Action - Early Childhood Development (ECD) Project - Growth monitoring and promotion - Infants and young children|Preschool-age children (Pre-SAC)

Programme: Early Childhood Development (ECD) Project

Programme description

The intervention used Community health workers (CHWs) based in health centres and schools, as well as home visits.

Programme type

Large scale programmes


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


End date:

Target group: 
Infants and young children
Preschool-age children (Pre-SAC)
Age group: 
Children below 5 years
Coverage level (%): 
86 % national coverage.
Outcome indicator(s): 

Weight-for-age z-score (WAZ)

Weight-for-height z-score (WHZ)

Height-for-age z-score (HAZ) 

M&E system: 

An evaluation concluded that there were positive results on acute malnutrition due to the feeding programme but negative impact on chronic malnutrition as addressed by the nutrition education and behaviour change  omponents. The programme might have been more successful with better coordination of the CHWs. 


From 2001 to 2003 in programme areas, underweight for age decreased 1.33 ppt/year and wasting decreased. 1.56 ppt/year. No positive impact was found on stunting. From 1993 to 2003, prevalence of underweight for age declined from 28.3% to 20.7% (1.52 ppt/year).


Revision log

Thu, 03/22/2018 - 14:54engesveenkCopy of the revision from Wed, 11/26/2014 - 16:03.published