Table 1

Average time taken for each activity and population covered for government programme and research

Major activitiesChildren (n)Average time taken in minutes for each providerConsumables under each activity
Under research (R)For government (G)
1. Survey and identificationHouse visits: 185 500
Surveyed/covered: 48 634
–Identified with potential risk (<13 cm MUAC): 2861
2 ALWs: 29 eachASHA: 25Survey register, MUAC tape, stationary (included under the overall administrative costs)
2. Screening and enrolmentScreened: 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 counsellingCounselled 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 1Children counselled and provided RUTF-C: 124Storekeeper: 13
Nutritionist: 48
ALW-FU: 45
Pharmacist: 13
Nutritionist: 14
eeZee Paste, containers
4.2. Management of RUTF-L regimens during week 1Children counselled and provided RUTF-L: 124Storekeeper: 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 1Children counselled and provided A-HPF: 123Storekeeper: 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-CChildren treated: 124OM 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-LChildren treated: 124OM 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-HPFChildren treated: 123OM 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 2–16Consultation 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: 30Medicines for minor ailments
7. Peer support with supervision for feeding*Children treated through peer support: 182Peer supporter and supervisors: costs 132 rupees per treated child per weekASHA: 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.