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How are maternal‐child nutrition activities integrated at the community level? Lessons from Haiti
Author(s) -
Heidkamp Rebecca Anne,
Teta Ismael Ngnie,
Gervais Suzanne,
Stoltzfus Rebecca J,
Pelletier David L,
Habicht Jean-Pierre,
Pelto Gretel,
Philips Erica,
Marhone Joseline,
Ayoya Mohamed Ag
Publication year - 2012
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.26.1_supplement.1029.3
Subject(s) - malnutrition , psychological intervention , promotion (chess) , environmental health , service delivery framework , micronutrient , intervention (counseling) , medicine , service (business) , behavior change communication , nutrition education , program evaluation , scale (ratio) , economic growth , business , nursing , gerontology , political science , population , geography , health services , marketing , cartography , public administration , pathology , politics , economics , law
A variety of nutrition interventions are needed to meet national and global goals for women and children, and scarce resources necessitate integration of those activities. Haiti's national nutrition strategy includes 3 priority intervention areas: 1) promotion of age‐appropriate infant and young child feeding (IYCF) practices 2) prevention of micronutrient deficiencies (PMD) in young children, adolescent girls and pregnant women and 3) management of severe acute malnutrition (SAM) in children under 5. Policy makers need to identify program delivery models that effectively integrate these areas at the community level. To address the question of integration, we mapped the program impact pathways for 3 large‐scale nutrition programs serving rural Haitian communities. Two programs were managed by NGOs and one by the public sector. For each program, we assessed how activities related to IYCF, PMD, and SAM were integrated at the service delivery level. Data was collected through document review and semi‐structured interviews with program staff and beneficiaries. Analyses and findings reveal ways that various community‐based nutrition activities can be most efficient and synergistic. Research support: UNICEF Haiti