CRITICAL ANALYSIS OF A SOCIAL PROGRAM:

COMPREHENSIVE NUTRITION PROGRAM (PIN) - LA LIBERTAD REGION

[Link]:

GENERAL OBJECTIVE OF THE INTEGRAL NUTRITION PROGRAM (PIN)

Contribute to preventing malnutrition in children up to 12 years of age
prioritizing children under 3 years old in a situation of nutritional vulnerability and
improving your quality of life.

SPECIFIC OBJECTIVES OF THE PIN BY SUBPROGRAMS:

SUB PROGRAM CHILD PIN (PREGNANT MOTHERS AND MOTHERS WHO
BREASTFEEDING / CHILDREN FROM 6 MONTHS TO 3 YEARS).- Contribute to the
prevention of chronic malnutrition and anemia in children under the age of
of 3 years, with a holistic and social development focus.
SCHOOL PIN PROGRAM (DIVIDED INTO PRESCHOOL FROM 3 TO 5)
YEARS AND IN SCHOOL AGED 6 TO 12 YEARS OLD).- Contribute to maintaining
an adequate nutritional status of girls and boys from 3 to 12 years old with
holistic approach and social development

II. DESCRIPTION:
The Comprehensive Nutrition Program-PIN, is a preventive program
promotional, which directs its attention to the population according to the stage of the cycle of
life, under the focus of human capital protection, prioritizing its action
towards the poor and extremely poor population of the country, as well as that
with high nutritional risk enrolled in the National Assistance Program
Food (PRONAA)1
The intervention area of the PIN is national and is executed in each
Region through the zonal Headquarters of PRONAA.
The PIN includes the execution of three components: the component
educational, the food component and the monitoring component and
evaluation.
The educational component essentially proposes the strengthening
of capacities and competencies in families for care and protection
infantile, modifying their survival strategies for strategies of
development, incorporating the approach of human and social development and the
promotion of networks for the protection and care of children in terms of health and
nutrition. In clear accordance with supreme decree 029-2007 that
approves the Social Programs Reform Plan encompassing three axes of
intervention: i) Development of human capacities, ii) Promotion of
opportunities and economic capabilities and iii) establishment of a network of
social protection. (PUCP, 2008)

The food component is basically conceived through two

Sub Programs: Sub Children's Program and Sub School and Preschool Program
1
PRONAA is an Executing Unit of the Ministry of Women and Social Development, whose
the purpose is to contribute to raising the nutritional level of the population in critical poverty, as well as
contribute to food security in the country. It implements actions of assistance, support and
food security aimed, preferably, at addressing vulnerable groups and at high
nutritional risk, especially for children, and those affected by emergency situations
temporal. (PRONAA Trujillo, 2008)
 Each subprogram addresses specific results in relation to
the population they are targeting and aiming to improve the quality of life.
This improvement initially implies that the involved families receive a
immediate benefit, such as nutritional supplementation, and at the same
time to generate in them and in the community new behaviors and
capabilities aimed at the nutritional development of the population.
The expected results of the children's subprogram are summarized as:
Families with appropriate behaviors in child care and development, governments
locales with the ability to manage nutritional food programs and
girls and boys under 3 years old with access to complementary food
opportune and of quality. Similarly, the expected results of the sub
school program are: Girls and boys between 3 to 12 years and families with
appropriate behaviors in child care and development, local governments with
capabilities to manage food - Nutritional programs and girls and
children between 3 and 12 years old with access to timely complementary feeding and
of quality.
To achieve these expected results, the PIN is proposed to be developed
strategies that generally include, for example: coordination
with Health Establishments and/or educational institutions, to attend to
the target population, providing them: 1) food baskets and/or breakfasts
students that meet their minimum requirements for energy, proteins and
micronutrients. 2) Similarly, the PIN includes developing actions
focused on the generation of healthy behaviors in mothers and in the
families, among teachers, parents and students, strengthening the already existing ones
and incorporating those that require, 3) The PIN must also promote that
the boys and girls are incorporated into the Comprehensive Health Insurance - SIS and are
commits to 4) The promotion and incidence in regional public policies and
locales aimed at reducing poverty, inequality, discrimination, the
reduction of chronic malnutrition and increase food security
of the families.
Finally, the monitoring and evaluation component, designed
as a means to improve service delivery through learning
from the processes of the experience, measure results and impacts of the program,
review the relevance of the strategies contemplated and follow up on the
compliance with indicators expressed in the logical framework.

