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Some studies have also found problems that have impeded The SFP is concerned with the monthly distribution of food the successful implementation of similar programmes in supplements, such as corn soybean flour CSB , food oil and other countries. These problems can also currently be found sugar, to beneficiaries together with educational criteria in East Timor and are likely to continue in the future.

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Roy et al. Their findings were based on a comparative i. Prevention and reduction of malnutrition in children study carried out in Bangladesh, involving two groups of aged between 6 and 24 months and treatment of cases of children aged between 6 and 24 months, in which, for a moderate malnutrition in children aged between 2 and 5 period of three months, the first group received nutritional years, pregnant women and breastfeeding mothers.

Increase in the use of health services by mothers and similar health education, also received supplemental feeding. This success depends on realization of the Nutrition programme. The fact that Lautem is faced with a shortage of human resources in health, as well as the fact that just one SISCa Strategy for change activity is taking place on a monthly basis, means that investment in other nutrition activities, such as promotional The following contributions are essential for guaranteeing a change in strategy: The A main feature of the assessment was to involve the 16 bairros communities in Taiboko individually developed community actively in growth monitoring activities and to community action plans through a Participatory Rural Appraisal provide feedback on the results and analyses directly to process in An additional aim was to raise community awareness on the causes and consequences of malnutrition, and on the influence of food availability, breastfeeding and Brief outline of the problem feeding practices, child-care and hygiene on malnutrition.

In accordance with earlier findings about high malnutrition Finally, each community was to develop detailed action plans. These volunteers then carried out the assessment in the EN communities together with Oxfam staff.

They interviewed households and measured children.

Key information gathered infant feeding practices, and poor hygiene habits. Limited through the assessment includes: Health education and promotion, especially in the areas A strong association between malnutrition and the high of healthy nutrition including nutrition during pregnancy , prevalence of communicable diseases was indicated through breastfeeding practices, complementary foods and hygiene the Nutritional Assessment.

Therefore, the health programme behaviour. Communities are given support to join in practical 2. Many families have already built a bathroom, of fruit trees, and increasing the crop harvest.

Improved access to water for personal use and agricultural latrines, while many are using mosquito nets. More recently, purposes by rehabilitating and protecting existing wells and educational activities on breastfeeding and family nutrition water systems, as well as by providing support for new wells. Finally, several communities in Taiboko have been planting a greater variety and higher quantity of vegetables and fruits.

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Measurement of improvement The Community-Based Nutritional Assessment will be Lessons learnt repeated every two years, with the next assessment due in August However regular causes of their problems, but also about their own solutions. Community Health Clinics. Allow for at least 6 months per topic e. The Concern Worldwide and young child feeding practices, limited coverage of child JMAK team and the Manufahi District Health Services have health services, and poor healthcare seeking behaviours been piloting the integration of JMAK into the existing health linked to cultural practices and beliefs.

The health systems review established that there are gaps within the health systems that impair the quality of the delivery of nutrition and other health services. These gaps Brief outline of the problem needed to be addressed as part of the process of integrating The purpose of the programme is to treat and prevent JMAK into the health services.

The community assessment malnutrition among children under five years of age. The emphasized poor healthcare seeking behaviours as a factor programme trains and supervises health personnel and to be overcome and underlined the need to make best use Family Health Promoters PSFs in the skills required to of and to support SISCa as it rolls out. Currently in East Timor, severely malnourished children Strategy for change are treated as inpatients using F75 and F therapeutic milks.

The in-patient treatment has limited coverage because In March , implementation of the programme began. At the same time, SISCa activities were launched in the Moderately malnourished children in most districts are able Manufahi district. PlumpyNut is a ready-to-use therapeutic food at one-monthly intervals. By August , all sub-districts and is provided to the beneficiary as a take-home ration. Only complicated cases are referred to inpatient care for To ensure quality was maintained, in-service coaching and stabilisation.

Stabilisation usually takes seven days and patients mentoring was provided by Concern staff. A nutritionist are sent back home to continue treatment as outpatients. These sites are easily Monthly review and feedback sessions were conducted accessible to beneficiaries. Management of malnutrition is with community stakeholders, PSFs and health workers.

Concern staff provide technical support which facilitates gradual skills and Measurement of improvement knowledge transfer to health workers.

