Context The 1992 peace settlement that ended the civil war in El Salvador included land redistribution and other provisions designed to improve the socioeconomic status of ex-combatants and vulnerable civilians.
Objective To describe associations between postwar social and economic assistance programs, especially land reform, and current child health status as reflected by nutrition in a population of resettled rural refugees.
Design A population-based cross-sectional survey of child nutritional status and principal elements of the reconstruction process.
Setting A single rural municipality in northern El Salvador.
Participants A representative sample of 761 children younger than 5 years, living in 27 villages.
Main Outcome Measure Prevalence of stunting (low height for age) in children younger than 5 years.
Results Prevalence of stunting was 32.4%.
Stunting was significantly more prevalent among children whose families cultivated less land (odds ratio [OR] for stunting per additional hectare of redistributed land cultivated, 0.64 ; 95% confidence interval [CI], 0.44-0.93).
Less than half of newly transferred land was being cultivated by its owners.
Most of the children (84.7%) lived in families cultivating 2 hectares or less of redistributed land.
Stunting was also more prevalent among children whose households lacked piped water (adjusted OR, 2.72 ; 95% CI, 1.87-3.96) vs those who had had piped water since before the cease-fire. (...)
Mots-clés Pascal : Salvador, Amérique Centrale, Amérique, Zone rurale, Etat nutritionnel, Enfant, Homme, Exploration, Santé, Reconstruction, Prévalence, Malnutrition, Trouble nutrition
Mots-clés Pascal anglais : El Salvador, Central America, America, Rural area, Nutritional status, Child, Human, Exploration, Health, Reconstruction, Prevalence, Malnutrition, Nutrition disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0085075
Code Inist : 002B30A01A2. Création : 31/05/1999.