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[Evaluation of a supplementary nutrition program]

M R Gutierrez¹, H Bettiol, M A Barbieri

¹Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Puericultura e Pediatria, Brasil.

Revista Panamericana De Salud Publica = Pan American Journal of Public Health

|September 12, 1998

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This study found that a feeding supplementation program temporarily improved growth in malnourished children under 5. However, the program was insufficient for sustained recovery and normal growth, especially long-term.

Area of Science:

Nutritional science
Pediatric health
Public health interventions

Context:

Undernourished children under 5 years old in Guariba, São Paulo, Brazil, are a vulnerable population.
A feeding supplementation program, sponsored by the State Health Secretariat, aimed to address malnutrition.
Assessing the long-term efficacy of nutritional interventions is crucial for child development.

Purpose:

To evaluate the impact of a feeding supplementation program on the anthropometric profile of malnourished children.
To determine the effectiveness of the program in promoting weight and height recovery over different enrollment durations.
To analyze the sustainability of growth improvements achieved through supplementation.

Summary:

469 malnourished children were divided into four groups based on program enrollment duration (up to 12, 12-24, 24-36, and over 36 months).

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Weight-for-age, height-for-age, and weight-for-height percentiles were calculated and analyzed.

Groups with shorter enrollment (1 and 2) showed weight recovery and improved weight-for-height ratios, while longer-term groups (3 and 4) showed diminished or reversed progress.

Impact:

The feeding supplementation program demonstrated a temporary positive effect on severe nutritional deficiencies.
Sustained recovery and maintenance of normal growth were not achieved, particularly in children enrolled for longer periods.
Findings suggest the need for more comprehensive and long-term strategies to combat childhood malnutrition effectively.