Nutrition: Nutributter in Nicaragua

Giving out nutritional supplements can have positive effects on health care systems in low- and middle-income countries, writes Anita Chary, an MD/PhD candidate at Washington University. Case-in-point: Nutributter in Nicaragua.

Children’s caregivers who visited health posts and centers to pick up Nutributter were likely to use other Ministry of Health services—family planning, prenatal care, vaccinations—according to health care workers interviewed by Chary’s team.

While the large-scale program built stronger relationships between ministry staff and community health workers, it placed extra burdens on both parties—who also worried about sustainability if international aid fell through.
 

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