Drawing on a semi-quantitative evaluation of access and coverage (SQUEAC) approach, this report examines the blockages to preventing malnutrition in Kambia district, Sierra Leone. It finds that the issues causing malnutrition are both multifactorial and complex, suggesting a range of initiatives are needed in order to prevent it. Many of these initiatives already exist at community level, but they require strengthening and expansion. Our evidence also suggests that, in order to achieve sustained behaviour change at the local level, there is a need to target key decision-makers within the household, such as fathers and elders, and to engage seriously with traditional practices.
Binns, P.; Guevarra, E.; Mohamed Jalloh; Tucker, M. Blockages to preventing malnutrition in Kambia, Sierra Leone: a semi-quantitative causal analysis. SLRC Working Paper 19. Overseas Development Institute, London, UK (2014) 67 pp.