Malnutrition in ST. Catherine, Jamaica

8/19/2019 Malnutrition in ST. Catherine, Jamaica

1/77

PRIMARY HEALTH CARE PROJECT

EVALUATION OF THE NUTRITIONAL STATUS OFCHILDREN 0-5 YEARS OLD IN ST. CATHERINE(SERHA)

Moniqu Ho!" A#$% Lo&''" S%* M%+%," S$%nn%-%* D%/in#" A#$'* T$o,!#on-E%1#


2/77

Ou'in

2$% i# M%'nu1iion3 I,!o1%n o4 'oo/in % M%'nu1iion E!i,io'o* D#1i!ion o4 $ Nu1iion%' S%u# o4

$i'1n % 0-5 *%1# in S. C%$1in


3/77


4/77


5/77

2$% i# M%'nu1iion3

M%'nu1iion6 $ ''u'%1 i,7%'%n7n #u!!'* o4 nu1in# %n n1*%n $ 7o*8# ,%n 4o1 $, on#u1 1o$" ,%inn%n %n #!i94union# ( 2o1' H%'$O1%ni#%ion"2HO).

R41# o 7o$ o&1nu1iion %nun1nu1iion.


6/77

Un1nu1iion i# 9n %# $ ouo,o4 in#u:in 4oo in%/ %n 1!%in4iou# i#%## (Uni4";00


7/77

T$ I,!o1%n o4M%'nu1iion M%'nu1iion i# 'o7%''* $ ,o#

i,!o1%n 1i#/ 4%o1 4o1 i''n## %n%$" on1i7uin o ,o1 $%n 50= o4

%$# in $i'1n o1'i (M#%!";0>


8/77

I,!o1%n o4 M%'nu1iionon8 A $i'8# ,%7o'i 1% i# $i$1 !1

/i'o1%, o4 7o*i$ $%n $% o4 %n%u' %n" $14o1" n1*

1qui1,n# %1 %'#o !1o!o1ion%'*1%1 (Po#/i" >@).

An* nu1iion%' 4 u1in % 1ii%'1o$ !1io ou' !1&n $ $i'41o, %$i&in $i# o1 $1 1o$!oni%' (2%1'o" >@).


9/77

I,!o1%n o4 M%'nu1iionon8 T$ #$o1-1, i,!'i%ion# o4 4%i'u1 o

%1## #on%1* PEM (!1oin n1*,%'nu1iion) in $i'1n in'u

in1%# #u#!i7i'i* o in4ion" !oo1oun $%'in" !1io!1%i&o,!'i%ion# %n 1u 1#!on# o1%,n (Fu$#" >@@0).

T$ 'on-1, i,!'i%ion# in'u#unin" &'o!,n%' '%* %n %n

o&1%'' in1%# in ,o17ii* %n


10/77

I,!o1%n o4 M%'nu1iionon8 M%'nu1iion n%i&'* %B# 71%in

&'o!,n %u#in '%*# in ,oo1%n onii& &'o!,n" #u$ %#

1%# in''u%' quoin #o1#"%nion 9i i#o11# %n 1%##oi%' #/i''#.


11/77

E!i,io'o* o4M%'nu1iion ?'o7%''*" %n #i,% >0> ,i''ion $i'1n

un1-9& *%1# o4 %" o1 >


12/77

E!i,io'o* o4M%'nu1iion on8 ?'o7%''*" %n #i,% ,i''ion

$i'1n un1-9& *%1# o4 %" o1 ="1 o&1i$ (i.." i$-4o1-$i$

%7o& G;SD) in ;0>>" % 5= in1%#41o, %n #i,% ; ,i''ion in >@@0.(2HO" ;0>;)

T$ !1&%'n o4 un1i$ in $C%1i77%n %# .5= i$ #i,% 0.>,i''ion $i'1n %B in ;0>>.2$1%# .5= o4 $i'1n 7in

o&1i$o7# in ;0>> (#i,% 0.


