{
  "abstract": "Objectives To strengthen the competencies of women, their families, and communities in promoting the holistic development of early childhood—from pregnancy through age four—through the ‘Nútreme Centers’ program, an integrated strategy for the prevention of chronic childhood malnutrition.Methods An integrated community-based methodology was implemented through ‘Nútreme Centers,’ which serve as learning and support spaces for pregnant women, mothers, and caregivers. The intervention included educational sessions on nutrition, maternal and child health, early stimulation, and self-care. A key component was the SEA model (Sanitation, Family Economy, and Agricultural Activities), which promotes healthy habits, home-based food production, and economic empowerment at the household level. Periodic assessments were conducted to monitor nutritional status, child development, and hygiene practices in the home.Results During the evaluation period, the program reached more than 8,000 direct and indirect participants. Improvements were observed in child growth indicators, hygiene practices, dietary diversification, and household economic autonomy. Trained community leaders replicated the program’s content within their communities, fostering sustainable change.Conclusions The Nútreme Centers, incorporating the SEA model, proved to be an effective strategy for preventing chronic childhood malnutrition and strengthening early childhood development. The community-based, intergenerational, and multisectoral approach enabled a deep and sustainable impact in vulnerable settings.",
  "authors": [
    {
      "affiliations": [
        "Puente, Guatemala, Guatemala"
      ],
      "name": "Edna de Morales"
    }
  ],
  "title": "73 Nútreme centers",
  "uid": "dade4b80-a28b-5a7e-b326-e24603c628ee"
}