Integrating End-User Monitoring Within Routine Programmatic Reporting for Nutrition Interventions

This case study is part of a compendium of country-level case studies produced by the Delivery System for Scale project that explore promising, context-specific approaches to scale the management of wasting treatment for children under five. In Chad, where the availability of use of nutrition commodities is a major concern, UNICEF and its implementing partners developed an approach to integrate key end-user monitoring (EUM) indicators into the routine programmatic reporting system for treatment of child wasting. The pilot approach is believed to improve adherence to the treatment protocols, improve the availability of nutrition commodities at health center-levels, and lower the risk of stockouts over time. This case study, therefore, describes how and why the routine EUM approach was developed, the operational advantages (and limitations) it shows in practice, and important considerations for its application at-scale or in other contexts.