Volume 83, Issue 3
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



The objective of this study was to compare acute and chronic undernutrition rates before and after the introduction of a food-supplementation program as an adjunct to routine health care for children of migrant workers in the Dominican Republic. The cross-sectional study was conducted in five rural communities in the Dominican Republic. Children 18 years and younger were eligible if they received routine health care from local mobile clinics. Data were obtained before (2005) and after (2006) initiation of a food-supplementation program. χ or Fisher exact tests were used for analysis. Among 175 children in 2005, 52% were female, and 59% were < 5 years of age (mean age = 5.3 years). Among 148 children in 2006, 48% were female, and 57% were < 5 years of age (mean age = 5.6 years). Acute undernutrition rates decreased from 40% to 23% ( = 0.001) after initiation of the food-supplementation program. Rates of chronic undernutrition decreased from 33% to 18% after the initiation of the food-supplementation program ( = 0.003). Food supplementation in the context of routine health-care visits improved the nutritional status of children, and it warrants further exploration as a way to reduce childhood undernutrition in resource-scarce areas.


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  1. Black RE, Morris SS, Bryce J, , 2003. Where and why are 10 million children dying every year? Lancet 361: 22262234.[Crossref] [Google Scholar]
  2. Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, Mathers C, Rivera J, , 2008. Maternal and Child Undernutrition Study Group Maternal and Child Undernutrition 1: global and regional exposures and health consequences. Lancet 371: 243260.[Crossref] [Google Scholar]
  3. United Nations, 2009. End Poverty Millennium Development Goals 2015. Available at: http://www.un.org/millenniumgoals/bkgd.shtml. Accessed April 6, 2009. [Google Scholar]
  4. Food and Agriculture Organization of the United Nations, 2000. The State of Food Insecurity in the World. Rome, Italy: Food and Agriculture Organization of the United Nations. [Google Scholar]
  5. Bhutta ZA, Ahmed T, Black RE, Cousens S, Dewey K, Giugliani E, Haider BA, Kirkwood B, Morris SS, Sachdev HP, Shekar M, , 2008. Maternal and Child Undernutrition 3: what works? Interventions for maternal and child undernutrition and survival. Lancet 371: 417440.[Crossref] [Google Scholar]
  6. Beaton GH, Ghassemi H, , 1982. Supplementary feeding program for young children in developing countries. Am J Clin Nutr 35: 884916. [Google Scholar]
  7. Harris AD, Bradham DD, Baumgarten M, Zuckerman IH, Fink JC, Perencevich EN, , 2004. The use and interpretation of quasi-experimental studies in infectious disease. Clinical Infectious Diseases 38: 15861591.[Crossref] [Google Scholar]
  8. World Health Organization, 2006. WHO Child Growth Standards: Length/Height for Age, Weight for Age, Weight for Length, Weight for Height and Body Mass Index for Age: Methods and Development. Geneva: World Health Organization. [Google Scholar]
  9. Waterlow JC, Buzina R, Keller W, Lane JM, Nichaman MZ, Tanner JM, , 1977. The presentation and use of height and weight data for comparing the nutritional status of groups of children under the age of 10 years. Bull World Health Organ 55: 489498. [Google Scholar]
  10. Roy SK, Fuchs GJ, Mahmud Z, Ara G, Islam S, Shafique S, Akter S, Chakraborty B, , 2005. Intensive nutrition education with or without supplementary feeding improves the nutritional status of moderately-malnourished children in Bangladesh. J Health Popul Nutr 23: 320330. [Google Scholar]
  11. Ruel MT, Menon P, Habicht JP, Loechl C, Bergeron G, Pelto G, Arimond M, Maluccio J, Michaud L, Hankebo B, , 2008. Age-based preventative targeting of food assistance and behaviour change and communication for reduction of childhood undernutrition in Haiti: a cluster randomized trial. Lancet 371: 588595.[Crossref] [Google Scholar]
  12. Unicef, 2006. Unite for Children Publications. Unite for Children: Progress for Children. A Report Card on Nutrition. Available at: http://www.unicef.org/publications/index_33685.html. Accessed April 6, 2009. [Google Scholar]

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  • Received : 21 Aug 2009
  • Accepted : 09 Apr 2010
  • Published online : 07 Sep 2010

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