The tell-tale signs of malnutrition abound in Haiti especially in children as a nation that didn’t have a lot to start with spirals further down three years after the massive earthquake.

Despite billions of dollars from around the world pledged toward rebuilding efforts, the country's food problems have gotten worse:  Two of three people face hunger.  Children are not developing well.  Many youngsters have spindly limbs and distended stomachs.

In 1997, 1.2 Million Haitians did not have enough to eat.  Today, that’s 6.7 million people; Roughly 67 percent of the population.

Part of the problem is global climate change.  The island suffers alternating waves of drought and deluge.

The other part is globalism.  Many rice farmers, once Haiti’s staple crop, were driven out of agriculture because of US-imposed economic and farm policies.  Tariffs were removed on US grain, making it cheaper than locally-grown rice.  Industrialization in Port au Prince lured the farmers off the farms.

Haiti now imports half of all of its food.  Three decades ago, Haiti imported only 19 percent of its food and produced enough rice to export.

The further away from the cities you go, the worse the problem gets.  In the South-east, many villages are accessible by donkey; there are no roads to bring relief to the suffering Haitians.