An alternative road to the post-petroleum era

by James W. Howe

Abstract: Ten nutritional intervention projects throughout the world are reviewed to assess the effectiveness of such programs, to examine their strengths and weaknesses, and to discuss future applications. Projects were selected for review by completeness of their records, and do not necessarily represent the most effective programs. All projects attempted to reduce infant and child mortality; 6 also assessed physical growth of children and 4 promoted family planning. Analysis is provided for program impact; costs; peripheral factors contributing to program effectiveness (maternal nutrition supplements, tetanus immunization, training programs, etc.); interpretation of evaluation results; and, implementation of nutrition intervention efforts on a larger scale. Intervention programs can be effective in breaking the poverty cycle. The success of the programs cannot be traced to any single factor, but is rather the product of universal commitment, understanding of social forces, and manag