Malnutrition in Food-Surplus Areas: Experience from Nutritional Surveillance for Decentralized Planning in Haiti

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. T...

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Bibliographic Details
Published in:Food and nutrition bulletin 2002-09, Vol.23 (3), p.253-261
Main Authors: Mulder-Sibanda, Menno, Sibanda-Mulder, Flora S., D'Alois, Lydia, Verna, Daniel
Format: Article
Language:English
Subjects:
Age Factors
Body Height
Body Weight
Child
Child Nutritional Physiological Phenomena
Child, Preschool
Family Characteristics
Female
Food Supply
Haiti - epidemiology
Health Education
Humans
Infant
Male
Nutrition Disorders - epidemiology
Nutrition Disorders - prevention & control
Nutrition Policy
Nutrition Surveys
Socioeconomic Factors
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Summary: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.
ISSN:1564-8265
0379-5721
1564-8265
DOI:10.1177/156482650202300304