Assessment of community readiness to address malnutrition in rural southwest Guatemala.

BACKGROUND

Malnutrition is prevalent throughout southwest Guatemala, where >40% of children suffer from chronic undernutrition. Evidence supports that assessing a community's awareness and readiness to address malnutrition is a critical first step in improving the success of a nutrition intervention program. The objective of this study was to apply the community readiness model (CRM) to assess community readiness to address childhood malnutrition in a rural southwest region of Guatemala.

METHODS

Thirteen key respondents of varied social roles and demographics residing in the region were interviewed. Interview questions related to addressing malnutrition were from the following predefined dimensions: Community Efforts, Community Knowledge of Efforts, Leadership, Community Climate, Community Knowledge, and Resources for Efforts. Interview recordings and notes were analyzed and scored according to the CRM guidelines, and a standardized analysis was conducted.

RESULTS

The overall community readiness score was 4.26 (preplanning: awareness of the issue). Community Efforts had a total score of 5 (Preparation: preparing to take action on the issue). Community Knowledge of Efforts, Community Climate, Community Knowledge, and Resources for Efforts Dimensions each had a total score of 4 (Preplanning: awareness of the issue). The overall score for the Leadership dimension was 2 (Denial/resistance: belief that the problem does not exist within the community). These scores demonstrate clear recognition for action to address childhood malnutrition as a problem. However, efforts to combat childhood malnutrition are not yet focused nor detailed for community action.

CONCLUSIONS

This rural southwest region of Guatemala recognizes that childhood malnutrition is a problem. However, efforts to address malnutrition are not yet focused or detailed enough to have measurable impact in addressing this issue. For the region to advance the stage of community readiness, it is essential to enhance knowledge of dietary strategies aimed at improving nutrition for children and increase engagement from local leadership.