This manual reflects the experience gained
over five years of implementing and developing Community-based therapeutic
Care (CTC). It is a practical guide that aims to help health and nutrition
managers to design, implement and evaluate CTC programmes.
CTC is an evolving model. This manual
should therefore be considered as dynamic. It will be periodically revised
and updated. In recognition of the context-specific nature of CTC, this
manual is not intended as a 'cookbook', whereby the reader follows a recipe
and achieves the desired result. Rather, it is meant to be a tool to enable
the reader to ask the right questions and determine the processes that
will form the building blocks of effective programming.
CTC experience to date has been primarily
with children aged six months to five years. Therefore this manual principally
refers to the management of children in this age group and refers to child/children
throughout the text. Guidelines for other groups are not included. This
does not imply that other groups in the population such as adolescents,
adults and the elderly cannot be treated using CTC protocols. However,
this will require a modification of the protocols.