TARGET POPULATION

They are all the people qualified in extreme poverty, that is,
those whose income level is insufficient to acquire a basic basket
of food consumption and vulnerable groups whose nutritional status and
Food-related issues pose a risk to sustainable human development.
([Link]

Currently, the PIN is being distributed in 42 districts of 7 provinces.

prioritized by the Poverty Map of the MEF of the La Libertad Region. Of the
42 districts, in 29 of them, the population identified as extremely poor
is higher than 25%, while in 13 of the districts, the population in extreme
poverty exceeds 50%. All these districts are located in the area of
sierra of the La Libertad Region.

BENEFICIARIES 2008 REGION LA LIBERTAD PROGRAMMED

1.- CHILD PIN (Children under 3 years old, Pregnant and Nursing)
Difference intervention with food support, in relation to
number of taste buds.
Papilla plus 03 products 15,232
Single papilla 21,599
Infants 4023
Pregnant women 6595
2.- PRESCHOOL PIN (3 years to under 6 years) 15,533
3.- SCHOOL PIN (6 years to under 12 years) 105,331
TOTAL BENEFICIARIES 168,313
Source: Prepared based on PRONAA documents Trujillo, 2008)

BASE LINE

REGIONAL POVERTY LEVELS

La Libertad is a department with 12 provinces, (5 on the coast and 7 in

the mountains) and 83 districts. According to data from INEI, in the La Libertad Region, the
52.1% of the inhabitants are in a situation of poverty, which includes
an approximate population of 790,000 people, whose level of spending is
insufficient to acquire a Basic Consumption Basket. Poverty
extreme affects 280,000 inhabitants, which represents 18.3% of the population
regional. This index is significantly lower than the 24.4% that corresponds to the
national average. According to these values, the incidence of poverty in
Freedom is placed in 17th position out of 25 regions in which it is divided.
politically the country. In the case of the extreme poverty index, La Libertad
houses 4.2% of the national population in that situation, located in the
eleventh place in the ranking, by proportion of population in extreme poverty.
(International Solidarity Foundation Company of Mary, 2007)
According to the results of the ENAHO - IV Quarter 2001 in La Libertad,
of almost 332,000 households, 43.6% of households are recorded in a situation of
poverty, distributed at 29.1% in a state of poverty and 14.5% in extreme
poverty. In the urban area, 31.7% of households (34.8% of the population)
presents at least one unmet basic need (NBI); while in the
rural area this proportion rises to 83.2% of households. In global terms,
half of the provinces of La Libertad have between 80% and 90% of
households with unsatisfied basic needs. These are: Julcán with 89% of
poor households that encompass 91% of the population, Santiago de Chuco with
87% of households and 89% of the population, respectively, Sánchez Carrión with
85% of households and 87.5% of the population, Pataz with similar percentages to the
anterior and Bolívar with 81% of households in poverty and 83.5% of population.
(Regional Government La Libertad, 2008)
70% of the districts (where all those located are included
in the Sierra de La Libertad) are located in the lowest income bracket, the
same that represents 64% of total income. For its part, in the
highest income stratum, which represents 4% of total income,
only located in 2 districts (Trujillo and Ascope, both on the coast). (UNDP, 2005)

