In situations of poverty, compliance is restricted by lack of education, finances and time. Nonetheless, carers with minimal formal education, living in conditions of extreme poverty were able to change feeding practices after a short, low-cost training intervention, with highly positive consequences. The availability of affordable food supplementation for this population, however, requires urgent attention.

Results. The prevalence of malnutrition was very high: 65% of children aged <5 years were categorised as underweight, 54% as stunted and 58% as wasted. Reported difficulties with child's feeding were common and was associated with the child being underweight (Odds Ratio 10.7 95% CI 2.3-49.6) and poorer caregiver quality of life (p<0.001). No association between caregiver quality of life and nutritional status was evident.Interpretation: There is a need for appropriate, accessible caregiver training and support around feeding practises of their children with cerebral palsy, to improve child nutritional status and caregiver well-being.