Haiti's Northwest region is resource-poor, sparsely populated, and possessed of minimal infrastructure and services. The Haitian-American Community Help Organization (HACHO; in 1979 the name was changed to Harmonisation d'Action des Communautes Haitiennes Organisées) was established in 1966 through a grant to CARE to undertake health services provision and community development in the region.
The Haiti National Nutrition Survey, conducted during June-September 1978, quantified the magnitude and distribution of malnutrition in young children and their mothers. Ofthe 5353preschool children surveyed, 6.0% were severely wasted (less than 80%of the reference median weight-for-height). Stunting (less than 90% of the reference median height-for-age) was most prevalent in the 48-59-month age group. Over 40% of the children in this group were stunted.
The studies were carried out in two phases with the assistance of the Government of Haiti (GOH) officials and the staff of USAID/Haiti. Phase I involved the collection and review of all available literature to determine its usefulness in providing a sound basis for the identification of potential development areas. The geographic scope of past, present and proposed water resources developments in Haiti were determined in order to avoid duplication of effort and to identify rural areas not now being helped.
The basic program in fishculture that was established in 1950 under the auspices of the United Nations Mission in Haiti appears to be an effective plan for increasing fish in diets of many low-Income Haitians and should be re-vitalized and implemented to the extent that funds and facilities will allow. Primary emphasis should be placed upon stocking fish in farm ponds, providing technical assistance to farmers on fishculture, and stocking natural waters that presently are poor sources of food fish, such as Lake Pellegre.