This issue of Field Exchange features four field articles about community based therapeutic care of the severely malnourished, a type of programming that is increasingly being rolled out by humanitarian agencies. The article by Josephine Querubin from ACF-USA is about a home based treatment (HT) programme in Upper Nile and Bahr el Ghazal in southern Sudan, introduced following drought and a large returnee influx. HT was adopted as previous experiences of using the centre based therapeutic feeding model had been poor with high defaulter rates and low coverage. Although the HT programme appears to have been very successful, it was reliant upon a large network of home visitors for screening and referrals so that maintaining a large cadre of field staff working under arduous circumstances and difficult terrain was a significant challenge.
