Emergency Nutrition Network (ENN) Special
Supplement to Field Exchange Issue 23, 2004
Community-based
Therapeutic Care (CTC)
CTC
is a community-based approach of care for managing large numbers of acutely malnourished
people in times of stress. The CTC approach treats the majority of the severely
malnourished at home and uses outreach teams to promote community participation
and behavioral change. CTC aims to build community capacity to manage and to better
respond to repeated cycles of relief and recovery. Providing appropriate therapeutic
foods containing the right mix of nutrients that will aid in recuperation is central
to the home-based care of the severely malnourished. Ready to use therapeutic
foods (RUTF) have been specially designed for the treatment of severe acute malnutrition.
RUTF can be manufactured locally thereby increasing availability and reducing
costs.
The CTC program is a three year, multi-donor funded program. The
donors include Ireland AID, Concern Worldwide,
the Canadian International Development
Agency (CIDA), the World Health Organization
of the United Nations (WHO), and the US Agency
for International Development (USAID) through FANTA. The CTC program is managed
by Valid International. In the
field, the CTC program is implemented by NGOs such as Concern Worldwide and Save
the Children in three countries (Sudan, Malawi, and Ethiopia).
The
Emergency Nutrition Network (ENN)
has published Community-based Therapeutic Care (CTC), a special supplement
to the November 2004 issue of ENN's Field Exchange. The supplement is a
collection of articles that provide a wide range of evidence-based perspectives
from people who have been involved in CTC programs over the last four years. Specifically,
the articles present the impact and effectiveness of the CTC model in different
contexts through lessons learned from case studies in Ethiopia, Malawi and North
and South Sudan. Additionally, the CTC program has included substantial research
on the development of locally produced Ready to Use Therapeutic Food to reduce
costs of the program and increase sustainability. More recent work has focused
on adapting the CTC approach for the care of HIV infected individuals.
Download ENN Community-based Therapeutic
Care Supplement [2.2 mb]

The
Emergency Nutrition Network's Report on the Proceedings of the October 2003 CTC
Workshop
Technical
Note No. 8, Community Therapeutic Care (CTC): A new approach to managing acute
malnutrition in emergencies and beyond
"Nutrition
and Millenium Development Goals," UN Standing Committee on Nutrition's 31st
Annual Meeting, March 2004
Community
Therapeutic Care PowerPoint presented by Dr. Steve Collins, Valid International
ENN's
Field Exchange, Issue 19/July
2003