Guatemala: Landscape Analysis Initiative Progress to date

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1 Guatemala: Landscape Analysis Initiative Progress to date

2 Contents Situation Analysis and its deterioration due to external factors (oil prices, food commodities, devaluation of the dollar) National strategy for the reduction of chronic malnutrition and efforts of the MOH / SESAN / Social Cohesion Council Advances and progress to conduct the Landscape Analysis Initiative

3 Background WHO Analysis on global chronic malnutrition with the financial support of Bill and Melinda Gates Foundation (36 countries contributing to 90% global burden), and participation of SNU and SCN. Invitation by WHO to attend 35 SCN Meeting and Landscape Analysis Meeting in Hanoi, Vietnam, on March, Acceptance by the Guatemalan government to attend the meetings Commitment by Guatemala to participate in this initiative and organize the mission s visit. Mutual agreement to conduct the mission in Guatemala from June 9-14, 2008

4 Guatemala in Latin America Located in Northern Part of Central America 108,000 Sq Km Population: 13 Million Indigenous: 49%; 23 ethnic groups Guatemala Poverty: 57 rural: 82% urban: 18% Extreme poverty 21.5% indigenous: 56% ladino: 44% Literacy rate (15-64 years) 79%

5 Health and Development Indicators MMR: 248 in 1989 to 153 in 2002, 3x higher among indigenous NMR: 104 in 1987 to 53 in 2002 IMR: 73 in 1987 to 39 in 2002 Third highest in America Mortality Rate Under 5 Years: 48.1 in th highest in America 30% municipalities with critical coverage of inmunization

6 National Prevalence of Chronic Malnutrition Children< 5 YEARS National prevalence 49.3% Of 332 municipalities; have a chronic malnutrition prevalence higher than 59% - 15 have a prevalence over 80% Low Medium Low Medium High Very High Source: Demographic and Health Survey 2002, First Grade Schoolchildren Height Census, 2001

7 69.5% of indigenous children under 5 years of age have chronic malnutrition. Gender: 49% female 51% male In absolute numbers:

8 Nutritional Anemia 38% in children under 3 years of age 16% in women in reproductive age 23% in pregnant women Prevalencias de anemia en niños menores de 3 años y mujeres en edad fértil prevalencia prevalencia Anemia (hb<11 g/dl) menores de 3 años, total y Anemia (hb<11 por semestre g/dl) menores de edad de años, total y por semestre de edad Total Total Anemia en mujeres en edad fértil, embarazadas y no embarazadas prevalencia Mujeres en edad fértil <12g/dL Embarazadas < No embarazadas 11g/dL <12g/dL total urbana rural

9 Insufficient Public Resource Allocation to meet human capital investment % Gasto social/pib AL Gasto social/pib GUA Gasto social/pib CR Gasto social/pib HON Fuente: CEPAL, Panorama Social de Am Latina y el Caribe érica

10 Extension of Coverage of Basic Health Services, namely in 45 prioritized municipalities, 2008 (PEC and institutional service extension) Food and Nutrition Security Policy Food and Nutrition System Decree, Number ) Food and Nutrition System Code- Government Decree Number Descentralization Law, 2002 Municipal Code, 2002 Food fortification law, Decree 1991 Health Code, 1997 Legal Institutional Framework

11 Secretaría de Seguridad Alimentaria y Nutricional - SESAN SESAN is the coordinating entity of the FNS System (SINASAN) and is responsible for the intersectoral operational coordination of the planning, implementing and monitoring of the Strategic FNS Plan, as well as for the articulation of the programs and projects of the national institutions involved in FNS of the country.

12 44 Priority Municipalities

13 National Strategy for the Reduction of Maternal and Child Malnutrition MOH plan of action World Bank and IDB loans ENRDC Mi familia Progresa Cash transfers Increase of basic health services Total coverage of school attendance by children 6-14 years

14 Direct components Basic health Breastfeeding Complementary Services Nutrition Education feeding Feasibility and Sustainability Components Water and Sanitation Family Economic improvement Community Participation

15 Advances and progress to date for the preparation of the Landscape Analysis Initiative

16 Progress and Advances to Date National commitment through SESAN to participate in Initiative Identification of key actors Planning of mission Integration of mission and of local committee Visit to country Expected results of mission Meetings with key actors at national level Field visit Workshop to share results and recommendations

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