13/77

E!i,io'o* o4M%'nu1iion on8

In J%,%i%" $ !1&%'n o4,%'nu1iion %# ;.


14/77

E!i,io'o* o4M%'nu1iion on


15/77

E!i,io'o* o4M%'nu1iion on


16/77

D,o1%!$i#

Po!u'%ion6 5>"5 (JIS" ;0>;)

L%1# !%1i#$ in $ Sou$ E%#Rion%' H%'$ Au$o1i*(SERHA).

T$ #on ,o# !o!u'ou# %n$ ,o# 1%!i'* 1oin !%1i#$in %,%i%.


17/77

P1o9' o4 $ H%'$Di#1i# Co,!1i## o4 4ou1 () on# i$ ;<

$%'$ n1#

H%'$ i#1i# in'u6 S!%ni#$ Ton"O' H%17ou1" Lin#% %n Po1,o1

A,on $ $%'$ i#1i# %1 < *! $%'$ n1#" >0 *! ;" *! >%n >*! - S. J%o P%1/ $i$ oB1#u1%i&" ,%1n%' %n $i'" n%'",n%'" n&i1on,n%' #1&i# #/in" HIV


18/77

Di#1i7uion o4 H%'$ Kon#

in S. C%$1in

Zone 4

Zone 2

Zone 1

Zone 3


19/77

P1o9' o4 $ H%'$Di#1i# on8 To Pu7'i Ho#!i%'#6 S!%ni#$ Ton

Ho#!i%'- T*! " %n Lin#% Ho#!i%'- T*! C.


20/77

Ai,# %n O7i&#

D#1i7 $ nu1iion%' #%u# o4 $ $i'1n$i$'i$in 1n# in $ !1&%'n o4o&1i$ o7#i* %n un1nu1iion u#in $Mon$'* C'ini Su,,%1* R!o1# o4 ;0>-;0>5.

D#1i7 $ !1&%'n o4 un1-nu1iion 7*n1" % 1ou!# %n $%'$ on#

Ini4* 4%o1# %##oi% i$ $ !1&%'n o4un1nu1iion


21/77

Ai,# %n O7i&# on8

D#1i7 $ in1&nion# 4o1un1nu1iion $i$'i$in 4%o1#%##oi% i$ #u## %n 7%11i1# o

!1o1%,, 'i&1*. A#### $ #oi%' n&i1on,n o4 $

$ou#$o' %n ,o$18# %1i&18#/no' o4 $ $i'8# oniion$1ou$ % $o, &i#i.

Su# %!!1o%$# o i,!1o& $'i&1* o4 in1&nion# in $ !1i,%1*

$%'$ %1 #in


22/77

D#1i!ion o4 $ Nu1iion%' S%u# o4C$i'1n % 0-5 *%1# in S.C%$1in (;0>-;0>5) $i$'i$in1n# in !1&%'n o4

o&1i$o7#i* %nun1nu1iion.

UESTION >


23/77

M$oo'o*

U#in %% 41o, $ MCSR" $ o%'&i#i# 4o1 $i'1n % 0-5 *%1# !1*%1 1 %'u'% %n $ nu,71 o4

$i'1n %#### %# 7ino&1i$o7# %n un1i$ 4o1%$ *%1 %# %'u'%.

F1o, $ &%'u# o7%in" $!1n% o4 $i'1n $o 1o7#o&1i$ %n un1i$ %#

%'u'% $n o7%inin $


24/77

Nu1iion%' S%u# %n T1n# T$ nu,71 o4 $i' $%'$ &i#i# o&1

$ *%1# 1,%in 1'%i&'* #%7'7%u# $1 i# % 'i,i in $ nu,71 o4

!%in# $% %n 7 #n %i'*

To%' !%1i#$ $i' $%'$ &i#i# 1%n

41o, .=- @= o4 $ o%' S. C%$1in!o!u'%ion. ;0>-


25/77

Nu1iion%' S%u# %n T1n# on8

i i ' S


26/77

Nu1iion%' S%u# %n T1n# on8 T$1 %# % 1%# in $ nu,71 o4

$i' $%'$ &i#i# in ;0>5 (;") in1%# in $

%&%i'%7i'i* o4 4%#-4oo ;) 1%# in $

o%' nu,71 o4 &i#i# $17* in1%#in

N i i ' S


27/77

Nu1iion%' S%u# %n T1n# on8 T$ !1&%'n o4 7o$ o&1i$

o7#i* %n un1i$ 1%#in ;0>5 $i$ ,%* 1 $

Bi&n## o4 $%'$ u%ion.


