Action - Enhanced Outreach Strategy/Extended Enhanced Outreach Strategy (EOS/EEOS) - Vitamin A supplementation - Infants and young children

Programme: Enhanced Outreach Strategy/Extended Enhanced Outreach Strategy (EOS/EEOS)

Programme description

The EOS/Targeted Supplementary Feeding (TSF) programme began in 2004 as a pilot, and quickly scaled up to cover 6.8 million children in 365 drought-prone woredas. In 2005/6, the programme was expanded through the EEOS, which covers additional woredas with a reduced package of only vitamin A supplementation and deworming. National coverage by EOS and EEOS has expanded to reach around 95% of children under 5. In 2008, the programme covered 163 food-insecure woredas. 

Under the Health Extention Programme (HEP) the EOS programme is currently phasing out and being replaced by Community Health Days. These events will offer the same inputs as EOS but will move away from the regionally-supported biannual mobilizations and instead be carried out quarterly, supported by the district health structures and Health Extention Workers (HEWs)

Programme type

Large scale programmes


US$ 43 million.Estimated cost of US$ 1.14 per child (with measles vaccination, US$ 0,57 without).


WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of EOS/EEOS is retrieved from the ENA Part II where EOS/EEOS is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.


Start date:

Target group: 
Infants and young children
Age group: 
Children 6–59 months
Coverage level (%): 
2.9 million children 6–59 months in 163 food insecure Woredas
Outcome reported by social determinants: 
Vulnerable groups

Revision log

Thu, 03/22/2018 - 14:19engesveenkCopy of the revision from Thu, 10/08/2015 - 11:52.published