Understanding chronic malnutrition


Today's Text: by Sarah

We left Guatemala yesterday.

Even though we’ve returned to our usual routines of grocery shopping, laundry catch-up, swimming lessons and lots of cuddling time with the girls, there are so many things I won’t be able to ignore about my time in Guatemala and specifically the time spent in the village of Segois with Olga and her community.

The one issue that nags most persistently at my heart is the crisis of chronic malnutrition.

It is not an exaggeration to call the problem a crisis.  Not only is one out of every two children in Guatemala currently suffering from chronic malnutrition, but even when a child with chronic malnutrition is fed and restored to a healthy weight, if he or she was not treated prior to five years of age, the condition will severely detrimentally impact them for the rest of their adult lives.  The brain development that occurs during the first five years of a child’s life is key.  When a growing brain is not adequately nourished in those early years, it will never be able to grow to its fully intended capacity.

The same holds true for physical stature.  The diminutive height and weight of the Guatemalan children was overwhelming to me.  I would ask a child who looked like he or she was six or seven how old he or she was and would be shocked to find out that he or she was in actuality eleven or twelve years old.  I had to keep reminding myself that our own sponsor child, Olga, is eight, the same age as Gigi.  when in reality, she was physically smaller than our Lulu, age five.


To give you an even more graphic representation, this photograph shows a line indicating the minimum height deemed “acceptable” for a nine year-old child.  None of these Guatemalan children even come close.



Before I came on this trip, I honestly believed that the problem of chronic malnutrition was an issue of children simply having too little food.  Coming from a country with soaring obesity, and specifically childhood obesity rates, from having too much food, this seemed perfectly logical to me.  But through my time here, through speaking with the people of Cegois and most significantly, through my talks with the Food for the Hungry staff, including the director at Guatemala’s central office and  our personal guide, Amalia, once a sponsor child herself, I have come to a very important conclusion:

Chronic malnutrition is not a result of lack of access to food, it’s a result of lack of understanding that as parents, we are entrusted by God with the tasks of feeding and caring for the treasures He has given us–our children.


In no way am I implying that Guatemalan parents do not love their children.  On the contrary, I observed nothingbut love in the eyes and the hearts of the mothers I interacted with.  However, the seemingly basic understanding we have in our own country about the responsibility to regularly feed and practice hygiene with and for our children is something that has never been taught to these mothers.  But it is not too late.

While I am a “do-e”r by nature, a fixer, a-”let-me-get-my-hands-on-this-problem-and-get-dirty-er” by nature, I had to humble myself enough to realize that this isn’t about me being able to go into the communities and hand out food and water, or even to send money to provide those needs.

The answer to preventing chronic malnutrition, and most likely the answer to many of the problems faced by suffering people in this world, is in relationship.

And as much as I might want to believe that I am trustworthy, friendly and capable enough to help teach these parents of their responsibilities, the truth is, I’m not.  I don’t have the access, I don’t have the trust and I don’t have the ability to go back to these communities every couple of weeks and ensure that the practices and principles that are being taught are being used.

But Food for the Hungry does.



The mutual trust, affection and respect I saw between the community and the FH staff (including Flory and Domingo, both pictured above) is not something I could come close to replicating in even a longer mission trip and admittedly perhaps ever.  But this does not mean I am helpless in helping the Guatemalan people that I have come to love.

I still have the ability to sponsor a child (or several), which ensures that Food for the Hungry will continue to be able to do their work on the ground.  I still have the ability to pray for these children, which I will do every day. I still have the ability to develop an even deeper relationship with my sponsor children and others, so that they may know God’s love, their own worth, and the value of all human life, including their own children someday.


I can feed their hearts in any way I can, which I assure you, I will do any chance I get.


All photos taken by Jessica Taylor for FH.

To sponsor a child with Food for the Hungry, please visit here.    A small monthly contribution can make a huge difference in aiding the impoverished and the hungry. Your sponsorship is changing and effecting lives in Guatemala.

  • Chronic malnutrition in Guatemala IS a lack of access to food. They typically don't eat fresh fruit and vegetables or meat because they can't afford it. There is a sanitation factor that was never "taught" but that's because they don't have access to clean water! 90% of the water is contaminated. And, god has nothing to do with it. The reason for chronic malnutrition is because they don't understand that God entrusted them to care for their children? I think they understand that. Or that God entrusted all of us to care for all the children in the world? We try. Chronic malnutrition is also because the government of Guatemala has not cared for its indigenous populations. They provide money for school lunches – 20 cents per day. Not enough for good nutrition. So many reasons, and I'm pretty sure they are trying as hard as they can to care for their children as they have been taught. They live with gastrointestinal problems because of the water situation. People are trying to get water filters to them but it costs, guess what, money! What they need are jobs, income. Not God, sorry. So keep visiting, build a relationship, but some water filters, plant some Chaya, build some schools, buy some piglets. But keep God out of it.

  • Somewhere in the middle of this post you totally lost me. It is really difficult for me to understand that in a country where families have been devastated by natural disasters over and over again, where families live in homes with dirt floors and where the income per capita is well below $3,000 a year that the reason why children are suffering from malnutrition is because “the seemingly basic understanding we have in our own country about the responsibility to regularly feed and practice hygiene with and for our children is something that has never been taught to these mothers.” Huh?!?! This statement came off as extremely elitist and while I think it’s wonderful that you sponsor a child there and have taken time out of your life to travel to guatemala to help, I feel that you really don’t get it…still. To think, and have the audacity to believe, that people need to “learn” to feed their children is absolutely absurd. Just another case of the great white hope swooping in with a pompous attitude to teach the impoverished. please.

    • Monica

      Inki… Unless you have been there and seen the situation with your own eyes, it really isn't possible for you to make a judgment call. I spent years teaching in the inner city of Houston. Poverty abounded and still abounds. While I might like to point my fingers at various statistics about why things were the way they were, the truth is, it was (and stil is) a combination of a lack of parental education/instincts. I would never have believed the things I saw until I saw them with my own eyes. At the very least, please give Sarah the benefit of the doubt. Her leadership on this blog should give her words credibility.

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