PROVINCE DISTRICT INEI Poor Registered Registered from

extreme % From 1 to 3 years 6 to 11 months.
Bolívar Bambamarca 62.50 184
Bolivar 40.00 235 9
Condormarca 47.60 97
Uchumarca 33.90 143 5
Sánchez Chugay 59.60 978 30
Carrion Cochorco 59.80 432 3
Curgos 66.80 466 20
Huamachuco 41.10 1720 104
Marcabal 66.10 560 8
Sanagoran 75.00 802 33
Sarin 66.20 527 8
Sartimbamba 66.00 767 23
Julcán Calamarca 44.30 324
Carabamba 42.50 378 45
Huaso 45.10 342 4
Julcán 39.20 573 32
Pataz Bulbiduyo 35.80 209 8
Chillia 60.70 566 9
Huayo 55.60 228 2
Ongon 52.90 67 3
Parcoy 33.80 729 18
Huancaspata 48.90 337 19
Santiago de Challas 35.50 119 13
Tayabamba 39.00 754 49
Taurida 35.80 101 3
Urpay 35.90 134 7
Great Chimú Lucuma 27.00 233 16
Sayapullo 40.00 406 21
Otuzco Agallpampa 43.10 441 14
Make 29.10 134 4
The Slope 39.00 24
Paranday 47.20 39
Salpo 28.00 285 20
Sinsicap 56.00 408
Usquil 43.50 1077 91
Santiago Chuco Angasmarca 31.10 259 10
Cachicadan 40.80 346 19
Mollepata 33.30 142 8
Quiruvilca 34.80 711 56
Santa Cruz de Chuca 39.00 151 4
Santiago de Chuco 37.30 1000 121
Sitabamba 55.30 191
TOTAL 17619 839
Source: Prepared based on PRONAA documents Trujillo, 2008

In summary, there is an unequal distribution of income by districts, being

the inhabitants located in the mountains who have the highest per capita income
low. This low income situation that dominates in the sierra is associated with its
see the highest relative levels of poverty that are also observed in this
middle
In the same way, as can be seen in the previous table, there is
still a high level of underreporting, derived from targeting problems of the
program, meanwhile, the higher the level of extreme poverty, the greater the difficulty for the
 identification and registration of beneficiaries, which extremely limits reaching
the expected impact of the PIN.

SITUATION OF FOOD INSECURITY2AT REGIONAL LEVEL:

According to the ENDES IV in the year 2000, it reaches 27.9% of children under
5 years that present some degree of caloric-protein malnutrition in the
La Libertad Region, This is the objective result of the combination of factors
among those who stand out is the economic incapacity of the majority of the population,
deficit of sources of work, absence of adequate mechanisms of
food security, distorted eating habits and resultant morbidity
for infectious and parasitic agents related to the lack of services
basic and limited health education. By 2005, the levels of malnutrition
regional chronicles reach 0.30%, increasing in the mountainous district of
Mollepata at 0.63%. (Regional Government of La Libertad, 2008)

SITUATION OF OTHER CHILD AND SCHOOL HEALTH RISKS A

REGIONAL LEVEL:
Among the causes of infant death in the Region, the following are ranked first.
certain conditions originating in the perinatal period, among which
infectious diseases predominate, followed by diseases of
respiratory system and then the diarrhea.
In La Libertad, the average coverage of the programs of
immunization is relatively high. 97% of children aged 12 to 23 months of
age, they have been vaccinated against BCG and 85% against measles. Almost
all children have received the first dose of the DTP and Polio, 96% and
93% respectively, but for the third dose those proportions
decrease to 78% and 71% and for the year 2000 it is obtained that 91.9% of children
received the BCG vaccine, 72.1% against Measles, almost the total of
children have received the DPT vaccine, an average of 76% of children have received it
polio vaccine; and all vaccines have been received at 55.8%
of children throughout the Region. (Regional Government La Libertad, 2008)

TEMPORAL - SPATIAL ASPECT

DURATION: At the regional level, social development planning, in terms

generals is located in the temporal space 2008 - 2015, the development in the
We will contextualize the La Libertad Region of the Integral Nutrition Program in
this period of time, although the Food Program in general was
created in 1992.

