Malnutrition in food-surplus areas: experience from nutritional surveillance for decentralized planning in Haiti |
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Authors: | Mulder-Sibanda Menno Sibanda-Mulder Flora S d'Alois Lydia Verna Daniel |
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Affiliation: | PAHO/WHO, Port-au-Prince, Haiti. |
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Abstract: | In Haiti, a novel approach to nutritional surveillance was developed on the basis of a low-cost, simple-to-repeat set of household surveys in all nine administrative departments using sentinel community sites. This system allows each department to independently conduct follow-up surveys as needed. The results of the first round of surveys conducted in 1995 show lower malnutrition rates in typical food-deficient departments and high levels of malnutrition in several food-surplus areas. Further analyses underscore the importance of variables related to child-care practices and of care-enabling factors such as household food security, health environment, and caregivers' time and education. These findings challenge the traditional thinking among a majority of Haitian policy makers who look at the malnutrition problem solely from the perspective of local food production. |
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