Community-level considerations in nutrition planning in low income nations

Reaching those most in need of assistance is a neglected issue in nutrition planning in low income nations. This study shows that the variations in the proportion of third degree Gomez classification of malnutrition among Filipino preschoolers increase significantly as the administration unit decreases from region to province to municipality and finally to the smallest unit— the village oibarangay. At the village level, the proportion of preschoolers with third degree Gomez varied over 30 fold within the same area in the Philippines. Moreover, using Filipino household‐level survey data, it is shown that it is possible to use socioeconomic and other community‐level factors to predict which communities are most nutritionally needy in terms of the proportion of children with third degree malnutrition by the Gomez classification. One implication of this study is the need to give careful consideration to community level factors in the allocation of nutrition resources and the possibility of using nonnutritiona...

[1]  S. Preston,et al.  The Effects of Infant and Child Mortality on Fertility. , 1981 .

[2]  A. N. Herrin.  Rural electrification and fertility change in the Southern Philippines. , 1979 .

[3]  J. Briscoe,et al.  The role of water supply in improving health in poor countries (with special reference to Bangla Desh). , 1978, The American journal of clinical nutrition.

[4]  M. Shiffman,et al.  The potential effect of water on gastrointestinal infections prevalent in developing countries. , 1978, The American journal of clinical nutrition.

[5]  K Kawata,et al.  Water and other environmental interventions--the minimum investment concept. , 1978, The American journal of clinical nutrition.

[6]  R. Anker.  The effect of group level variables on fertility in a rural Indian sample , 1977 .

[7]  M. Grossman,et al.  An Economic Analysis of Children&Apos;S Health and Intellectual Development , 1977 .

[8]  B. Popkin,et al.  Income, Time, The Working Mother and Child Nutriture , 1976 .

[9]  P. Pinstrup‐Andersen,et al.  The Impact of Increasing Food Supply on Human Nutrition: Implications for Commodity Priorities in Agricultural Research and Policy , 1976 .

[10]  B. Popkin.  Economics and nutritional change. , 1975, Archivos latinoamericanos de nutrición.

[11]  M. Nerlove.  Household and Economy: Toward a New Theory of Population and Economic Growth , 1974, Journal of Political Economy.

[12]  V. Navarro,et al.  The Underdevelopment of Health or the Health of Underdevelopment: An Analysis of the Distribution of Human Health Resources in Latin America , 1974, International journal of health services : planning, administration, evaluation.

[13]  O. Gish.  Resource Allocation, Equality of Access, and Health , 1973 .

[14]  R. Mcnamara.  Address to the Board of Governors, September 25, 1972 , 1972 .

[15]  M. Latham,et al.  Nutritional anthropometry in the identification of malnutrition in childhood. , 1971, The Journal of tropical pediatrics and environmental child health.

[16]  R. Mcnamara.  Address to the Board of Governors , 1968 .

[17]  B. Popkin.  Time allocation of the mother and child nutrition. , 1980, Ecology of food and nutrition.

[18]  P. Heller,et al.  Malnutrition, child morbidity and the family decision process. , 1979, Journal of development economics.

[19]  J. Davanzo,et al.  Contracepting breastfeeding and birthspacing in Malaysia: a model of decision making subject to economic and biological constraints. , 1978 .

[20]  W. Mcgreevey,et al.  The second sex in the third world: is female poverty a development issue?? , 1978 .

[21]  J M Tanner,et al.  The presentation and use of height and weight data for comparing the nutritional status of groups of children under the age of 10 years. , 1977, Bulletin of the World Health Organization.

[22]  R. Kessler.  Community, Physicians, and Inequality , 1976 .

[23]  M. Möhr,et al.  Methodology of nutritional surveillance. Report of a Joint FAO/UNICEF/WHO Expert Committee. , 1976, World Health Organization technical report series.

[24]  F. Levinson.  Morinda: an economic analysis of malnutrition among young children in rural India. , 1974 .

[25]  M. Sharpston.  Uneven geographical distribution of medical care: A Ghanaian case study , 1972 .