LOCATION

Region: La Libertad

2
Access to material and economic resources for sufficient, safe, and nutritious food for all individuals
so that they can use them properly to meet their nutritional needs and carry a rune
healthy life, without taking undue risks of losing that access. It includes the aspects of
availability, safety, utilization, access, and stability. (PRONAA, 2007)
 Provinces:
Bolívar, Sánchez Carrión, Julcán, Pataz, Gran Chimú, Otuzco
Santiago
Chuco

COVERAGE:

As of today, 89% progress has been made in the attention to the

scheduled beneficiaries. However, serious differences are shown in the
advancement percentages in the care of schoolchildren aged 6 to 12 years
(100% execution) versus the almost null (4%) advance in the percentage of
attention to infants and pregnant women. As shown in the table
next:
BENEFICIARIES 2008 PROGRAMMED EXECUTED ADVANCE
A
SEPTEMBER
2008
PIN INFANTIL
(Children under 3 years,
Pregnant women y
Infants
Nipple more 03 15,232 10,616 70
products
Single papilla 21,599 18,342 85
Infants 4023 146 4
Pregnant women 6595 268 4
PIN PRE-SCHOOL 15,533 15,533 100
(03 years to minors
of 06 years)
SCHOOL PIN (06 105,331 105,331 100
years to minors of
12 years
TOTAL 168,313 150,236 89
BENEFICIARIES
Source: Prepared based on PRONAA documents Trujillo, 2008

If it is conceived that the nutritional contribution of the rations provided to the children
children under 3 years and preschoolers have a high nutritional value, it is considered
that as of the date this percentage of attention is being covered
approximately 67% of energy, 100% of proteins and iron, and 70% of
other micronutrients that the younger one needs for their nutrition. Of the same
mode, the nutritional contribution of the portion received by the mothers
Pregnant and lactating women are being provided with 28% of energy and 34% of protein.
per day. For its part, in the case of breakfast servings for school children
from 6 to 12 years the nutritional contribution is 23% energy, 44% proteins,
100% iron and 60% of other micronutrients of your daily requirement
(PRONAA Trujillo, 2008)

The impact on the educational component is difficult to establish, as

this has been carried out in isolation from the PIN until the month of September
by officials of the Juntos Program and around the monitoring component and
evaluation, so far the regional reports are those expressed
fundamentally of a quantitative nature, in previous paragraphs.
 [Link]: POSITIVE AND NEGATIVE ASPECTS RELATED TO THE
PRINCIPLES OF A SOCIAL POLICY.

It was considered to analyze the positive aspects of the Comprehensive Program of

Nutrition in the La Libertad Region and its limitations based on the following
categories: Existence of a political priority and explicit legislative framework in
returning to the food theme, observation of the current capabilities of the
institution to develop the social program, assessment of the execution
the PIN with a contextual perspective, capabilities of the Institution for generation
of local capacities, the drive of the PIN towards strengthening of
spaces for concerted participation, the promotion that the PIN carries out on the
gender perspective and the implementation of monitoring systems and
evaluation

A.- POLITICAL PRIORITY AND EXPLICIT LEGISLATIVE FRAMEWORK:

POSITIVE ASPECTS:

[Link] in social policy within the fight against poverty on topics

related to nutrition and food.
2. Explicit regulations for addressing the direct acquisition of food at the level
national.
3. Opening for the articulation of actions at the different levels of government
and from civil society, which transform into national and/or regional plans:
• The National Action Plan for Childhood and Adolescence 2002-2010,
consider as strategic objective 1, to ensure a healthy life for
boys and girls from 0 to 5 years old, aimed at achieving that all children and
girls under two years old access breastfeeding and
optimal complementary feeding., for which it is proposed: 1)
implement 70% of educational centers with educational projects
institutional on prenatal care and nutrition content
infant and incorporate 85% of pregnant mothers from the areas of
extreme poverty as users of complementary programs
nutritional. (MINDES, 2002)
• The La Libertad Region is incorporated into its Regional Plan of
Social Development 2008-2015 as the fourth strategic objective to combat
child malnutrition at the regional level, for this it is proposed as
results to achieve: Strengthen a comprehensive nutrition program,
improve basic sanitation services, coordinate institutions of
state and civil society to reduce malnutrition, promote a
balanced eating culture in the population, increase the
regional budget for the Health sector. Considering for this effect,
among its relevant actions: i) Promote the use of inputs and
Andean food products, ii) prioritize the nutrition of the newborn
less than a month. iii) ensure nutrition for the pregnant mother, iv)
control and monitoring of safe water, v) development of a program for
screening and treatment of parasites and anemia, vi) the implementation of
a multisectoral committee against malnutrition, vii) the preparation of the
Regional Coordinated Nutritional Plan, viii) implement workshops on
sensitization and training. (State institutions and Institutions of
the civil society), ix) improve the equipment and infrastructure of the
 food services, x) the dissemination and promotion of material
didactic.

