Providing Health Services for "Child Development and Nutrition" Program

About the program

The program seeks to improve or maintain growing conditions and development of children aged 0-13 years, living in poverty, malnutrition and with social vulnerability or health; through preventive nutrition services, child care and protection, and promoting growth and development.

Country Costa Rica
Home 12.31.1969
Classification Alimentación escolar, Food Aid, Extension and information on nutrition, Nutritional Health
FNS Dimension Utilización
Website http://www.mep.go.cro.cr
Objectives

General objective

Helping to improve or maintain the conditions of growth and development of children from 0 to 13 years which are beneficiaries of the Program who live in poverty, malnutrition and social vulnerability or health; through preventive nutrition services, child care and protection, and promoting growth and development.

Specific objectives

  1. Providing services for Preventive Nutrition through the distribution of served meals, whole milk powder and / or food to families with pregnant mothers, or breastfeeding, and children from 3 months to less than 13 years living in social or health vulnerability.
  2. Providing services for Child Care and Protection within the providing institution’s establishments or outside (intra and extramural) for children aged 3 months to less than 13 years, together with the strategy of the presidential mandate of the CARE NETWORK.
  3. Providing services to promote growth and development through educational activities accompanying the family group in the tasks of parenting and socialization of their children.
  4. Buy food to supply for establishments of the Associations for Educational and Cultural Development (ADEC).
  5. Equipping 42 establishments CEN-CINAI, constructed, expanded and repaired and replace equipment that has deteriorated over time or has become obsolete in other establishments.
Components and/or products

Served meals

In the service regarding served meals, prepared meals are offered with good handling practices and high nutritional value to children as of six months to thirteen years of age, pregnant women or nursing mothers. Caloric requirements among the quantity of milk required by the recipient depends on the time he or she is to remain in the establishment and how often food is provided depends on the strategy being used. The beneficiary receives the service daily for 12 months.

  1. Daily Served Meals within the venues for users with Comprehensive Daily Care. It provides, on a daily basis to children as of six months to less than 13 years of age, a highly nutritious meal for consumption on the premises which includes:
    1. Breakfast, 20% of the daily caloric requirement.
    2. Lunch, 30% of the daily caloric requirement.
    3. The afternoon snack, 10% of the daily caloric requirement.
    4. Another snack after 4 pm, 20% of the daily caloric requirement.
  2. Daily Served meals within the venues without Comprehensive Daily Care. Provide, on a  daily basis to children older than six months to at least 7 years of age and/or to 7 year olds to up to 13 year olds who do not receive food in the school cafeteria, pregnant women and breast-feeding mothers, a diet of high nutritional value for consumption on the premises which includes:
    1. Breakfast, 20% of the daily caloric requirement;
    2. The afternoon snack, 10% of the daily caloric requirement;
    3. The late afternoon snack, 20% of the daily caloric requirement;
    4. Lunch, 30% of the daily caloric requirement. 

Meals Served Outside the Venues

It is a service provided once a month throughout the year, to scattered rural areas or locations close to the borders which are also characterized by difficult access, to persons under 13 years of age, their parents or guardians, whenever they participate in educational activities promoting growth and development; a lunch or snack that covers 30% of the daily caloric requirement is delivered. The beneficiary receives the service once a month for 12 months.

Educational activities for groups of parents or guardians and children, which consist of a lunch or snack, are prepared on site and then moved to the place where educational activities are developed.

Distribution Service for Whole Milk Powder

  • Distribution of 1,600 grams of whole milk powder to children from 1 year to 7 years of age and to women during pregnancy or nursing which live in poverty and / or are at social risk. The beneficiary of 1.6kg of milk receives this service on a monthly basis for 12 months of the year.
  • Distribution of 1,600 grams of whole milk powder to beneficiaries within the Food Distribution Families (DAF). The beneficiary of 1.6kg of milk receives the service on a monthly basis for 12 months.
  • Distribution of 800 grams of whole milk powder for consumption at home for preschool beneficiaries and pregnant or nursing mothers for the Served Meals component. The beneficiary of 0.800 kg of milk receives the service once a month for 12 months of the year.
  • Delivery of 320 grams of whole milk powder for consumption within the establishments for children in pre-school and pregnant and nursing mothers in relation to the Served Meals component which attends Education and Nutrition Centers (CEN) or Education and Nutrition and School Cafeteria Centers (CENCE). The beneficiary receives 320 grams of milk on a daily basis for 12 months of service in the CEN-CENCE establishments.
  • Delivery of 640 grams of whole milk powder for consumption within the establishments for preschool and school children and pregnant women and nursing mothers who attend the Children's Nutrition and Comprehensive Care Center (CINAI) establishments. The beneficiary receives 640 grams of milk on a daily basis for 12 months of service in the CINAI establishments.

