guidelines for the integrated management of severe acute malnutrition

ACF-In Guidelines for the integrated management of SAM Monitoring and evaluation 129
The sum of all the days spent by all successfully treated children
(discharge date – admission date both included)
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Number of successfully treated children
This is the average of the acute phase plus the transition phase.
IPF Weight gain is not calculated for in-patients that are transferred-out at the end of the transition
phase. There is not meant to be any weight gained during the acute phase and the weight gained
during the transition phase is only over a few days and is not informative or useful. There is often
weight loss during in-patient treatment (especially for those with oedema, and wasted patients with
anorexia).
Indicators for each OTP
The following are calculated for each OTP:
OTP Cure rate 208
This equals the total number of patients that achieve the discharge criteria used by the programme as
a proportion of the total number leaving the programme (not including those that are transferred-out to
IPF or another OTP 209 ).
OTP Death rate 210
OTP Default rate
Number of patient discharged as cured
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Total of patients classified as cured, default, unknown and died
Number of patient died in the OTP
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Total of patients classified as cured, default, unknown and died
The definition of a defaulter from the OTP is a patient who is absent from the programme for 2
consecutive weightings (without the agreement of the staff).
208 Also termed “recovery rate”
Number of true defaulters 211
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Total of patients classified as cured, default, unknown and died
209 The transfer-out patients from OTP are expected to return. When they return they will be included in a subsequent
month’s statistics (they should not be included as leaving the programme twice or in the OTP denominator). If they do not
return they will be included in the IPF’s statistics of death or defaulting; any discrepancy between the transfer- out from the
OTP and those arriving at the IPF will be due to patients who are referred and do not arrive at the receiving facility.
210 NOTE: the IPF counts the transfer-out patients in the denominator (successful treatment); the OTP does NOT count the
transfer-out patients in the denominator as these patients are expected to return to the OTP.
211 The patient has been home-visited and the reason for defaulting is known. The others patients who haven’t been homevisited
are considered as discharged ‘unknown’.