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Monique Hope, Ashea Lovell, Stacy Maxam, ShannaKay Dawkins, Ashley Thompson-Edwards
Outline
What is Malnutrition?
Importance of looking at Malnutrition
Epidemiology
Description of the Nutritional Status of
children aged 0-5 years in St. Catherine
What is Malnutrition?
The Importance of
Malnutrition
Importance of Malnutrition
contd
Importance of Malnutrition
contd
Importance of Malnutrition
contd
Epidemiology of
Malnutrition
Epidemiology of
Malnutrition contd
Epidemiology of
Malnutrition contd
Epidemiology of
Malnutrition cont'd
Epidemiology of
Malnutrition cont'd
Demographics
Zone 3
Zone 2
Zone 1
QUESTION 1
Description of the Nutritional Status of
Children aged 0-5 years in St.
Catherine (2013-2015) highlighting
trends in prevalence of
overweight/obesity and
undernutrition.
Methodology
QUESTION 2
USING THE 2015 MCSR OR OTHER
REPORTS DESCRIBE THE PREVALENCE
OF UNDERNUTRITION BY GENDER,
AGE-GROUPS AND HEALTH REGIONS
AGE-GROUPS
AGE-GROUPS
GENDER
GENDER
HEALTH
REGION
Map showing
Prevalence of
Undernutrition
by Health
Region/Zones in
2015
Zone 4
Zone 3
Zone 2
0 - < 1%
1 <2 %
2 <2.5 %
>2.5%
Zone 1
HEALTH REGION
HEALTH REGION
better socioeconomic
conditions
Womens education
Water and sanitary
facilities available.
Greater use of health
services
QUESTION 3
In consultation with health staff,
identify the factors associated with
the prevalence of undernutrition.
Food insecurity
Lack of education
Poor feeding habits
Food insecurity
Lack of education
QUESTION 4
Describe the interventions for undernutrition highlighting factors
associated with success and barriers
to programme delivery.
IN THE PAST
Food Distribution
Programme Delivery of
Services
Success
Barriers
Distribution of food
packages to those in
greatest need*
Encouraged visits to
public health facilities
Understaffed public
health facilities
Delay in delivery of
food to public health
facilities
Excluded those not
attending/unable to
access these
facilities
Barriers
Lack of access to
public health clinics
Encouraged visits
Exclusion of those
to the public health in need not within
clinics
the target group
PRESENTLY
Programme for Advancement through
Health and Education (PATH, 2002)
Conditional cash transfer programme
Replaced 3 main welfare programmes;
Outdoor Poor Relief, the food stamp
programme and Public Assistance
programmes.
Beneficiaries include children, elderly,
pregnant and lactating women, the
disabled and poor adults 18-59 years
Barriers
Compliance with
conditions
Payment made to a
single family
representative.
Health Education
Educating parents/caregivers
of undernourished children
about energy dense foods.
Health Education
Success
Barriers
Knowledge of
Food insecurity
appropriate foods for
child*
Information not
passed on to other
family members
involved in child care.
Inappropriate use of
words
Home Visit
Conducted by community health
aides to assess the home
environment of undernourished
children who are not improving.
Home Visit
Success
Barriers
Understand social
environment
Inaccessible/unstable
land
Food demonstration
Volatile community
Cultural Challenges
Home Visit
The child
The child
The child
The child
conflict of interest
No teeth
QUESTION 6
SUGGEST APPROACHES TO IMPROVE
THE DELIVERY OF INTERVENTIONS IN
THE PRIMARY HEALTH CARE SETTING.
Recommendations
Better health education
use of food charts showing serving
sizes by nutritionists, pediatricians
and nurses
Recommendations
contd
Food demonstration
To re-enforce information given to
parents/caregivers regarding proper
nutrition.
Recommendations contd
Family Meetings
To educate all family members/other
persons involved in the care of the
child about good nutrition.
Recommendations contd
Recommendations contd
References
References
Smith, L., Ruel, M., Ndiaye, A., 2005. Why is Child Malnutrition
Lower in Urban than in Rural Areas? Evidence from 36 developing
countries. World Development Vol 33, No. 8:1285-1305.
Retrieved from http://
The END
Thank you!