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Improving nutrition programmes through the promotion of quality coverage assessment tools, capacity building and information sharing.


Semi-QUantitative Evaluation of Access and Coverage (SQUEAC) is a coverage assessment method developed by Valid International, FHI 360/FANTA, UNICEF, Concern Worldwide, World Vision International, Action Against Hunger, Tufts University, and Brixton Health. This toolkit provides programme practitioners and evaluators of CMAM programmes with a step-by-step guide to planning and carrying out a standard SQUEAC assessment. The sections in the menu on the left contain guidance on the main elements of a SQUEAC assessment. Within these pages are additional guides on specific activities which need to be undertaken as the assessment progresses and forms and templates which facilitate the delivery of the assessment. The CMN has developed the SQUEAC Assessment Companion and SQUEAC Supervision Guidelines for use by SQUEAC assessment leaders and supervisors who are familiar with the methodology to support the planning and delivery of SQUEAC assessments to the required quality and standard. The content of this toolkit closely follows the SQUEAC and SLEAC Technical Reference (full reference available below) with additional material which has been developed by the Coverage Monitoring Network and others.


SQUEAC is an effective and precise methodology enabling the identification of boosters and barriers to access services and to estimate the coverage of nutrition programmes. SQUEAC-elements1-1024x765 The SQUEAC method uses a two-stage screening test model:
  • Stage 1 identifies areas of low and high coverage as well as reasons for coverage failure using routine programme data, already available data, quantitative data that may be collected with little additional work, and qualitative data.
  • Stage 2 confirms the location of areas of high and low coverage and the reasons for coverage failure identified in Stage 1 using small studies, small surveys and small-area surveys.
If appropriate and required, an additional stage may be performed:
  • Stage 3 provides an estimate of overall program coverage using Bayesian techniques.


  • Myatt. M, Guevarra. E, Fieschi. L, Norris. A, Guerrero. S, Schofield. L, Jones. D, Emru. E and Sadler. K , 2012. Semi-Quantitative Evaluation of Access and Coverage (SQUEAC) / Simplified Lot Quality Assurance Sampling Evaluation of Access and Coverage (SLEAC) Technical Reference, available to download here.