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Weight gain in supervised and take-home feeding programmes in Chad.

The rehabilitative effects of a supplementary feeding programme for Chadian children are reported. Both feeding centre-based and take-home premix strategies for the delivery of an 821 kcal/day porridge supplement were employed. A total of 641 malnourished children no more than 80 per cent median reference weight for height from two nomad reinstallation camps were enrolled in a supervised feeding programme. In a third camp, 133 children were enrolled in a take-home feeding programme. The mean length-of-stay in the programmes was 59 days. A regression model was developed to permit analysis of anthropometric data obtained from follow-up measures varying in number and distribution across time. The model estimates indicate that the supervised group had an average weight gain 60 days after enrollment of 1013 g, while the take-home group had an average 60-day gain of 951 g. The 62 g difference in the two strategies is not significantly greater than zero (P = 0.56).