LIMITATIONS:

1. There is still an evident overlap of functions between the PIN and others.
sectors that execute social policy: JUNTOS or CRECER for example,
derivative of the actions - fundamentally promotional educational, which
are carried out in the same prioritized areas, with the participation of the
same actors.
2. Inter-institutional coordination at the regional and local level has been acceptable but
very punctual, limited to meetings and legally prescribed spaces, but without
visible results. The beneficiary population perceives not only duplicity of
functions, but also institutional confrontations (in terms of the
different political party affiliation of the levels of regional coordination
and local that are visualized in the La Libertad Region).

B. CURRENT CAPABILITIES OF THE INSTITUTION FOR

DEVELOP YOUR SOCIAL PROGRAM:

POSITIVE ASPECTS:

1. The food program has the capacity to act immediately.

in the face of national emergency situations and to address requirements for
foods. At the same time, they have the ability to expand coverage
of attention and intervention spaces of their programs and projects at the level
national.
2. The food program has the recognition of the Organizations
Community Social Services as a leading institution in social support with food to the
poor sectors of the country.

LIMITATIONS:

[Link] PIN does not have an efficient integrated information system for decision-making.
of decisions and being part of a national structure the decision-making
still centralized
[Link] organizational structure and excessive centralization and duplication of
functions among officials affect the development of activities
(fundamentally those of monitoring and evaluation)
3. Absence of technical studies (baseline, project profiles, evaluation
of impact, etc.) to expand and improve the nutrition program.
[Link] of certain partisan political favoritism in personnel hiring
which works for the program, generates a limited availability of personnel
specialized in the efficient management of the components of the social program.
[Link] is no organizational culture of continuous qualification and training of
human resource.
[Link] than 90 percent of the personnel currently working for the PIN
originates from the district of Trujillo, a coastal area located up to 7 hours away from the
influence zones of the Program, does not help to consolidate work at the local level,
the facilitators of the Program in the best cases do not manage to carry out
 more than one monthly visit to some of the provinces involved in the
Program (visited that is fundamentally limited to the distribution of
the foods)
[Link] difficulty that the program has in really reaching the families
more vulnerable throughout the regional territory, as both the personnel and
the beneficiaries recognize that there are still families that are in PIN and that
they do not need it.
[Link] organized community participation in the processes of
surveillance, social control and monitoring. Limited efforts on the part of the
Program to increase participation in the processes (despite the existence of the
legal framework that regulates it
[Link] participation of the population is fundamentally concentrated,
in the educational, preventive, and health promotion actions (workshops
of training) there is no promotion and encouragement of greater participation
community involvement in decision-making about health, food security and
nutrition.
[Link] is a low utilization seen, on the part of the program of the
potential and the energy of community leaders to explore ways to
sustainability of the program through income generation projects.

C. EXECUTION OF THE PROGRAM WITH CONTEXTUAL VIEW.

POSITIVE ASPECTS:

1. Priority of cooperative sources to support social programs in

benefit for the population in extreme poverty.
2. With the execution of the program, the aim is to encourage the promotion of the
local production, the purchase of food is made from producers of the
zones. Diversity of ecological floors in the La Libertad Region allows the
existence of various types of food products to make baskets
regional and/or local food.
3. Emphasis is placed on the identification of organized population groups (club
mothers, glass of milk, dining halls, rural communities, etc.). in the
different areas of intervention.
4. It is contemplated, from the conception of the program, the transversality of the
approaches of rights, of interculturality, of inclusion, of equity, of
recognition of citizenship, of social co-responsibility.

