Indicator:
Proportion of target population who participate in an adequate number of distributions (adherence)
Definition:
The percentage of the population that receives a minimum of 66% of the planned distributions within a specified period.*
A distribution can be a transfer of specialized nutritious foods (plumpy’doz, super cereal, micronutrient powder, among others), cash and/or a voucher for food, including fresh produce.
A minimum recall period of three distributions is required to collect the indicator. To identify trends in adherence, the maximum recall period is six distributions. The selected period depends on how long the program is already implemented but it needs to be between 3-6 distributions.
If the minimum requirement of three distributions cannot be met, but the indicator is required for ACR reporting, this needs to be clearly noted and the indicators still collected.
* The minimum target set should be 66%, but it can also be set higher depending on program design and efforts made to increase adherence and baseline value if available.
Rationale:
Adherence indicates the frequency of a beneficiary receiving the intended transfer. It thus shows a proxy for the likeliness of achieving the intended impact.
Interpretation: Adherence is influenced by many factors linked to services provided by WFP (e.g. whether the transfers occurred as planned); access and demand for the services by the beneficiaries (e.g. whether there are any barriers for enrolled beneficiaries to receive the transfers), this, for example, includes distance but also if services are demanded and communication e,g information on where and when to find the service are sufficient.
Notes: This indicator complements Coverage (representing how many of those eligible are
enrolled) to indicate achieving the intended program impact of preventing malnutrition; to do so, the target population needs to be enrolled, and distributions should occur at a minimum frequency.
Questionnaire:
The questionnaire is available by selecting the indicator Proportion adequate number of distributions - adherence (Indicator 8) in Survey Designer.
Important considerations for this questionnaire:
Users should modify the question below to the name/description of the local nutrition program (in italics below) :
EligNutProgNb How many members of your household are enrolled in the ((insert name/description of program, to be adapted locally)) programme?
If users need to collect this indicator for more then one nutrition program, then the submodule should be copied and a suffix should be added to the variable names so there is no duplication of variable names. An instructional video will soon be added to the resource, but in the meantime, users can contact hq.ramm@wfp.org for more information
Indicator calculation:
Proportion of target population who participate in an adequate number of distributions (adherence)) = Number of beneficiaries who participated in an adequate number (two-third or %) of distributions / Number of beneficiaries enrolled in the program
Scripts in R, STATA and SPSS and sample data are available on github for calculating this indicator.
For more information:
consult CRF indicator description sheet or please contact hq.ramm@wfp.org