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Focus Area - Child Health
Dominican Republic: Community Based Child Health Program - Adapting the AIN Model
 

CHANGE supported the establishment of a pilot community-based child health program based on the AIN program (integrated child health program) which began in Honduras and has expanded to other countries. Program activities center around teams of community volunteers who weigh all children under the age of 2 to assess their growth; give tailored counseling of mothers; refer children for vaccinations; dispense micronutrients; and refer sick children to health centers. Volunteers report periodically to the community on the nutrition and health status of the children. Manuals and counseling materials were also developed.

>> Child Health Counseling Cards (Introduction) [PDF - 62.3 KB]
>> Child Health Counseling Cards [PDF - 5.61 MB]

 
Guidelines for Developing Home-Based Materials: Helping Families Save Sick Children
 

CHANGE collaborated with Project HOPE and BASICS on guidelines for developing a locally-appropriate reminder material for families. The materials offer practical, easy-to-use methods for creating materials to help mothers and other caregivers know when they need to seek immediate medical care for a sick child. The guidelines take you step-by-step through the process to plan, research, design, test, produce, distribute and evaluate reminder materials and were pre-tested in child survival programs in nine countries.

 
The guidelines are available from Project HOPE.
 
>> Related Publications
 
South Africa: Formative Research on Reducing Child Exposure to Indoor Air Pollution
 
Indoor air pollution is linked to Acute Lower Respiratory Infection (ALRI) in children less than five years of age and accounts for a significant proportion of death and illness in developing countries. A team from the Medical Research Council (MRC) of South Africa with support from the CHANGE project, used formative research to identify behaviors that could reduce indoor air pollution.

The "identification" phase of the research found that two of the most commonly used interventions - changing to less polluting fuels or repairing or replacing stoves - were not economically feasible for these mostly low - income families.

The “trials” phase used the TIPS (Trials of Improved Practices) methodology, a formative research method that involves asking families to try selected behaviors and identifying the factors that helped them maintain the positive behaviors or the barriers to practicing them. The results of the trials showed that two of the four behaviors tested- reducing the amount of time young children spent close to a cooking fire and reducing the burning time of solid fuel- were feasible for most of the families that tried them. Most of these families said they were willing to continue practicing these behaviors in the future because they had noticed improvements in their child’s health and/or that their house was cleaner. This two phase process of screening and evaluating behaviors was effective to help reduce indoor air pollution. (More)

>> Phase I Study: The Identification of Behavioural Intervention Opportunities to Reduce Child Exposure to Indoor Air Pollution in Rural South Africa [PDF - 97.7kb]

>> Phase II Study: Testing Behaviors To Reduce Child Exposure To Indoor Air Pollution In Rural South Africa [PDF - 312KB]

>> Presentations on Child Health

>> Presentations on Indoor Air Pollution

 
Publications
 
>> Publications - Child Health
 
     
 

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