Confronting Child Malnutrition

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• Confronting Child Malnutrition
• in Central Haiti
• Zanmi Lasante, Partners In Health

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• 47 of the Haitian population, an estimated 3.8
  million people, are undernourished.
• 92 of families living in the Central Plateau
  reported extreme food insecurity in a recent
  Zanmi Lasante study.
• 45 of these same families reported a monthly
  monetary income of less than or equal to 500 goud
  (approximately 12.50).
• Haitis food insecurity is compounded by forced
  compliance with IMF Structural Adjustment
  Policies (SAP) that have lowered tariffs on
  US-grown rice from 30 percent to 3 percent,
  flooding the local market with US agribusiness,
  while bankrupting peasant farmers.
• Today, Haiti is forced to import half of all its
  food the highest percentage of food dependency
  in the hemisphere.

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• Zanmi Lasante Nutritional Support for Children
• School Lunch Program
• Treatment of Pediatric Malnutrition
• Medika Manba
• Akamil
• Powdered Milk
• Iodine Supplementation
• Agricultural partnership with Zanmi Agrikol and
  local farmers in the Central Plateau
• Community-based follow-up via home visits

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• School Feeding Program
• Serving 25 schools in and around Cange
• Daily lunches provided to 17,161 students for
  the 2006-2007 academic year
• Dramatic increase in school attendance and
  academic performance
• Consumption of 600 bags of rice and 150 bags of
  beans per month

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Clinical Responses Treatment The Zanmi
Lasante Nutrition Program
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• Medika Manba (Plumpy Nut)
• A mixture of locally grown peanuts, powdered
  milk, sugar, oil, vitamins, and minerals that
  provides approximately 500 calories per 100g and
  is used during the first phase of treatment of
  malnutrition
• Advantage over powdered milk formulas as it does
  not have to be mixed with clean water
• Distribution to an initial 30 kids started in
  November 2006
• Ongoing programmatic expansion to reach 2,000
  outpatient pediatric patients enrolled in ZLs
  nutrition program

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• Akamil
• A mixture of locally grown rice, beans and corn
  ground to a digestible powder and mixed with
  clean water is a rich source of protein and amino
  acids and recommended by UNICEF and the World
  Health Organization.
• Anticipated distribution to 2,000 pediatric
  malnutrition out-patients during the second phase
  of treatment.

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Partnership with Local Agriculture

• 10 acre irrigated farm neighboring Cange, run by
  a skilled team of local agronomists
• Plans for future land expansion and for an
  agricultural vocational school
• Rice, corn, beans and peanuts used to make akamil
  and Medika Manba are produced locally by Zanmi
  Agrikol farmers
• Community-based agronomists, ajan agrikol,
  follow up on malnutrition patients via home
  visits and work together with families to improve
  crop yields of family land plots.

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