28/77

USIN? THE ;0>5 MCSR OR OTHERREPORTS DESCRIE THE PREVALENCEOF UNDERNUTRITION Y ?ENDER"A?E-?ROUPS AND HEALTH RE?IONS

UESTION ;


29/77

P1&%'n i# $ !1n% o4 %!o!u'%ion $% i# %B i$ %!%1iu'%1 i#%# % % i&n i,

(M11i%, 27#1" ;0>5)

C%'u'% % % i&n i, !1io %#6

Nu,71 o4 !1#on# un1i$ + >00

To%' Po!u'%ion


30/77

T$1 %# % o%' o4 ;"5.

;.> = o4 $i# !o!u'%ion 1 4oun o 7un1i$.


31/77

A?E-?ROUPS


32/77

A?E-?ROUPS

T$ !1&%'n o4 un1nu1iion %#'o# in $ 0-< ,on$ 1ou! %# 7%7*ou' 7 +'u#i&'* 71%#4.

P1&%'n %# $i$# %,on $ ->>,on$ 1ou!" o11'%in o $in1ouion o4 o,!',n%1* 4oo# %< ,on$#" $i$ ,%* on1i7u o $#$%1! 4ou1 4o' in1%#.

T$ !1&%'n i# $n #n o 1%u%''*1%# i$ in1%#in %.


33/77

?ENDER


34/77

?ENDER

Un1nu1iion %# $i$1 7*%!!1o+i,%'* 0 = %,on $ ,%'#o,!%1 o $ 4,%'#.

T$i# ou' 7 1'% o ,%' $i'1n7in ,o1 ,o7i' %n %i& ,%/in$, 'o# 1%1 n1* 41o, $i17o*.

HEALTH


35/77

HEALTHRE?ION

M%! #$oinP1&%'n o4

Un1nu1iion7* H%'$RionKon# in

;0>5 0 - >= > ; = ; ;.5 =

Q;.5=

Zone 4

Zone 2

Zone 3

Zone 1


36/77

HEALTH RE?ION

Kon %# 4oun o $%& $ $i$#!1&%'n o4 un1nu1iion (;.>=)4o''o 'o#'* 7* Kon ; (;.5=).

Kon $% $ 'o# !1&%'n(0.@=).


37/77

HEALTH RE?ION

Kon >%n Kon ; 1 $,o# u17%ni 1ion# i$Kon $ ,o# 1u1%'1ion.

Nu1iion%' #%u# 71 in

u17%n $i'1n o,!%1 o1u1%' oun1!%1# u o(S,i$" L. . %'." ;005)6

71 #oioono,ioniion#

2o,n8# u%ion 2%1 %n #%ni%1*

4%i'ii# %&%i'%7'.

?1%1 u# o4 $%'$#1&i#


38/77

In on#u'%ion i$ $%'$ #%B"ini4* $ 4%o1# %##oi% i$$ !1&%'n o4 un1nu1iion.

UESTION


39/77

F%o1# %##oi% i$ $ !1&%'n o4un1-nu1iion

Foo in#u1i* L%/ o4 u%ion Poo1 4in $%7i#


40/77


Foo in#u1i* A #% in $i$ on#i#n %## o

%qu% 4oo i# 'i,i 7* % '%/ o4

,on* %n o$1 1#ou1# % i,#u1in $ *%1. (USDA" ;0>


41/77


L%/ o4 u%ion

Poo1 $%'$ 'i1%*


42/77


Poo1 4in $%7i#

• M%* o1 ,%* no 7 1'% o 4oo

in#u1i*• N'in

• S,%'' ,%' #i#

• Pi/* %1#


43/77


44/77

D#1i7 $ in1&nion# 4o1 un1-nu1iion $i$'i$in 4%o1#%##oi% i$ #u## %n 7%11i1#o !1o1%,, 'i&1*.

