The diagnosis was based on the standardized monitoring and evaluation methodology in emergency and transition situations (SMART). It was held in September 2016, that is, at the end of the period of seasonal hunger, in the municipalities of Jocotán, Camotán, Chiquimula, Zacapa, Cabañas and Huité in the departments of Zacapa and Chiquimula in Guatemala. A total of 465 children under 5 and their families were surveyed, a representative sample of 426 rural communities in 6 rural municipalities with 211,363 inhabitants, of whom 170,101 were children under 5.