Action - Second Surveillance and Education for Schools and Communities on Food and General Nutrition (SEECALINE) - Food distribution/supplementation - Infants and young children|Lactating women (LW)|Pregnant women (PW)|Preschool-age children (Pre-SAC)

Programme: Second Surveillance and Education for Schools and Communities on Food and General Nutrition (SEECALINE)

Programme description

The SEECALINE (Second Surveillance and Education for Schools and Communities on Food and General Nutrition) programme began in 1999 and was gradually scaled-up until 2002. Upon completion of scale-up activities, there were 3600 project sites in half the districts in Madagascar. SEECALINE targeted communities with poorer nutritional status as sites for implementation. Thus, communities with the programme had higher baseline levels of malnutrition than communities that did not have the programme. A key feature is that services are contracted out and provided by local NGOs in the target area. The programme objective was to improve the nutritional status of children under three, PLW, and school-aged children.

Programme type

Large scale programmes


Intensity of Community health workers(CHWs) was estimated at 1:125 households to 1:225 households, or 60:1000 households.Resource intensity was estimated at US$ 10/household per year.


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 SEECALINE is retrieved from the ENA Part II where SEECALINE is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.


Start date:


End date:

Target group: 
Infants and young children
Lactating women (LW)
Pregnant women (PW)
Preschool-age children (Pre-SAC)
Age group: 
Children below 3 years
Implementation details : 

<p>Internal provision supplementary feeding</p>

Coverage level (%): 
Coverage rate of approximately 50 % of the population under 3 years in the target areas
Outcome indicator(s): 


M&E system: 

<p>Evaluated by the World Bank in two different ways, using both monitoring data to investigate improvements in nutritional status of child participants, and by using two nationally representative surveys to calculate the improvements in child nutritional status in programme areas rather than among programme participants.&nbsp;</p>


The rate of underweight reduction was reported as 0,86-1,25 ppt/year, or approximately 1,1 ppt/year for the population sustained rate

Revision log

Thu, 03/22/2018 - 13:50engesveenkCopy of the revision from Wed, 11/26/2014 - 16:02.published