Abstract

Background: Monitoring of the nutritional therapeutic program for management of Severe Acute Malnutrition (SAM) in Yemen are limited to the outcome indicators. A lot of information about monitoring and evaluation of the process of implementation of the program are not known especially in areas of case finding/reporting and feedback.
Objectives: To understand case detection, reporting and feedback processes of SAM in OTP clinics among GP/health care providers and managers Yemen 2015.
Methods: This is a quantitative study through cross sectional design of purposeful sample of 213 participants including program manager, physicians and health workers working in the selected 22 health facilities in 20 districts from three governorates (Lahj, Aden and Hadramout). Data collected through structured questionnaire.
Findings: Finding from quantitative data analysis focus on data obtained through questionnaires that returned from the three governorates (n=213). About 58% are females.The mean age of participants are34.3 years (SD=7.6 years)about half of participants have previous training regarding SAM management guideline (51%)and 66% of them answer correctly about management of SAM children.About 51% of participants have SAM management guidelinebut only 43% of participants practice SAM management according to the guideline; this reflect on the ability of the system to detect and manage SAM children:about 49% of participants did not detect any SAM child during two weeks preceding the data collection and 69% did not teat any case of SAM and 59% of participants did not refer any SAM case to the TFC. Regarding reporting; the gap identified is the huge data and difficulty in understanding the reporting forms while feedback is mainly verbal by telephone and be not documented.
Conclusion: Different gaps were identified in the SAM program implementation through the quantitative study mainly low coverage of SAM training, more detailed and complicated report's contents, non-adherence of physician with the guideline and lack of coordination between physicians and health workers of the program.

Keywords

malnutrition, SAM, OTP clinics, TFC, pneumonia, diarrheal, malaria, measles, diarrhoeal disease, yemen nutrition program, acute malnutrition, humanitarian