Objective:

To improve the nutritional status, psychomotor development and the environment in preschool children with chronic malnutrition in rural areas.

Materials and methods:

53 children entered the epidemiological intervention study according to the inclusion criteria. For the initial and final evaluation, the three dimensions were incorporated, on the one hand, there is the nutritional state characterized by anthropometry, clinical and laboratory, on the other hand the psychomotor development from the Denver scale and finally the environmental environment according to the scale of percentages. Follow-up was carried out with the CLAPSEN COMMUNITY strategy that influences the Clinical, Laboratory, Anthropometry, Psychology, Social, Education and Nutrition areas. The process was carried out by a multidisciplinary team, through the use of educational brochures, talks, workshops and community fairs with diverse themes. The “nutritional backpack” monitoring instrument was introduced. Family gardens were developed, nutritional supplements were provided, and stress management and stimulation of the child's psychomotor development were carried out.

Results:

Nutritional dimension: growth on admission: -2.11 ± 0.7 SD to: 0.67 ± 0.3 SD (p <0.000) at discharge; Hb: 10.4g / dl5 ± 3.3 to: 12.54g / dl ± 1.2 (p> 0.001); Ferritin from: 12.81 ± 9.65mg / dl to: 19.60 ± 101lmg / l (p <0.003). Development: gross motor skills improved from 76.1 ± 14 SD to 95.1 ± 5.7 SD (p^0.000). Coordination: entry: 74.2 ± I6DS, egress: 96.8 ± I2DS (p^0.000); entry language: 73.7 ± 15 SD. a: 95.67 ± 5 (p^0.000); Personal-social income from 76.515 SD to: 99.07 ± 4DS (p^0.000), Inadequate environmental setting from 83.37% to: 18.13%. With significant correlations between nutritional status - psychomotor development and environment. While the nutritional parameters, psychomotor development, children's environment improved, the degree of contamination of the child's environment decreased.

Conclusion:

The intervention with the CLAPSEN strategy allowed to improve the environment, nutritional status and psychomotor development in a relevant way.