcome measurement; RUTF-C, centrally produced ready-to-use therapeutic food; RUTF-L, locally produced ready-to-use therapeutic food.