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Table 2 Incidence correction factors for northern Nigeria CMAM program 2014 and 2015 and the data used to calculate them

From: Improving estimates of the burden of severe acute malnutrition and predictions of caseload for programs treating severe acute malnutrition: experiences from Nigeria

 

Year

 

2014

2015

Data sources

Population

N

3,550,827

4,281,700

Nigeria census 2006 corrected for population growth and migration. Population is for children aged between 6 and 59 months in districts in which CMAM services were delivered.

Prevalencea

P

1.60% (0.50%; 2.71%)

2.01% (0.82%; 3.19%)

Pooled prevalence from state level SMART surveys

Program Coverageb

C

36.6% (32.3%; 40.9%)

36.6% (32.3%; 40.9%)

Wide-area SLEAC survey

Observed caseload

L

320,047

398,676

Routine program monitoring data

Expected caseload (using K = 1.6)

E K = 1.6 = CNP(1 + K)

54,063

81,897

C, N, and P as above (C and P expressed as proportions). Calculations are based on K = 1.6

Difference (observed − expected)

L − E K = 1.6

265,984

316,779

Calculated as the difference between observed caseload (L) and expected caseload (E).

Prevalence × Coverage

PC

0.59% (0.29%; 1.18%)

0.74% (0.40%; 1.34%)

Calculated (see text)

Incidence correction factorc

\( K=\frac{L}{PCN}-1 \)

14.39 (6.64; 30.02)

11.66 (5.94; 22.10)

Calculated (see text)

Expected caseload (using pooled adjusted incidence correction factor)

E K = 13.02 = CNP(1 + K)

291,527

441,612

C, N, and P as above (C and P expressed as proportions). Calculations are based on K = 13.02 (see text).

Difference (observed − expected)

L − E K = 13.02

28,520

−42,936

Calculated as the difference between observed caseload (L) and expected caseload (E K = 13.02 ).

  1. aPrevalence is for MUAC <115 mm or bilateral pitting edema. This case-definition accounts for c. 98% of all program admissions based on an analysis of routine program monitoring data from two states of northern Nigeria (n = 102,245 admissions from January 2010 to December 2013). Prevalence estimates for the states in which the program was operating are reported. This was calculated as the population weighted average of SMART survey results from individual states
  2. bCoverage refers to point coverage (i.e. the proportion of current SAM cases found by the survey that were enrolled in the CMAM program). Results from a wide-area SLEAC survey from February 2014 are used for both years [Banda et al., 2014]
  3. cThe formula of the estimator for K is rearranged to reflect the fact that PC was calculated prior to use