VI. EFFECT OF HEALTH AND NUTRITION INTERVENTIONS ON INFANT AND CHILD MORTALITY IN RURAL GUATEMALA·

Abstract:

HL Delgado,** V. Valverde** and E. Hurtado?" annual per capita income, large proportions of populations residing in rural areas, unequal distribution ofland ownership and sizes of plots, semi-subsistence agricultural practices, high levels of illiteracy, limited public sanitation, water supply deficient in quantity, quality and availability, poor personal hygienic practices and, in sorne cases, language and cultural barriers within the population. Variations exist within the sub-region, however. Panama and Costa Rica have experienced sub-stantial improvement in socio-economic indicators in the last 20 years; the other countries show only moderate evidence of socio-economic progress. The success of Costa Rica and Panama could be attributed to the model of development they adopted. Since the beginning of the last century, the Governments of both countries have emphasized educational programmes ta reduce illiteracy rates. In the first half of the present century, social reforms took place, which included the creation of a social security system, the development of housing and the initiation of an income tax and other forms of income bkp_redistribution. Moreover, since the late 1960s Costa Rica has been implementing nation-wide programmes designed to deliver services to the people. Among these, the rural health care programmes and the collective food supplementation programmes appear as the mainforces responsible for the decline in morbidity, malnutrition and mortality rates. In turn, Panama has been promoting the implementation of rural development projects in those communities exhibiting higher malnutrition, mortality and poverty rates. As …

Año de publicación:

1980

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