1 / 17

Improving defaulter rates in Ambulatory Feeding Programs

Improving defaulter rates in Ambulatory Feeding Programs. Ellen van der Velden (Investigator) Saskia van der Kam. June 2008. Background High defaulter rates in ATFP. Objectives.

ezra
Download Presentation

Improving defaulter rates in Ambulatory Feeding Programs

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Improving defaulter rates in Ambulatory Feeding Programs Ellen van der Velden (Investigator) Saskia van der Kam June 2008

  2. Background High defaulter rates in ATFP

  3. Objectives • Identify key factors modifiable by MSF that would decrease defaulting in ambulatory feeding programs (ATFP)

  4. Methods • Analysis of available quantitative program data • Analysis of qualitative information from interviews and observation (all under program field conditions)

  5. Methods Plus • Some defaulter interviews in South Sudan

  6. Results Quantitative methods • Defaulters do not differ from non-defaulters in terms of • Age • Gender • Weight on admission • Height on admission • Irregular attendance not associated with defaulting • Defaulting occurred regardless of last recorded W/H status

  7. Timing of defaulting %

  8. Defaulting after 1st and 2nd visit

  9. Outreach

  10. Qualitative methods Behaviour analysed from three perspectives • Personal perception of likely consequences (Behaviour belief) • Social norms (Normative belief) • Personal perception of ability to act (Control belief)

  11. Result Personal and Social Beliefs • Caretakers perceived their child was sick, not malnourished • Caretakers lacked an understanding of the purpose of the nutritional program • Social beliefs/norms have a limited impact on defaulting rates

  12. Results Control Beliefs Security • Insecurity related to traveling was identified as a barrier • Influence of insecurity not measurable Costs • Direct costs (money) seen as low • Indirect costs are considerable (e.g. long waiting time, travel time, opportunity costs)

  13. Distance as barrier to completion of treatment % Cured/ defaulter

  14. Limitations of study • Conducted under field conditions while providing technical support to programs • Limited access to beneficiary perspectives

  15. Conclusion Many obstacles identified are modifiable • Mother’s understanding of program aims • Geographical access • Patient waiting times and clinic opening • Food stock ruptures

  16. Recommendations • Improve MSF- caretaker communication (personal and community level) • Outreach indispensable for retention and tracing • Decentralization to increase access • Efficient patient flow

  17. Acknowledgements • Field teams and beneficiary participants in the 5 programs • Royal Tropical Institute (KIT), Amsterdam

More Related