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Counting on communication : the Uganda Nutrition and Early Childhood Development Project

VERZOSA, Cecilia
April 2005

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This publication presents the activities and lessons learned from a project which sought to halve malnutrition among preschool children, raise primary school enrollment, reduce dropout and repetition rates, improve psycho-social and cognitive development, and increase the number of mothers practicing appropriate childcare. A strategic communication programme was designed to help mothers and other caregivers adopt new behaviours needed to achieve project outcomes. It helped the project team identify necessary changes in behaviour, knowledge or attitude for all target audiences; frame project-related issues relevant to different stakeholders, such as parliamentarians, mothers, community leaders, educators, and local government administrators; craft persuasive messages according to their needs, concerns and perceptions; and use the most appropriate communication channels. The communication strategy included a: national advocacy effort aimed at parliamentarians, health and education ministry officials, district and community leaders; multi-media campaign that emphasized three behaviour change interventions; training programme for health workers and pre-school teachers on their role; and monitoring and evaluation component to ensure that materials were disseminated via cost-effective channels of communication and that messages reached target audiences. Lessons learned emphasize the value of developing a comprehensive communication strategy during project design.

HIV and young children : an annotated bibliography on psychosocial perspectives

SHERR, Lorraine
February 2005

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This annotated bibliography offers a practical guide to the content of the references which informed the literature review presented in BVLF Working Paper 33 (Young Children and HIV/AIDS: Mapping the Field). It is intended to help readers who want to go deeper into the issues and explore the original source material. The bibliography presents the references - mostly to peer-reviewed medical or psychology journals - under subject headings such as "disclosure", "interventions", "parentless children", "social development", and more

Integrating food and nutrition into HIV and AIDS strategies

MCDERMOTT, Peter
2005

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This is a slide presentation which considers the role of food and nutrition in the context of HIV and AIDS. It notes the vicious cycle of malnutrition, HIV and poverty and the effects of HIV and AIDS on nutrition, household food security and food production. HIV and AIDS also have an impact on the agricultural sector and examples are shown from Kenya, Zambia and Malawi. Increased malnutrition can lead to adults needing more access to quality health care but not getting it, increased caring for sick adults means less time for childcare, and children drop out of school to help with household labour. Finally, UNICEF support to nutrition and HIV and AIDS is shown along with their current operational approach. The Food and Agriculture Organization (FAO) and World Food Program (WFP) approach is also considered

1990 - 2005 Celebrating the Innocenti declaration on the protection, promotion and support of breastfeeding

INNOCENTI RESEARCH CENTRE, UNITED NATIONS CHILDREN'S FUND (UNICEF)
2005

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In 1990, the Innocenti Declaration on the Protection, Promotion and Support of Breastfeeding set an international agenda on breastfeeding and the recognition ofthe right of the infant to nutritious food enshrined in the Convention on the Rights of the Child. This publication reviews the context of the Innocenti Declaration and analyzes the achievements that have been realized towards the targets that were established in 1990. It describes the continuing and new challenges that exist to optimal feeding of infants and young children, and suggests a way forward towards the global aim of ensuring universal enjoyment of children’s right to adequate nutrition.

Undernutrition in Bolivia : geography and culture matter

MORALES, Rolando
AGUILAR, Ana Maria
CALZADILLA, Alvaro
2005

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This publication addresses the issues of health problems and malnutrition in Bolivia. Specifically, it analyses the association between a bidimensional measure of child heath (composed of height an weight scores) and a set of child nutrition determinants related to physical and cultual contexts, the mother's characteristics, household assets and access to public services. A major finding is that geogrpahical and cultural variables are significant determinants of nutritional status and that the role of the mother's anthropometrical characteristics is substantial. This publication is aimed at quite a technical audience, and all the information is qualified by detailed statistics. Section 4.2 focuses particularly on cultural variables and how this affects nutrition in young children

