Accès Pour Tous: Volume 1

Is community-based treatment of severe acute malnutrition (SAM) at scale capable of meeting global needs? This report, the first in a three part series, offers a comparative assessment of the performance and effectiveness of the model during distinct periods: when the majority of community-based treatment were administered by NGOs, and when community-based treatment programmes were integrated by ministries of health into regular health services. For each period, three components of the community-based treatment model are assessed: the capacity of treatment services to successfully cure SAM cases, their capacity to reach the highest proportion of the affected population, and their cost-effectiveness.