Improving Infant and Young Child Nutrition in a Highly Stunted Rural Community: A Practical Case Study from Guatemala

  • Boris Martinez
  • David Flood
  • Katia Cnop
  • Andrea Guzman
  • Peter Rohloff
Living reference work entry

Abstract

Stunting is a major public health concern because of its association with child mortality and morbidity and later adult economic and health. Despite Guatemala’s important contributions on child nutrition research, the indigenous Maya population in Guatemala has one of the highest stunting rates in the world. This chapter contextualizes the global problem of child stunting with a close look to Guatemala’s historical nutrition research and policy, followed by a description of a comprehensive nutrition programming model for highly stunted communities developed by the nongovernmental healthcare organization Wuqu’ Kawoq ∣ Maya Health Alliance and a single-community case study of the model implementation. The model includes both preventative and curative evidence-based interventions to target food security, environmental factors, access to health services, and caregiver education and empowerment. Frontline workers with cultural and linguistic competency deliver individualized education and nutrition assessments. Over a 2-year implementation of the approach in a Maya community, the overall prevalence of stunting under 5 declined 20% and the prevalence of severe stunting 35%. In this and other similar settings, holistic, primary care approaches to malnutrition can have significant impact on child health.

Keywords

Stunting Diet quality Feeding practices Case study Guatemala Indigenous Food security Community-based nutrition Nongovernmental organization Primary care 

List of Abbreviations

FANTA

Food and Nutrition Technical Assistance

INE

Instituto Nacional de Estadística

LMIC

Low- and Middle-Income Country

MHA

Wuqu’ Kawoq | Maya Health Alliance

MSPAS

Ministerio de Salud Pública y Asistencia Social

NGO

Nongovernmental Organization

PEC

Expansion of Coverage Program

PPHO

Plan de Pacto Hambre Cero

USAID

United States Agency for International Development

WHO

World Health Organization

ZHP

Zero Hunger Plan

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Boris Martinez
    • 1
  • David Flood
    • 1
  • Katia Cnop
    • 1
  • Andrea Guzman
    • 1
  • Peter Rohloff
    • 1
    • 2
  1. 1.Wuqu’ KawoqSantiago SacatepéquezGuatemala
  2. 2.Division of Global Health EquityBrigham and Women’s HospitalBostonUSA

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