Orphans and the impact of HIV/AIDS in sub-Saharan Africa

DE WAGT, A
CONNOLLY, M
2005

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In Africa 11 million children have become orphans as a result of AIDS, and the data for sub-Saharan Africa is expected to worsen dramatically over the next few years. This article assesses the implications of increased child vulnerability in terms of care needs, education, survival, and, crucially, nutrition and food security. It suggests that these are vital aspects of children's development and even more importantly they are interconnected: children's nutrition status, for example, affects their cognitive and emotional development and this in turn impacts on their health status. The article calls for a combined development-humanitarian response, capable of responding to the immediate basic needs of orphans but also designed to help recover long-lasting capability and community and family coping mechanisms

More than words? action for orphans and vulnerable children in Africa : Monitoring progress towards the UN Declaration of Commitment on HIV/AIDS

YOUNG, Helen
Ed
2005

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This qualitative research looks at how far the rights and needs of orphans and vulnerable children are being met in four of the worst-affected countries in sub-Saharan Africa. Based on surveys and focus group discussions with children, parents, caregivers and officials in Ethiopia, Mozambique, Uganda and Zambia, this report offers an insight into how far commitments are being met and provides practical recommendations for action at both a national and an international level

Mainstreaming children into national poverty strategies : a child-focused analysis of the Ethiopian sustainable development and poverty reduction program (2002-05)

JONES, Nicola
et al
2005

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This paper assesses how the needs of children are incorporated in Ethiopia’s Poverty Reduction Strategy Paper (PRSP) - the Ethiopian Sustainable Development and Poverty Reduction Program 2002-05 (SDRDP) - and seeks to develop policy recommendations for the second PRSP, based on a comparative content analysis with other countries’ PRSPs

UN Millennium Project 2005 : who's got the power? Transforming health systems for women and children. Task Force on Child Health and Maternal Health

FREEDMAN, Lynn P
et al
2005

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This report has been produced by the Task Force on Child Health and Maternal Health. It identifies technical interventions needed to address the problems of high rates of maternal mortality, continued child deaths due to preventable illnesses, unmet need for sexual and reproductive health services, and weak and fragile health systems. The report also asserts that policymakers must act now to change the fundamental societal dynamics that currently prevent those most in need from accessing quality health care

Model IMCI handbook : integrated management of childhood illness

WORLD HEALTH ORGANIZATION (WHO)
UNITED NATIONS CHILDREN'S FUND (UNICEF)
2005

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The IMCI model handbook provides a detailed explanation of the IMCI case management guidelines. It is organized into seven main parts: overview of the IMCI process; assess and classify the sick child age 2 months up to 5 years; assess and classify the sick young infant age 1 week up to 2 months; identify treatment; treat the sick child or the sick young infant; communicate and counsel; and give follow-up care
Teaching institutions are advised to adapt the handbook in two ways: 1.to ensure that all text, charts and illustrations are consistent with nationally-adapted IMCI clinical guidelines, and 2.to ensure that its content and format corresponds to the teaching approach used by the institution

UNICEF and WHO call for stronger support for the implementation of the joint United Nations HIV and infant feeding framework

WORLD HEALTH ORGANIZATION (WHO)
UNITED NATIONS CHILDREN'S FUND (UNICEF)
December 2004

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This call for support aims to strengthen plans to help women who may be HIV positive to choose the right feeding option for their child. A framework has been created by the UN which recognises that special attention and practical support is needed in exceptionally difficult circumstances, including the presence of HIV. The framework outlines five priority areas

HIV and infant feeding : a compilation of programmatic evidence

KONIZ-BOOHER, Peggy
et al
July 2004

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This paper tries to deepen understandings of the biological and programmatic implications of the transmission of HIV through breastfeeding which have previously been hampered by insufficient study and difficulties of interpretation. It is a careful look at the findings of programmatic approaches. The project attempted to find, summarise and analyse reports on a wide variety of relevant programmes conducted since 1998 UNICEF guidelines were issued. The programmes range from small community research projects to national programmes. The compilation addresses numerous controversial topics and constraints, including human resources, confused mothers, stigma and discrimination, spillover of replacement feeding, free or subsidised infant formula, family economics and the difficulty in providing integrated HIV testing, informed choice counselling, community support, logistics and follow-up care for mothers and infants