LIMITATIONS:

1. The staff responsible for technical assistance faces significant limitations.

for the application of human and social development approaches with a perspective of
context.
2. Limitations of the program to adapt to sociocultural conditions
from the area. Their publications aimed at the population are designed in a
language that is not very accessible, they are developed in a centralized and standardized manner,
that do not necessarily adapt to the different realities of the areas of
intervention.
3. Local producers are not promoted or trained to achieve standards.
of productive quality, the purchasing requirements for agricultural products
primarily benefit medium and large producers, it is not available
take into account a social market perspective.
D. GENERATION OF LOCAL CAPACITIES

POSITIVE ASPECTS:

1. In its conception, the PIN considers the development of

educational actions in the beneficiaries of the program, actions linked to the
promotion and strengthening of skills, rights and responsibilities
from the articulated family to a social network, to promote new attributions and
roles in the various decision-makers, incorporating the human development approach
and social.
2. The training of community development agents for the formulation of plans
community development, capacity building for balanced nutrition,
rights and responsibility, is inherent to the guidelines of action of the
PIN in the involved communities, the work of the development agents
communal, is conceived as voluntary, and consists of home visits,
demonstrative sessions and support for a maximum of 15 families
benefited, an aspect that is of utmost importance for local sustainability.

LIMITATIONS:

1. Since the beginning of 2008 and until September of this year, the shares of
educational component of the PIN in the La Libertad Region, as well as in others
regions of the country have been developing on a pilot basis in the fields
and with resources from the JUNTOS Program, the scarce coordination of the
FONCODES and PRONAA officials in local spaces have generated,
in many cases, the training developed does not reach the
actors involved in the PIN, and on other occasions, the actions are
duplicate.
2. Most of the organizations and communities benefiting from the program
integral of nutrition in the La Libertad Region, just like the agents of
communal development is still seen as excessively dependent on the
technical assistance and resources of PRONAA for the implementation of the
different activities. Local autonomy is not visible. It is still considered the
Program as the sole provider of resources and food when these are
they are delayed, there is no local proposal capacity to face the shortage and
continue providing service to the beneficiaries.
The role of facilitators in educational aspects is limited by their
scant knowledge of the intervention area (priority is still given to the
hiring of professionals from the coast of the La Libertad region), of the same
means, the use of experiential methods and adult education, by
of the facilitators, for the development of training sessions is
limited.

E. STRENGTHENING OF SPACES FOR CONCERTED PARTICIPATION.

POSITIVE ASPECTS:

1. The PIN includes the establishment of the Food Security Committees and
Child Protection (COSAPIs) at the local level as a proposal for
coordination of the actions of the educational component, motivating the
co-responsibility of the population in the management of the program and the
 strengthening of social networks for the development of actions aimed
to reduce chronic childhood malnutrition in the intervention locales.
These Committees are conceived in relation to the strengthening of already existing spaces
created or constituted such as: The Concertation Table of Struggle
against poverty.

LIMITATIONS

1. Political-party disagreements in the communities, between the

members that make up the COSAPIs (by regulation they must be representatives of
local municipalities, governors, as well as members of society
organized) generate limitations in the operability of the actions and in the
achieving expected results, mainly in support for
identification of families and the generation of empowerment of actors.

F. PROMOTION OF THE GENDER PERSPECTIVE

POSITIVE ASPECTS:

1. Considering that the PIN supports its action in the transformation of

behaviors and capacity building in families, the component
educational directs a strong emphasis on the promotion of actions aimed at
the women, increasing female potential, for example, in
those areas where productive activities have been successfully developed,
the incorporation of women and their leadership in these actions is encouraged

LIMITATIONS

There are very few activities developed in these areas that involve a
true process of transformation of the mentalities of men and
women and overcame traditional gender roles. While they are empowered
spaces of participation concretized in favor of food in the
different intervention communities, the role of women continues to be
passive and eventual, in the face of the predominant spaces of power and participation
masculine.
2. The activities of the Program aimed at are very scarce and limited
favor the reproductive role of men, related to sharing the
actions and responsibilities in the care of children, the elderly, tasks
domestic, among others.

