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Meredith Dyson, MSPH CRS / Sierra Leone

Getting more children into treatment: Improving CMAM referral uptake with systematic referral tracking and follow-up. Meredith Dyson, MSPH CRS / Sierra Leone. Background. CRS project in support of Ministry of Health and Sanitation with funding from UNICEF 450 CHWs covering 712 communities

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Meredith Dyson, MSPH CRS / Sierra Leone

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  1. Getting more children into treatment:Improving CMAM referral uptake with systematic referral tracking and follow-up Meredith Dyson, MSPH CRS / Sierra Leone

  2. Background CRS project in support of Ministry of Health and Sanitation with funding from UNICEF 450 CHWs covering 712 communities Supporting MOHS to scale up CMAM coverage

  3. Referral Tracking System Two-part referral booklets used by CHWs • Referral slips detached and issued to caregivers • Matching ‘stubs’ remain with CHW Community-based records  Improved follow up with caregivers and facilities

  4. How it works • Distance / transport • Project staff assist when necessary • Provide additional counseling • Emphasize importance of referral • Identify barriers • Distance / transport • Opportunity cost • Stock-out of RUTF

  5. Conclusions • Improved referral uptake: 69%  93% • Credibility behind CHW-initiated referral • Active monitoring • Individualized support to overcome barriers, go the final mile • Simple, low-tech solution can make a big difference

  6. Next Steps

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