UESTION


45/77

IN THE PAST

Foo Di#1i7uion P1o1%,,(>@0#)

Foo !%/%# 1 i&n o4%,i'i# $o# $i'1n 1ini9 $1ou$ $ Pu7'iH%'$ #*#, %# ,o1%'*o1 #&1'* ,%'nou1i#$.


46/77

P1o1%,, D'i&1* o4

S1&i#Success Barriers

Di#1i7uion o4 4oo

!%/%# o $o# in1%# n

Un1#%B !u7'i

$%'$ 4%i'ii#

Enou1% &i#i# o!u7'i $%'$ 4%i'ii#

D'%* in 'i&1* o44oo o !u7'i $%'$

4%i'ii#E+'u $o# no%ninun%7' o%## $#4%i'ii#


47/77

Foo #%,! !1o1%,, (>@) 4ou# on !1n%n %n '%%in

o,n" $i'1n un1 5 *%1# o4 %"

$ '1'* %n $ $%ni%!! A''o 4o1 $ !u1$%# o4 o1n,%'"

1i %n !o1 #/i,, ,i'/ %

o,,1i%' 1o1* ou'# $o ou'$n 1, $ #%,!# % $i1 7%n/#.

Foo S%,! P1o1%,,


48/77

Foo S%,! P1o1%,,D'i&1* o4 S1&i#

Success Barriers

Ri# in 4oo !1i# L%/ o4 %## o

!u7'i $%'$ 'ini#

Enou1% &i#i#

o $ !u7'i $%'$'ini#

E+'u#ion o4 $o#

in n no i$in$ %1 1ou!


49/77

PRESENTLY

P1o1%,, 4o1 A&%n,n $1ou$H%'$ %n Eu%ion (PATH" ;00;)

Coniion%' %#$ 1%n#41 !1o1%,,

R!'% ,%in '4%1 !1o1%,,#Ouoo1 Poo1 R'i4" $ 4oo #%,!!1o1%,, %n Pu7'i A##i#%n

!1o1%,,#. n9i%1i# in'u $i'1n" '1'*"

!1n%n %n '%%in o,n" $i#%7' %n !oo1 %u'# >-5@ *%1#


50/77

PATH D'i&1* o4 S1&i#

Success Barriers

T$o1ou$ %!!'i%ion

!1o##

E'ii7i'i* 1i1i%

Co,!'i%n i$

oniion#

P%*,n ,% o %

#in' 4%,i'*1!1#n%i&.


51/77

H%'$ Eu%ionEu%in !%1n#%1i&1#

o4 un1nou1i#$ $i'1n%7ou n1* n# 4oo#.


52/77

H%'$ Eu%ionSuccess Barriers

no' o4%!!1o!1i% 4oo# 4o1$i'

Foo in#u1i*

In4o1,%ion no!%## on o o$14%,i'* ,,71#

in&o'& in $i' %1.

In%!!1o!1i% u# o4o1#


53/77

Ho, Vi#iConu 7* o,,uni* $%'$

%i# o %#### $ $o,n&i1on,n o4 un1nou1i#$$i'1n $o %1 no i,!1o&in.