G. IMPLEMENTATION OF MONITORING AND EVALUATION SYSTEMS

PARTICIPATIVES.

POSITIVE ASPECTS:

[Link] the strategies included in the guidelines for execution

the integral nutrition program ("PIN") emphasizes the need for
follow up on the components of the Program to ensure that the
intervention is timely, effective, and permanent, based on
information, education and communication; as well as food support, to
at the same time it is planned to implement a Monitoring and Evaluation system in
 constant communication and coordination with the stakeholders involved in the
registration, and information gathering, storage, preparation and delivery
of foods.
[Link] of the Regulation of Law # 28540, Law that creates the Registry
Unified Regional Beneficiaries of social programs, with the aim
to improve the efficiency and effectiveness in social spending, which it attributes to
the different public regional and local instances (Zonal chiefs of
Ministries, regional government, local governments) the obligation to register
to the beneficiaries of the social programs they administer directly, and
send the information to local governments for dissemination and
focalization of beneficiaries.
[Link] the regional level, since the year 2007, the reduction of chronic malnutrition,
is one of the main priorities in management of
regional budget by results, as a budgeting tool that
it allows linking the plan with the budget and the execution of actions
oriented towards achieving concrete results and impacts.

LIMITATIONS
1. A rigorous family identification system has not yet been made operational.
potentially beneficiaries of the program as well as an evaluation project
of impact.
[Link] participation of the beneficiary population in the monitoring is not promoted.
and evaluation, except in their participation as informants for the obtaining
from the data. The population is consulted through surveys, no data is generated
feedback and verification processes of the obtained data
mean for them
3. The follow-up and evaluation actions planned in the program, to
at the regional level, they have not been implemented, beyond records
quantitative, due to personnel limitations (multiplicity of functions and
limitations in the understanding of the system from the management organs, which
they conceive that the monitoring and evaluation system is the filling in of data
quantitative data of beneficiaries and rations.

IV. CONCLUSIONS
[Link] the La Libertad Region, regulatory frameworks and plans are visualized
clear strategic actions in favor of child nutrition and health.
[Link] Comprehensive Nutrition Program (PIN), as well as the National Program of
Food Assistance (PRONAA) are high-profile and investment programs
within the social policy of the Peruvian State. The achievements of the program at the level
from the La Libertad Region, in terms of population coverage in areas of
extreme poverty, and nutritional contribution to its beneficiaries, are important.
However, it is a program long envisioned, not only as
highly expensive, but also extremely politicized, and the support
(fundamentally international) and the local credibility of the same, can
decrease if the achievements and the profile are not maintained, and even more so if the
educational components and monitoring and evaluation do not achieve results
visible, as it has been perceived so far.
[Link] institutional capacity at the regional level for managing the Program is
visualize in a state of growth, gradually adapting and in direction
positive to the national guidelines of the program. One of the largest
limitations are in terms of the opportunity and skills of the facilitators
to develop actions with a contextual perspective.
[Link] the regional level, the PIN shows little progress in matters of effective
inter-institutional coordination, generating, among others, redundancies among the
institutions that manage social programs in the targeted areas
as of extreme poverty.
[Link] is evidence of a limited advance in the decentralization of the service,
partial participation of municipalities, communities, and families in the
food program, which still appears paternalistic, without a clear focus
of social development. Similarly, the assistance-based self-conception of the
grassroots social organizations, as well as the limitations of the Program for
generating new engagement processes of the same, limits the execution
of the program with a sustainability perspective.
[Link] greatest achievements of the educational component of the program are found in
the knowledge and skills generated/reinforced in families in
topics on balanced nutrition, preparation of purees, improved kitchens,
family and communal gardens, raising small animals, among others.
However, these capabilities have not yet reached a percentage
significant of the population involved in the PIN.