ProPAN: process for the promotion of child feeding

PAN AMERICAN HEALTH ORGANIZATION (PAHO)
April 2004

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This manual describes a step-by-step process, which begins with the quantitative identification of nutritional and dietary problems, and also with the collection of qualitative information on why these problems occur, and ends with the design of and evaluation plan for an intervention to address the problems identified. It is intended for Ministries of Health, non-governmental organisations, and bilateral and international organisations interested in improving infant and young child feeding (from birth to 24 months) to prevent early childhood malnutrition. It includes steps on how to collect, analyse, and integrate both quantitative and qualitative information, provides guidance on how to design an intervention, and reviews evaluation strategies

Annual report year 4 (FY 2003) submitted to USAID, Bureau for Africa, Office of Sustainable Development

SUPPORT FOR ANALYSIS AND RESEARCH IN AFRICA (SARA)
March 2004

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This is a report on SARA's activities in support of USAID, Bureau for Africa, Office of Sustainable Development. The Overview briefly describes the year's key activities and indicates future directions. Section III deals with the expanding collaboration with African institutions and with issues of dissemination and advocacy. Section IV details the work done by SARA in a wide range of areas, from child survival to infectious diseases, nutrition, reproductive and maternal health, HIV/AIDS prevention

Guiding principles for feeding infants and young children during emergencies

WORLD HEALTH ORGANIZATION (WHO)
2004

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The guiding principles presented here are intended to serve as a starting point for organizing sustained pragmatic interventions that will ensure appropriate feeding and care for infants and young children at all stages of an organized emergency response. Responsible national authorities and concerned international and nongovernmental organizations are invited to use these guiding principles as a basis for training personnel responsible for emergency preparedness and response, and for reacting directly on behalf of needy populations during emergencies. Meeting the specific nutritional requirements of infants and young children, including promoting and supporting optimal feeding practices, should be a routine part of any emergency relief response. Indeed, it should be at the centre of efforts to protect the right of affected children to food, life and a productive life

Humanitarian charter and minimum standards of disaster response|The Sphere handbook

THE SPHERE PROJECT
2004

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This handbook is the result of an international initiative aiming at improving humanitarian and emergency assistance. The handbook describes the core principles and minimal standards of humanitarian action. This edition includes vulnerable groups such as women, children, elderly people and disabled people. The handbook is a practical tool that can be used to define overarching project goals and to monitor the success of the assistance that is provided

Community care, change and hope : local responses to HIV in Zambia

LUCAS, Sue
2004

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This case study documents a successful model for facilitating a strong community response to HIV and AIDS. The Salvation Army Change Programme in Ndola and Choma Districts in Zambia illustrates the facilitation process stimulating an appropriate local response to HIV and AIDS and essential component of human capacity development. The model builds on local strengths and resources, stimulating ordinary people to address the barriers that prevent them from using HIV and AIDS information and services to prevent new infections, compassionately care for those who are infected and mitigate the effects of the epidemic on families and the community. Only by addressing personal risk, stigma and the potential for personal and societal change will the demand for and use of voluntary counselling and testing, prevention of mother to child transmission and antiretroviral therapy services increase

Guide our steps : 101 participatory Bible studies on development issues

CARTER, Isabel
2004

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This is a tool for communities and groups willing to reflect on the Scripture and Christian understanding of development issues. Covers a wide range of topics, including environment, advocacy, nutrition, water and sanitation, health disasters but also church's role and spiritual growth. Each topic is briefly commented, and provided with a relevant passage from the Bible and a set of questions to guide discussion during group meetings and workshops

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