54/77

Ho, Vi#i

Success Barriers

Un1#%n #oi%'

n&i1on,n

In%##i7'un#%7'

'%n

Foo ,on#1%ion Vo'%i' o,,uni*

Cu'u1%' C$%''n#


55/77

Ho, Vi#i


56/77

T$ $i'

>> ,on$ o' ,%' .5 /i'o1%,# un1i$ 4o1 % o1n !1,%u1 % /# A 7i1$

%!%1 #o1# 16 > ,in6 ; 5,in6


57/77

T$ $i'

C$i' #uB1 1#!i1%o1* i#1###*n1o," !'% on oninuou# !o#ii&%i1%* !1##u1 (CPAP)" $*!o+i

i#$%,i n!$%'o!%$* S% >"1on$o!u',on%1* *#!'%#i%" on#i&%1i% 4%i'u1 #on%1* o !%nuu# %1io#u# %n %n%,i%

%,i o NICU 4o1 > %*#


58/77

T$ $i'

Sin i#$%1 % > ,on$ $ $%# $%!oo1 4in %n $%# 7n #&1'*un1i$

H $%# n&1 7n 71%#4

H%# no $ %n '%* &'o!,n%',i'#on#


59/77

T$ $i'6 ?1o$ C$%1

T$ $i'6 D&'o!,n%'


60/77

T$ $i'6 D&'o!,n%'Mi'#on


61/77

T$ $i'

No 4o''o u! % $ Lin#% H%'$Cn1 4o1 $i# un1i$ #%u# %n

u#%,%n Ho#!i%' 4o1 C$i'1n 4o1 $i##u1i%' oniion#

I,,uni%ion #%u# u! o %

D,o1%!$i# %n Soi%'


62/77

D,o1%!$i# %n Soi%'Hi#o1* Lin#%" S. C%$1in

;; *%1 o' N. 2 'i&# in on1

71oo, $ou# i$ $1 $i'1n( %# *%1#" ; *%1#" >>,$#)"o,,on '% $u#7%n %n < o$1!1#on#.

Soi%' n&i1on,n o4 $


63/77

Soi%' n&i1on,n o4 $$ou#$o' Runnin %1" '1ii*" #o&" 141i1%o1

!1#n % $o, S$ i# un,!'o* %n $%# no CC #u7#" no

4o1,%' qu%'i9%ion S!ou# o1/# 41o, i, o i,.

E#1%n 1'%ion#$i! 7n ,o$1 %no,,on-'%-$u#7%n

Poo1 ,oion%' %n 9n%ni%' #u!!o1 41o, 4%,i'*,,71#

Soi%' n&i1on,n o4 $


64/77

Soi%' n&i1on,n o4 $$ou#$o' T$1 *%1 o' %n ; *%1 o' #$%1 % 4%$1"

$o i# %#

Mo$1 o4n 9n# i i:u' o !1o&i 4o1$i'1n

O4n %nno %Bo1 % 7%'%n ,%' 4o1

$i'1n

M%in'* 4# 7%7* !o11i %n 4o1,u'%

Soi%' n&i1on,n o4 $


65/77

Soi%' n&i1on,n o4 $$ou#$o' On $ o1%' on1%!i& !i'' i$ $i$

#$ '%i,# o,!'i%n

Soi%' n&i1on,n o4 $


66/77

Soi%' n&i1on,n o4 $$ou#$o'

Mo$18# /no' o4 $


67/77

Mo$1 # /no' o4 $$i'8# oniion oni o4 in1#W

Mo$1 $% !oo1 /no' o4

un1nu1iion" i8# B# %n $o oo1/ o o11 i

S, o $%& !oo1 /no' o4 $oo 4 $i'

No $

Mo$18# /no' o4 $


68/77

Mo$1 # /no' o4 $$i'8# oniion ; $ou1 1%'' i%' W


69/77

SU??EST APPROACHES TO IMPROVE

THE DELIVERY OF INTERVENTIONS IN THE PRIMARY HEALTH CARE SETTIN?.

UESTION <

R i


70/77

Ro,,n%ion#

1 $%'$ u%ion u# o4 4oo $%1# #$oin #1&in

#i# 7* nu1iioni##" !i%1ii%n#

%n nu1##

En#u1 !%1n#u%1i%n un1#%n

$ oniion %n i# B on $$i'8# $%'$

Ro,,n%ion#


71/77

Ro,,n%ion#on8Foo ,on#1%ion To 1-n4o1 in4o1,%ion i&n o

!%1n#%1i&1# 1%1in !1o!1

nu1iion.