Food Distribution Families (DAF)

It consists of the monthly delivery of food to families:

  1. Children under 2 to 7 years of age (preschool), with malnutrition, stunting or thinning, living in poverty, with health or social vulnerability.
  2. The package is for a family group of 4 members that includes foods from the basic food basket, previously established for its nutritional value, and also incorporates milk powder.
  3. The package contains 1.6 kg of whole milk powder, 8.0 kg rice, 3.6 kg of beans, 4.0 kg sugar, 2 liters of cooking oil, 1.0 kg pastas, 6 tuna cans.
  4. The beneficiary receives the service on a monthly basis for 12 months, the cost of the food package DAF is 27,150 colones monthly (USD$50).

Services for Child Care and Protection

Within the establishments for Education and Nutrition Centers or Children’s Comprehensive Care Centers services regarding child care and protection are offered in partial or full schedules, depending on the needs of families. These services include: complementary feeding, growth monitoring and development actions in initial education to children from 3 months to 7 years of age and school support for children from 7 years of age up to 13.

They also receive services regarding the development of educational activities with participatory methodologies which stimulate work for children in specific areas. These areas are science, drama, visual arts and library, among others, and should be rich in resources that challenge learning and development.

The recipient is selected to receive a daily service regarding early childhood education or school support and measures to promote growth and development, and food in two or three periods depending on the child’s permanence within the service.

Food purchases

Resources are destined in order to purchase food by the Institution in the amount of 30,000,000 colones (USD$54,568), this amount is executed through a Purchase Order at the institutional level that allows the establishments to buy food.

Equipment

Establishments in which their equipment is in poor condition because of their years of use or who do not have items for classrooms in order to expand coverage and provide child services for Preventive Nutrition and Child Care and Protection; to be able to provide the aforementioned services equipment and materials for food preparation and preservation will be provided, and also equipment in order to prepare specific areas for the groups of infants, preschool and school children.

Target population

Children from 0 to 13 years of age of the Program, who live in poverty, suffer from malnutrition and social or health vulnerability.

Women during pregnancy or nursing mothers who live in poverty, or suffer from health or social vulnerability.

Beneficiaries from the Meals Served Service: Children under five years who have normal poor nutritional status, at risk of malnutrition, according to any of the weight indicators for age or weight for height.

  1. Children under five who have low normal or poor nutritional status according to the indicator for height as a proportion to age.
  2. Children from five to thirteen years of age who have poor nutritional status according to body mass index (BMI) indicator.
  3. Children which require any special support, who live with development problems, or at social risk and who live in poverty.
  4. Pregnant and nursing mothers at social risk.
  5. Children of adolescent girls, pregnant teenagers and nursing teenagers which are at health risk and living in poverty.
  6. Children and pregnant women and nursing mother at health risk and living in poverty.

Beneficiaries of the Distribution of Whole Powdered Milk:

  1. Children under five who have a nutritional status which is at risk of malnutrition, according to any of the indicators for weight for age or weight for height.
  2. Children under five who have a low nutritional status or delay in the height for age indicator.
  3. Children from five to seven years of age that have a deficient nutritional status according to body mass index (BMI) indicator.
  4. Children with developmental problems and pregnant adolescent women and nursing teenagers or suffering from inadequate weight gain as a product of low birth weight, living within the area of the venues but outside the establishments which are at health risk and live in a condition of poverty.
  5. Children, pregnant women and nursing mothers who live within the area of that provides the services outside of the venues which are at health risk and live in poverty.

Beneficiaries for Food Distribution for Families (DAF):

  1. Children under five who suffer from malnutrition, according to any of the indicators for weight for age or weight for height.
  2. Children under five who have a delayed nutritional status regarding the height for age indicator.
  3. Children from five to seven years of age that have a deficient nutritional status according to body mass index (BMI) indicator.
Scope

Nacional

Geographical coverage Urbano
Responsible organism

Ministerio de Salud

Executing organism Dirección Nacional de Centros de Educación y Nutrición y de Centros Infantiles de Atención Integral
Normative framework

Ley 5412, Ley Orgánica del Ministerio de Salud del 8/11/1973

Financial sources

Fund for Social Development and Family Allowances