Implementing an integrated nutrition package at large scale in Madagascar: the Essential Nutrition Actions framework.

Background: Madagascar has some of the highest rates of child stunting, maternal malnutrition, and infant mortality in sub-Saharan Africa.

Objective: To improve infant and young child feeding practices, increase uptake of micronutrient supplements, and improve women's dietary practices through implementation of a nutrition project based on the Essential Nutrition Actions (ENA) framework.

Methods: Interventions included training, interpersonal communication, community mobilization, and mass media.