V. RECOMMENDATIONS

1. The implementation of the Institutional Strategic Plan becomes necessary.

Zonal Headquarters – La Libertad of the National Food Assistance Program and
an effective reorganization of roles and functions and training of the
employees according to the same.
[Link] the regional level, the Comprehensive Nutrition Program must operationalize, to the
as briefly as possible, your follow-up and evaluation actions that allow
improve access, availability and use of food in rural areas in order to
ensure the conceptual change from food assistance to food security
with the participation of social agents
[Link] the La Libertad Region, the program, through the educational component,
in addition to improving its process of targeting the population to be trained,
you should seek to strengthen the capacities of the beneficiary families regarding
the exercise of their rights of participation, citizenship, incidence y
citizen oversight, management of public resources, strengthening of networks
social and monitoring and tracking systems.
[Link] regional program must seek to promote and raise awareness among the
public opinion on its strategic objectives, through campaigns
communicational, in order to affirm the mechanisms that make them viable and
position in public opinion the necessity to discuss the issues
related to the topic of child nutrition. Specifically, it is necessary to build
a general awareness of the problem, through methodologies
educational and communicational specific and relevant to the areas of
intervention.
[Link] PIN, in addition to prioritizing attention to the most vulnerable groups
nutritional (children and pregnant mothers, especially those located in areas
depressed rural areas) must promote complementary activities to support
food, through the effective implementation with equipment and
improvement of care and storage centers and prioritize the
development of women within the framework of a comprehensive gender approach.
[Link] PIN in the La Libertad Region should seek to promote and sustain
activities that generate employment, especially those that lead to
development of economic opportunities and capabilities for people in
poverty situation. Acquire food mainly aimed at the
nutritional programs, respecting eating habits and customs of the
 population. Prioritize the direct acquisition of food for people in
situation of poverty, improving their access to the goods market, promote
and strengthen cooperation practices and improve basic conditions of
support for agricultural production, marketing and industrialization of the
family production units.

[Link] PIN must plan and develop actions that strengthen the spaces of
Local coordination from an inter-institutional effort in favor of security
food for children and pregnant women, which allows for greater efficiency and
effectiveness in the execution of the activities and projects of the program,
training and identifying leaders who have breadth for development
social and human, democratizing the decisions of the assemblies, supporting,
encouraging and providing opportunities for women in leadership positions.
As far as possible, it is necessary to define a regional strategy for
action in favor of community leaders, generating in them capacities to
develop comprehensive income generation projects
(identification, preparation, planning, management, execution, marketing,
marketing).
[Link] integral nutrition program at the regional level must be able to perform and
to solidify new alliances with other state institutions and NGOs to
the development of projects (mainly productive) in which the PIN
would act as a bridge instance, concentrating its efforts in the
coordination, monitoring, and systematic planning.
[Link] is an urgent need to design a strategy in which the leaders
communities visualize another form of participation linked to an effective exercise
of their citizenship.

VI. REFERENCIAS BIBLIOGRÁFICAS:

1. MINDES. Plan Nacional de Acción por la Infancia y la Adolescencia 2002-2010.

Lima 2002.

2. GOBIERNO REGIONAL LA LIBERTAD. Plan Regional de Desarrollo Social La

Libertad- 2008- 2015. Trujillo 2008

3. PRONAA Trujillo. Documentos del Programa Nacional de Asistencia

Alimentaria (PRONAA)- Trujillo 2008.

4. PRONAA. Lineamientos para la ejecución del Programa Integral de Nutrición –

PIN- Lima 2007.

5. PNUD Informe de Desarrollo Humano. Lima 2005

6. FUNDACIÓN INTERNACIONAL DE LA SOLIDARIDAD COMPAÑÍA DE

MARÍA. Proyecto: fortalecimiento de la democracia en la región la libertad.
Trujillo 2007.

7. PUC. La época neoliberal 1990- 2008. página 15. Material de lectura Maestría
en Gerencia Social. Lima 2008.

8. [Link]