title: Decreasing stunting, anemia, and vitamin A deficiency in Peru: results of the Good Start in Life Program.
abstract: BACKGROUND
  The rates of stunting, iron-deficiency anemia, and vitamin A deficiency in Peru are among the highest in South America. There is little scaled-up experience on how to solve these problems countrywide.
  
  
  OBJECTIVE
  To evaluate the Good Start in Life Program during the period from 2000 to 2004.
  
  
  METHODS
  Data on weight, height, hemoglobin, serum retinol, urinary iodine, and age were obtained from children under 3 years of age during two transverse surveys in 2000 and 2004.
  
  
  RESULTS
  In 2004, the program covered 75,000 children, 35,000 mothers, and 1 million inhabitants from 223 poor communities. The rate of stunting decreased from 54.1% to 36.9%, the rate of iron-deficiency anemia decreased from 76.0% to 52.3%, and the rate of vitamin A deficiency decreased from 30.4% to 5.3% (p < .01). The annual cost per child was US$116.50.
  
  
  CONCLUSIONS
  Adaptations of this participative program could contribute to decreased stunting, iron-deficiency anemia, and vitamin A deficiency at the national scale in Peru and many other countries.
authors.affiliation: Agencia Internacional de Seguridad Alimentaria (AISA), Lima, Peru. alechtigl@yahoo.com
authors.forename: Aarón
authors.initials: A
authors.lastname: Lechtig
authors.forename: Guido
authors.initials: G
authors.lastname: Cornale
authors.forename: María Elena
authors.initials: ME
authors.lastname: Ugaz
authors.forename: Lena
authors.initials: L
authors.lastname: Arias
mesh_terms: D000367:Age Factors; D018798:Anemia, Iron-Deficiency / Q000097:blood / Q000453:epidemiology / Q000628:therapy*; D001827:Body Height; D001835:Body Weight; D002675:Child, Preschool; D003362:Cost-Benefit Analysis; D005260:Female; D006130:Growth Disorders / Q000097:blood / Q000453:epidemiology / Q000628:therapy*; D006266:Health Education; D006801:Humans; D007455:Iodine / Q000652:urine; D008297:Male; D044342:Malnutrition / Q000097:blood / Q000453:epidemiology / Q000628:therapy; D015999:Multivariate Analysis; D010568:Peru / Q000453:epidemiology; D011247:Pregnancy; D015995:Prevalence; D015397:Program Evaluation; D014131:Trace Elements / Q000652:urine; D014801:Vitamin A / Q000097:blood; D014802:Vitamin A Deficiency / Q000097:blood / Q000453:epidemiology / Q000628:therapy*
chemical_list: D014131:Trace Elements; D014801:Vitamin A; D007455:Iodine