Abstract:
Background: Outpatient Therapeutic feeding Program (OTP) brings the services for management
of Severe Acute Malnutrition (SAM) closer to the community. It makes services available at
decentralized treatment points within the primary health care settings, through the use of ready-touse therapeutic foods.
Evaluation Objective: To evaluate if the Intended objectives of the outpatient therapeutic program
were in line with implemented objectives in Hadiya zone soro woreda in 2016
Methods and Materials: Cross sectional study design was carried with a method of both
quantitative and qualitative data in Hadiya zone soro woreda at selected health posts. The
evaluation dimensions were availability, compliance, and effectiveness. Data collection method
were resource inventory, key informants interview, direct observation of severe acute
malnutrition management and card reviews which done from March/07/2015 to March 31 /2015
. Qualitative data were collected with structured questionnaire and entered in to epi-enfo and
exported to SPSS version-20 for further analysis Bivariate and multivariate logistic regression
were used. Quantitative data was analyzed manually by considering thematic area.
Results:-Among 15 health posts which were included in this study regarding to availability
dimension 100% health posts had trained health extension workers. Ready used therapeutic food
was available with no stock out for the last six months about 86.7% and all health posts have
functional thermometer, Mid-upper arm circumference tape and outpatient therapeutic program
cards. However routine drugs and accessibility of water were critical issue in all HPs. In the
case of compliance from those observed 60 cases Mid-upper arm circumference was not
measured for 20 (44.5%).Clinical outcome for total 402 reviewed cards were 285(70.9%) for
cured, death 7 (1.7%), defaulter 75 (18.7%), non-responder 19(4.7%) and unknown 16 (4%).
The average weight gain in gram per kilogram per day of children was 4.26 with standard
deviation of 2.72. In most of the health posts routine supportive supervision was not conducted
by focusing of program. Some of the available drugs were not distributed timely by considering
case load in health posts.
Conclusion:- Generally availability of resources were not as the intended of the woreda plan,
compliance of health extension workers of the service provision was fair and an effectiveness of
the intervention was in good condition as woreda plan, and as well as national OTP guideline.
