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DEFINITION:
Children under five: Children under five years are those zero to 59 months of age. They are often targeted by US-supported activities with nutrition objectives.
Reached by nutrition programs: A child can be counted as reached if s/he receives one or more of the following nutrition-specific interventions directly or through the mother/caretaker:
1. Behavior change communication interventions that promote essential infant and young child feeding behaviors including:
- Immediate, exclusive, and continued breastfeeding
- Appropriate, adequate and safe complementary foods from 6 to 24 months of age
2. Vitamin A supplementation in the past 6 months
3. Zinc supplementation during episodes of diarrhea
4. Multiple Micronutrient Powder (MNP) supplementation
5. Treatment of severe acute malnutrition
6. Treatment of moderate acute malnutrition
7. Direct food assistance of fortified/specialized food products (i.e. CSB+, Supercereal Plus, RUTF, RUSF, etc)
Missions and IPs who have a strong justification may opt out of the requirement to disaggregate this indicator into the seven interventions and two sex disaggregates. For example, OUs may opt out if IPs rely on the government health system to collect this data and these disaggregates are not included in that system. The reason should be noted in the online PPR reporting database. In this case, Missions may report solely the total number of children under 5 reached. If only some disaggregates are available then Missions should report both the total number and the number for each available disaggregate.
Projects that support Growth Monitoring & Promotion (GMP) interventions should report children reached under the BCC disaggregate
(#1).
In order to avoid double counting across interventions, the implementing partner should follow a two step process:
1. First, count each child by the type of intervention. For example a child whose mother receives counseling on exclusive breastfeeding and who also receives vitamin A during a child health day should be counted once under each intervention;
2. Second, eliminate double counting when estimating the total number of children under-5 reached. The partner may develop a system to track individual children using unique identifiers or estimate the overlap between the different types of interventions and subtract it from the total. Please refer to the forthcoming FAQs and supplemental guidance document for more examples of how to avoid double counting.
In cases where disaggregation is not possible, the unique number of children reached will likely be the number of children reached through
Vitamin A distribution campaigns, in countries that support them.
To avoid double counting across all USAID funded activities, the Mission should estimate the overlap between the different activities before reporting the aggregate number in the PPR. Please refer to the forthcoming FAQs and supplemental guidance for more information on how to limit double counting.
In CMAM projects some children who are discharged as “cured” may relapse and be readmitted at a later date. There are standard methods for categorizing children as ‘relapsed’, but due to loss to follow-up, it is generally not possible to identify these children.
Therefore, a limitation of this indicator is that there may be some double counting of children who were treated for severe and/or moderate acute malnutrition and relapsed during the same fiscal year.
Note: The previous version of this indicator allowed projects to count the number of “contacts” rather than the number of individual children reached. The indicator now requires that numbers of unique children are reported, and not number of contacts. Moreover, the previous version of this indicator did not require disaggregation by type of intervention. Some projects will find it difficult to modify their data collection mechanisms to report against this modified indicator for FY2016 reporting. However, all operating units for which it is applicable should report against this indicator starting in FY2017.
Values reported should reflect country-wide results in Feed the Future focus countries; results should not be restricted to only those achieved in the Feed the Future Zone of Influence.
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