Successes and challenges to implementing an early childhood supplemental feeding program in rural Honduras: a qualitative study.

ABSTRACT

BACKGROUND: Malnutrition is a major cause of childhood illness, stunted growth and death worldwide. A supplemental nutrition program for young children was implemented in Guachipilincito, Honduras. This study explores early successes and challenges to implementing this program. METHODS: We conducted a qualitative, semi-structured, key informant interview study in 2012. Two researchers analyzed interview transcripts using the immersion/crystallization method of qualitative analysis. RESULTS: The program evolved from addressing macronutrient deficiency in 2010, to targeting micronutrient deficiency. Successes include consistent food distribution, positive community feedback and establishment of a Honduran community oversight committee. Challenges include tracking growth data, sharing of food among family members, and long-term sustainability. Next steps include obtaining stable funding, utilizing local food suppliers, and increasing crop diversity. Participants identified cultural and economic factors contributing to challenges with these steps. CONCLUSION: While the feeding program is having successes, it still faces many challenges. Additional interviews with Honduran-based staff, community leaders and program recipients may identify the best ways to address these challenges.