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Children's Health Programs
Projects:
Project Title: Market Networks for Community Health
Location: Bolivia
Project Description:
The Market Networks for Community Health project works to improve the health of 83,500 men and women of reproductive age, and 10,500 children under the age of 2 in the city of El Alto in the department of La Paz. Working in collaboration with a local non-governmental organization (NGO) and supporting a network of more than 150 community-based agents, CARE increases the knowledge and use of modern contraceptive methods among women, the control and prevention of sexually transmitted diseases, and the use of oral rehydration therapy for cases of severe diarrhea.
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Project Title: Integrated Management of Childhood Illness (IMCI) Approach to Enhance Child Survival
Location: Cambodia
Project Description:
The Integrated Management of Childhood Illness (IMCI) 15-month pilot project has an overall goal of reducing mortality and morbidity among children under 5 through three health centers in the Pursat Province, serving 47 villages. This project will focus its efforts on improving family and household practices, which is often referred to as 'Community-Based IMCI' (C/IMCI). The project will achieve this primarily by improving the knowledge, skills and practices of the community-based health providers with whom households generally have their first contact in cases of illness. The project will also train a cadre of community-based "health messengers" to do health promotion, reinforcing the messages households receive from the community-based practitioners. In increasing households' ability to access accurate health information and quality health services in their communities, the project will have improved care outside health facilities.
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Project Title: Community/Integrated Management of Childhood Illness (C/IMCI) for Enhanced Child Survival and Community Wellness
Location: Ghana
Project Description:
The 15-month pilot project will be implemented with the collaboration of the Adansi District Health Services in four zones, and its overall goal is to contribute to the household and health security by reducing morbidity and mortality among children under 5. It will look at how to integrate community-based IMCI with a new, nationally developed model for "Community-based Health Planning Services" (CHPS). The CHPS model relocates health services and information closer to the community through its cadre of community health officers (CHOs), who live in health compounds built by the communities they serve; trained community health committees (CHCs); and community health volunteers (CHVs). These three groups of stakeholders work in coordination, ensuring increased coverage of health services and information at the grassroots community level, where such services previously were less accessible. The pilot will provide training in the area of C/IMCI to CHOs, CHCs, CHVs and chemical sellers. By enlarging the cadre of community-based health care workers, and because many of these health workers' activities will consist of community outreach, the training will have the effect of increasing the accessibility of child health services and information at the community level.
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Project Title: Child Survival-Bihar Project
Location: India
Project Description:
The Child Survival-Bihar project involves a unique partnership between CARE and two corporate sector organizations, the Tata Steel Rural Development Society and Parivar Kalyan Sansthan, to promote improved maternal and child health in 212 villages in Bihar state. Bihar, which has an infant mortality rate of approximately one death for every ten live births, is one of India's poorest and least developed states. CARE and its corporate partners will build the capacity of community-based health services to identify pregnant women, encourage them to attend health information sessions, and promote the practice of healthy behaviors during their pregnancy, delivery and post-partum periods. For example, the project will promote maternal and child immunizations, breast feeding and proper nutrition for mothers and their children. Establishing community and family contingency funds for medical emergencies will also form part of the strategy. Working with its corporate partners, CARE will help mobilize other Indian corporations to support social development projects with a focus on improving maternal and child health. An estimated 78,440 beneficiaries will be reached each year through the project.
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Project Title: The Community Initiatives for Child Survival in Siaya II
Location: Kenya
Project Description:
The Community Initiatives for Child Survival in Siaya II project aims to reduce the mortality and morbidity of children under 5 and women of reproductive age, and sustain these reductions by increasing the capacity of community committees, the local Ministry of Health and other local institutions. This project will serve 36,600 children age 0 to 5 years and 41, 000 women of reproductive age in the remote, poor and under-served rural setting of three divisions in the Siaya district in Nyanza province of western Kenya.
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Project Title: Improving the Health and Nutrition Status of Children in Malema and Nampula-Rapale Districts
Location: Mozambique
Project Description:
The Improving the Health and Nutrition Status of Children in Malema and Nampula-Rapale Districts project aims to improve Ministry of Health (MOH) capacity, and organize communities for health education and mobilization to create demand for services. MOH capacity improvement hopes to be accomplished through supportive supervision, in-service training, instruction on using data for decision making, and a referral and counter-referral system. Activities designed to increase community health promotion are: working with community health volunteers (CHVs), traditional birth attendants (TBAs), healers and women's groups; community growth monitoring; involvement of men; a referral and counter-referral system; and a community-maintained active census in both districts and with existing community health councils in Malema.
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Project Title: Child Survival XIV
Location: Nicaragua
Project Description:
The Child Survival XIV project reduces child morbidity and mortality in the city of Matagalpa and surrounding communities. The project works with 23,434 children under 5 and their mothers, a total of 11,717 women. To do this, the project: (1) Helps improve the capacity of local Ministry of Health (MOH) personnel to deliver quality services; (2) Works to empower communities to organize for identifying and resolving local health-related problems; and (3) Enables families to recognize health problems, practice healthy behaviors and access quality services.
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Project Title: Child Survival in Kanchanpur
Location: Nepal
Project Description:
The Child Survival in Kanchanpur district project reduces maternal and child mortality in the area by achieving the following objectives: 1) Community-level Ministry of Health personnel, community health volunteers and other service providers practice appropriate case management of diarrhea, malaria, pneumonia, malnutrition, and maternal and newborn care; 2) Community members, particularly mothers, practice healthy behaviors, including seeking medical care from trained sources when needed; and 3) Families have sustainable access to health education, quality care and essential medicines at the community level. The target population of the project is 51,106 children under age 5 and approximately 75,000 women of reproductive age. CARE Nepal is focused more intensively on disadvantaged and needy groups such as those of low caste, the landless and Tharu bonded laborers.
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Project Title: Child Survival in Peru
Location: Peru
Project Description:
The Child Survival in Peru project is striving to reduce maternal and child mortality by achieving the following objectives: 1) Community outreach is strengthened through support for Ministry of Health training and supervision of community health agents (CHAs), with institutionalization of a simple community-based health information system for monitoring CHAs and community health; 2) Community responsibility for improved personal health is increased through diffusion of health education and peer support, resulting in increased demand for and access to prevention and treatment services; 3) Sustainable community health promoter associations are provided training and technical assistance to organize into legally inscribed associations that assure support and supervision for their members and actively represent their communities in local municipal structures for the administration of health services; and 4) Civil society structures are strengthened in skills for problem analysis and action planning for improved maternal-child health in their communities.
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