To i''u#1% $ %!!1o!1i%

!1!%1%ion o4 &%1iou# in+!n#i&4oo# $i$ %n !1o&i % nu1iiou#,%'.

R i 8


72/77

Ro,,n%ion# on8

F%,i'* Min# To u% %'' 4%,i'* ,,71#o$1

!1#on# in&o'& in $ %1 o4 $

$i' %7ou oo nu1iion.

To u!% $ 4%,i'* on $ $i'8#

oniion.

To %in %n un1#%nin o4 $

$%''n# $ 4%,i'* ,%* 7 4%in.

R i 8


73/77

Ro,,n%ion# on8

A!!%'1#$i! o i,!1o& $ 'i&1* o4$ PATH !1o1%,,

P1o&i#ion o4 '%1 N%ion%' H%'$ FunC1i1i%

Mo1 Bi& 1o' o4 #oi%' o1/1#$1 !o##i7'

R i 8


74/77

Ro,,n%ion# on8

A1,n 7n 4%o1i# %n $$%'$ #*#,W

R41n#


75/77

R41n# A''in" T." D%1" A." E1/o" . ;0>5. P1&%'n %n 4%o1#

%##oi% i$ un1nu1iion %n %n%,i% %,on #$oo'$i'1n in Du17 Ton" no1$# E$io!i%. A1$i&# o4 Pu7'iH%'$. 6. R1i& 41o,$!6%1$!u7'i$%'$.7io,n1%'.o,%1i'#>0.>><@0-0>5-00-+

u1##" A." D%n%" L. ;00. Un1nu1iion in Au'# %nC$i'1n6%u##" on#qun# %n $% %n o. Sou$ Su%nMi%' Jou1n%' 6;00. R1i& 41o,$!6.#ou$#u%n,i%'ou1n%'.o,%1$i&;00-05un1n

u1iion-in-%u'#-%n-$i'1n-%u##-on#qun#-%n-$%--%n-o.$,'

E,n%1i" ." Su77%1%o" . >@@@. J%,%i%8# Foo S%,! P1o1%,6I,!%# on Po&1* %n 2'4%1.

R41n#

http://archpublichealth.biomedcentral.com/articles/10.1186/s13690-015-0084-xhttp://archpublichealth.biomedcentral.com/articles/10.1186/s13690-015-0084-xhttp://www.southsudanmedicaljournal.com/archive/2008-05/undernutrition-in-adults-and-children-causes-consequences-and-what-we-can-do.htmlhttp://www.southsudanmedicaljournal.com/archive/2008-05/undernutrition-in-adults-and-children-causes-consequences-and-what-we-can-do.htmlhttp://www.southsudanmedicaljournal.com/archive/2008-05/undernutrition-in-adults-and-children-causes-consequences-and-what-we-can-do.htmlhttp://www.unicef.org/progressforchildren/2006n4/index_nutritionandmdgs.htmlhttp://www.southsudanmedicaljournal.com/archive/2008-05/undernutrition-in-adults-and-children-causes-consequences-and-what-we-can-do.htmlhttp://www.southsudanmedicaljournal.com/archive/2008-05/undernutrition-in-adults-and-children-causes-consequences-and-what-we-can-do.htmlhttp://www.southsudanmedicaljournal.com/archive/2008-05/undernutrition-in-adults-and-children-causes-consequences-and-what-we-can-do.htmlhttp://archpublichealth.biomedcentral.com/articles/10.1186/s13690-015-0084-xhttp://archpublichealth.biomedcentral.com/articles/10.1186/s13690-015-0084-x


76/77

R41n#

$%i1"J." Mo1on" M. (;000). Nu1iion%' %####,n %n

#1nin in $i'1n. Nu1#in i,#" @


77/77

T$%n/ *ouZ

T$ END

Malnutrition in ST. Catherine, Jamaica

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