NutriSalud - Community Nutrition and Health Care Project (NutriSalud)

The goal of Nutri-Salud is to improve health and nutritional status of Guatemala’s rural and indigenous populations. Nutri-Salud’s target population are the 30 municipalities (pop. 1.2 to 1.5 million) in five departments (six Health Areas) in the Western Highlands. The target beneficiaries are children under five, with emphasis on those under two years, and women of reproductive age.

Activity Description

The Nutri-Salud Project objectives are to:

  • Improve the nutritional status of women of reproductive age and children under five by implementing the seven Essential Nutrition Actions (ENA), an integrated package of cost-effective actions proven to reduce maternal and child malnutrition and associated death and disease, by focusing on the 1,000 day “window of opportunity” (i.e., during pregnancy and the first two years of a child’s life, when ENA can prevent malnutrition);
  • Strengthen essential maternal, neonatal, and child health care and family planning services at the community level, with a constant health care presence in target communities; and
  • Engage communities in determining active solutions to their health care needs through community mobilization and linkages to local government structures.


Nutri-Salud has four technical components, which are implemented in an integrated manner within a continuum of care framework for integrated maternal, neonatal, and child health with a focus on the ‘1,000 days’ approach.

  • Component 1: Prevention of Chronic Malnutrition
  • Component 2: Improved Obstetric, Neonatal, and Child Health Care, including, Community-based Integrated Management of Child Illness (c-IMCI)
  • Component 3: Community-based Family Planning (FPC) and Reproductive Health (RH) Services
  • Component 4: Community Mobilization and Linkages to Local Government for Improved Health and Nutrition
Expected Outcomes
  • Improved Maternal and Child Feeding Practices
  • Improved maternal and child Essential Nutrition Actions
  • Improved maternal and child hygiene and care practice
  • Maternal and child cases of sever acute malnutrition identified and treated
Actual Outcomes
  • 1606 people participated in 55 “caminatas” focused on adequate use of water, waste (garbage) disposal/management, human waste disposal, and promotion of healthy food
  • The percentage of households with a child 0 to 23 months of age that have a place with supplies for hand washing (inside or outside the home) has increased from 83% to 93%.