Assessment of the problem and analysis of its causes A review of the pilot scheme was conducted in October We conducted three studies. A nutrition survey was carried jointly by the MoH and Concern. The review looked EN out in March , a health systems review in November at the following areas: The 1. Quality of services provided to target beneficiaries workers are unable to properly diagnose and treat common 3.

Competencies of health workers and PSFs to provide childhood illnesses including malnutrition. Outcomes for the beneficiaries and ability to conduct health education is still limited.

The effects of integrating JMAK into routine health services Many PSFs are also unwilling to conduct follow-up home counselling and feel they should be given an incentive to carry out this activity. SISCa provides an excellent opportunity for beneficiaries to receive Lessons learnt health services close to their homes. The supplementary food provided at services, other parts of the health system need to be SISCa and health facilities acts as an incentive, especially strengthened.

These include planning, budgeting, logistics, for children under 2 years of age, to come and receive the provision of sufficient human resources, monitoring, vaccination, vitamin A and de-worming, among other child and supervision and information management. The training curricula for health workers and PSFs should 45 children with severe acute malnutrition were admitted combine classroom-based methodologies with practical role to the programme. The average weight gain of children playing and on—the-job mentoring and coaching.

The average length of stay was seven days. Eleven Message for others children successfully completed treatment for severe acute malnutrition. The average weight gain was 3. JMAK has shown potential for being an effective approach Their length of stay in the programme was sixty days. This situation may be attributed The rolling out of the JMAK to other districts should be to the fact that only thirty percent of health workers in gradual, ensuring that the lessons learnt from the pilot Manufahi have been trained in the Integrated Management scheme are taken into account.

The World Health Report of defines a health system and the public sector is growing steadily in the main cities as comprising all organizations, institutions and resources alongside private practices. These can be used as an indication that are devoted to producing health actions; a health of the fee for these services or an out-of-pocket payment.

However, a health health. An information imbalance between service areas, namely universal coverage, service delivery, public policy providers and the community as users may potentially generate and leadership. A substantial The following areas are of paramount importance: Bilateral cooperation has been instrumental in health, including generalized access to essential medical in the efforts to ensure equity in the distribution of quality products, vaccines and technologies.

Despite the country not being a signatory to the historic behavioural changes expected to occur as a result of health declaration of Alma Ata, Primary Health Care PHC concepts promotion and education is not available, malnutrition were first introduced into East Timor in the s, and were with its adverse effects on child health and mortality risks reinvigorated after the restoration of independence in Quality and disproportional to the substantial investment made in the result-oriented management must also be provided, both in health system and PHC.

Maternal Health. The reduction achieved support to the Institute of Health Sciences ICS , which it is in mother-child mortality rates was considered to be very hoped will be very successful. Training activities have been carried out, libraries in an autonomous manner. A common core was created reorganized and books sent. All of these Institutes receive for various training programmes in Nursing and Health direct support through an IT Platform and enjoy access to Technologies.

For this reason, the training in the area of human resources training for health purposes. Over the last few decades, the social and historical context This is the only proposal that we have to make when we of these countries has inevitably imposed constraints on the join in cooperation projects.

In many rural SEAR countries then use this guideline to be implemented areas, nurses and midwives are the first and often the only, at country level. Every aspect of health care delivery Strategy for change and strategies for health depend on the education and skills of health professionals, particularly nurses and midwives, as The implementation of guideline for education, training the majority and the closest contact to the people.

Objectives of each element and and Midwifery Workforce, I have been actively involved in possible priority actions at change management, national and the development of framework, research protocol, in depth local level were identified. For the purpose of this presentation, country assessment and its analysis, then the development the focus will only be at national priority actions, as follows: Forge strong coordination between nursing and midwifery Workforce Management, since the year of Brief outline of problem 5.

Foster a lifelong learning culture by development an ethos In the conceptual framework the position of nursing and of lifelong learning during basic nursing and midwifery midwifery education, training and development is one of education; and create an organizational learning culture. These three pillars were presentation, considering not enough space to write them built on the foundation of regulation and evidence base in this abstract.

Each pillar has several elements used for this study protocols. No change will take ideas, experiences and problem solving using one conceptual place with single player. It is need to be remembered that framework was helpful in designing a guideline for future all efforts should be made for the better quality of health direction of development.

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Biblioteca de cultura historica. The TIP and communication opportunities held in five districts, findings also strongly contributed to the development of followed by in-depth interviews and trials of improved the BCC Strategy for Child Health.

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