conducted in 100% of areas declared vulnerable in 8 Districts and 5 large vulnerable cities justify the establishment of nutritional surveillance of 15 sites in five cities, in order to monitor the trends in socio-economic indicators. 318.En In addition since 2008, a supplementation program in Plumpy doz, ready made fortified complementary foods for children aged from 6 months to 36 months has been implemented in order to prevent acute malnutrition in regions at risk, such as Haute Matsiatra, Atsimo Atsinanana and Androy. 319.The strategies in the fight against malnutrition are reinforced at the community level through nutritional surveillance, communication sessions for behaviour change (CCC) and micronutrient supplementation. Trained community workers implement these strategies across 5,550 community nutrition sites Kaomina Mendrika Salama (KMS) or Social Development Commission, in collaboration with community leaders, NGOs and partners. d. Social security and services and facilities for child development et (Article 20.2 (a-c)) 320.Article 149 of the Social Welfare Code16 provides for family allowance for the benefit of each living child, from the first day of the month following the birth until the age of fourteen years of age. 321.Family allowances are paid for every child regardless of his rank, up to the age of 14 or 21 years if he is studying or is affected by a disability or incurable illness preventing any activity. 322.A worker who is already an allowance beneficiary and who changes employer or resumes a paid work after a period of interruption is entitled to child benefit from hiring. He/she must send a time attendance certificate established by his/her employer to the CNaPS, as well as annual certificates for his children (medical certificate, school certificate, certificate of life).). 323. Since 2003, the benefit amounted to 2000 Ariary17 per month per child 324.Currently, 203,226 children are beneficiaries of these allocations. e. Care for orphans (article 26) 325.Compared to international and regional statistics, Madagascar has a low percentage of orphaned children. Maternal orphans are estimated at 2% while the 16 17 Decree No. 69-145 of 8 April 1969 establishing the social welfare code. 2000 MGA equivalent to 0.82 US dollar ($ 1 = 421.12 Ariary 2, July 16, 2014) 52