Characteristics of Selected Programs| Country | Coverage, targeting | Resources, intensity |
| Africa |
| Tanzania: Iringa F: (+) | Population served = 250,000 in 6 districts, 610 villages, 46,000 children, of which 33,700 participated (73 percent). Targeting: children < 5 years and women; no socioeconomic selection of communities. Progressed from 168 to 610 villages 1984-88. | US$8 to US$17/child/year (approximately US$30/child/year from total costs: approximately US$6 million)SFTRET2 village health workers/village = 1,220 total; approximately 1:40 childrenSFTRET[Volunteers] |
| Tanzania: Child Survival and Development Program F: 0 | 9 of 20 regions (population total approximately12 million; 2 million children). Aimed for complete coverage. | US$2 to US$3/child/yearSFTRET[Volunteers] |
| Zimbabwe: Supplementary Feeding Programme F: ++ | Population served: 56,000-96,000 with supplementary feeding; up to 60 percent of all children in community-based growth monitoring. | External: US$3 million over 10 yearsSFTRETFor example, 1990, US$0.5 million, approximately US$0.50/child/year (Approximately 1:10-200, based on numbers per project)SFTRET[Extension agents] |
| Asia |
| Bangladesh: BINP F: + | BINP: in 6 thanas, or subdistricts (7 percent of population), children <2 years, 8 million pregnant and lactating women. | US$14 million/year; approximately US$18/child/yearSFTRET1 community worker per 1,000 populationSFTRETApproximately 1:200 childrenSFTRET[Project supported] |
| Bangladesh: BRAC | Health coverage 25 percent. Nutrition with BINP, now expanding. | 1 community health volunteer per 300 households; 1 community nutrition promoter per 200 households; community nutrition centers, 1:120 mothers and children; supervision of community nutrition promoters by community nutrition organizer, 1:10 |
| India: ICDS F: ++/+ | Children 0-6 years and pregnant and lactating women, in 3,900 of 5,300 blocks, or subdistricts; approximately 74 percent of population. Coverage expanded without targeting except by area. | Nonfood costs: approximately US$2/child/year.SFTRET1 community worker (anganwadi worker, or ANW) per 200 children; 1 supervisor per 20 ANWsSFTRET[ANW paid, at low rate] |
| India: TINP F: + | Children 6-36 months, pregnant and lactating women. Children with growth failure selected. 40 percent of blocks in Tamil Nadu; 20 percent of children in 1990. | US$9/child/year, plus approximately US$3 on food.SFTRET1 community nutrition worker per 300 children; 1 supervisor per 10 community nutrition workersSFTRET[Project supported] |
| Indonesia F: (+) | By 1990, 60,000 villages (of 65,000: 92 percent) had posyandus (village health/nutrition center). Women and young children. | US$2-11/child/year, depending on supplemental food; Rohde (1993) gives <US$1 recurrent.SFTRETVillage workers (approximately 3 million total), 1 per 60 people, approximately1 per 10 children; supervision 1 per 200.SFTRET[Volunteer] |
| Philippines: national F: 0 | Several programs, all targeted (for example, to poorer areas), none with national coverage. | US$0.40/child/year in targeted areas.SFTRETVillage workers (barangay nutrition scholars) approximately 1:300SFTRET[Low allowance given] |
| Thailand: Primary Health Care + Poverty Alleviation Program + Basic Minimum Needs F: (+) | Expanded over about 5 years to cover 95 percent of villages. 600,000 village health communicators (1 percent of population) trained; 60,000 village health volunteers | Ministry of Public Health; approximately US$11/head/year (1990)SFTRET1 village health communicator or volunteer per approximately 20 children; 1 supervision extension worker per 24 village health communicators and volunteersSFTRET[Volunteer] |
| Americas |
| Costa Rica F: ++ to 0 | Expanded rural health program coverage 19-67 percent (1974-89). | Rural health program: US$1.70/child/yearSFTRETFood and Nutrition Program: US$12.50/child/yearSFTRET2 health workers (full time) per 5,000 population; approximately 1:350 childrenSFTRET[Health worker] |
| Honduras F: 0 | With community health volunteers, AIN-C covers > 50 percent of health areas (expanded 1991 on), > 90 percent of children < 2 years in these; growth monitoring and home follow-up, plus referral and treatment. | Cost estimated as US$6/child/yearSFTRETVolunteer teams 3:25 children, about 3.5 hours/volunteer/week |
| Jamaica F: 0 | Community health aides (CHAs), waged, cover most of country from health centers, with home visiting. | CHAs (full time) 1:500 households; approximately US$7/household/yearSFTRET[Health worker] |
| Nicaragua F: 0 | Community health workers (brigadistas) with "multiplier" approach, training others; 1980 approximately 1 percent trained; many more for malaria control. | Volunteers, approximately 1:20 households |
