Community-Based Interventions to Reduce Child Stunting in Rural Guatemala: A Quality Improvement Model.

ABSTRACT: Rural Guatemala has one of the highest rates of chronic child malnutrition (stunting) in the world, with little progress despite considerable efforts to scale up evidence-based nutrition interventions. Recent literature suggests that one factor limiting impact is inadequate supervisory support for frontline workers. Here we describe a community-based quality improvement intervention in a region with a high rate of stunting. The intervention provided audit and feedback support to frontline nutrition workers through electronic worklists, performance dashboards, and one-on-one feedback sessions. We visualized performance indicators and child nutrition outcomes during the improvement intervention using run charts and control charts. In this small community-based sample (125 households at progr

SUBMITTER: Juarez M 

PROVIDER: S-EPMC7831302 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature