Childcare, nutrition and health in the central plateau of Haiti: the role of community, household and caregiver resources

Childcare, nutrition and health in the central plateau of Haiti: the role of community, household and caregiver resources

Evaluation of integrated maternal and child health programme in Haiti

This report presents the main findings of a baseline survey evaluation of the integrated maternal and child health (MCH) programme being implemented by World Vision-Haiti in the Central Plateau of Haiti. The goal of the overall study is to compare the recuperative approach to food supplementation, which targets malnourished children identified through regular growth monitoring activities, with the preventive approach, which targets all children six to 23 months in an attempt to prevent malnutrition rather than intervene once malnutrition is already established.

The overall findings show the two programme groups to be very similar at baseline. In particular, key findings include:

  • the main outcome measures of the survey, i.e., the mean Height-for-Age Z-Score (HAZ), Weight-for-Age Z-Score (WAZ), and Weight-for-Height Z-Score (WHZ), and the prevalence of stunting, underweight, and wasting were not different between the two programme groups
  • no differences were found between the two groups in children’s health assessed either through the health visual analogue scale or the reported prevalence of morbidity symptoms in the two weeks prior to the survey
  • in assessing differences in community, household, and caregiver resources, very few differences between the groups were found, in spite of the large number of variables compared
  • the two programme groups were also compared relative to a number of care practices related to child feeding, health-care-seeking, hygiene, and discipline. Again, there was no evidence of meaningful differences between the two programme groups.
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