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Qu’est ce qui reste à faire? depuis 2024 (1è phase) jusqu'à nos jours (2è phase) du dialogue nutritionnel ? les membres de ces 2 groupes ont cité les éléments suivants comme actions urgentes à mener : ) travers la question Qu’est ce qui reste à faire? Sensibiliser les communautés sur la venté illicite des moustiquaires; Mener le plaidoyer auprès des décideurs pour la réhabilitation de route de desserte agricole; Sensibiliser sur l’application de la politique alimentair & nutritionnelle des enfants; Que l’Etat prenne sa responsabilité sur l’agriculture et élevage; ... Read moreClôturer les jardins parcellaire; Assurer la sécurité de la population; Que l’Etat paie régulièrement les fonctionnaires de l’Etat (Nouvelles Unités et Non Payés); Création de groupe d’épargne dans la communauté; Sensibilisation de la communauté sur le reboisement; Créer, former et installer les coopératives dans la communauté; prendre en charge la crise économique, Baisser le prix des produits manufacturés. donner de l'emploi aux nouveaux diplômés; faciliter l'accès à la terre arable pour palier à l'infertilité de sol aux environs de la ville de gemena et éviter le faible rendement des produits agricoles; Aider certains parents à réduire la consommation de l' alcool; Doter les cultivateurs en semences améliorées, et en outils aratoires; lutter contre la faim et la malnutrition dans notre communauté; Approvisionner les structures sanitaires en médicaments pour réduire les émissions des ordonnances, faire beaucoup d'extension d’eau potable; 10. Intensifier les sensibilisations continues sur l’éducations nutritionnelle, Renforcer la capacité et Sensibiliser sur la gestion de l’environnement; Multiplier les forages d’eaux par rapport à la croissance démographique de la population de Gemena; Mettre en œuvre la cantine scolaire; Former les ménages sur la sécurité alimentaire et l’autonomisation; Read less

Qu’est ce qui reste à faire ? depuis 2024 (1è phase) jusqu'à nos jours (2è phase) du dialogue nutritionnel ? les membres de ces 2 groupes ont cité les éléments suivants comme actions urgentes à mener : ) travers la qustion Qu’est ce qui reste à faire? 1.prendre en charge la crise économique, 2.payer les fonctionnaires de l'Etat, 3.Baisser le prix des produits manufacturés. 4. donner de l'emploi aux nouveaux diplômés; 4.faciliter l'accès à la terre arable pour palier à l'infertilité de sol aux environs de la ville de gemena et éviter le faible rendement des produits agrico... Read moreles; 5. aider Certains parents à réduire la consommation de l' alcool; 6. Doter les cultivateurs des semences améliorées, et des outils aratoires; 7. lutter contre la faim et la malnutrition dans notre communauté; 8. Approvisionner les structures sanitires en médicaments pour réduire les émissions des ordonnances, 9. faire beaucoup d'extension d’eau potable; 10. Intensifier les sensibilisations continues sur l’éducations nutritionnelle, 11.Renforcer la capacité et Sensibiliser sur la gestion de l’environnement; 12. Multipliier les forages d’eaux par rapport à la croissace démographique de la population de Gemena; 13.Mettre en œuvre de la cantine scolaire; 14. Former les ménages sur la sécurité alimentaire et l’autonomisation; 14. Payer régulierement les agents de l'Etat, 14. lutter contre l'insécurité dans les quartiers et toutes les provinces, 15. travailler pour la paix et lutter contre les Conflits politiques ç travers les mécanisme de résolution des conflits par le gouvernement et avec l’appui des ONGD et Partenaires Techniques et Financiers. Read less

En termes d'actions urgentes et recommandations faites , les femmes leaders de Nyangezi ont proposé ceci : - Mettre en place des Projets de développement (eau potable, VSLA/MUSOL). - Renforcer le système de santé (formations, dépistage). - Travailler à la sécurisation de la contrée et la réduction des violences. - Réhabiliter les infrastructures locales (routes, puits). -Investir dans la distribution organisée des moustiquaires imprégnées (MILDAs). - Mettre le focus sur le soutien économique aux ménages vulnérables (stockage, circuits de vente des produits vivriers ).

Participants identified the need to strengthen regular screening of children under five across all sectors of Gicumbi District. They proposed that trained Community Health Workers (CHWs) conduct screening under the supervision of relevant health actors where possible, with children identified with concerns receiving timely counselling, referral, rehabilitation or follow-up. Participants also emphasized the need for continued community education on nutritious and diverse foods, growth monitoring, early care-seeking and hygiene. Strong coordination between health actors, CHWs, caregivers, local ... Read moreleaders and partners was proposed to ensure that identified children are followed up and linked to appropriate services. The actions should be sustained through regular supervision, community mobilization and follow-up to ensure that no child is left behind. Read less

Participants identified the need to strengthen hygiene and sanitation practices at household and community level to help prevent infections and child malnutrition. They proposed promoting regular handwashing with soap, use of safe water, clean food preparation, proper food storage and clean household surroundings. They also emphasized the need for continued hygiene education for mothers, fathers, caregivers and community members. These actions should be taken forward through community awareness, health workers and local leaders, with families encouraged to learn from positive practices already... Read more existing in their communities through the PDH approach. Participants further proposed stronger collaboration among Caritas Byumba, World Vision Rwanda, Gicumbi District, health workers and communities to promote, monitor and sustain these practices. The focus should be on practical, affordable actions that families can maintain using locally available resources. Read less

Participants identified several urgent actions needed to strengthen the prevention, early identification and rehabilitation of child malnutrition in Gicumbi District. First, they emphasized the need to strengthen early screening and identification of malnutrition among children, particularly those under five. They proposed that health workers and community health workers conduct regular screening and ensure that children identified as at risk are referred and followed up appropriately. Second, participants called for stronger community-level action to improve caregivers’ nutrition practices.... Read more They proposed using the Positive Deviance Hearth (PDH) approach to identify positive practices already existing within communities and help caregivers adopt practical solutions using locally available foods and resources. Third, participants emphasized the importance of continued follow-up of children identified with malnutrition. Health facilities, community health workers, local leaders and caregivers should work together to monitor children’s progress and support their recovery, including addressing the factors that may contribute to relapse. Participants also identified the need for continued nutrition education and awareness at household and community level, including clearer understanding of stunting and other forms of malnutrition, appropriate feeding practices, hygiene and dietary diversity. To take these actions forward, participants proposed stronger coordination among Gicumbi District, health facilities, community health workers, local leaders, Caritas Byumba and World Vision Rwanda. They emphasized that the knowledge gained through the training should be translated into practical actions within communities rather than remaining at training level. As emphasized by the Vice Mayor in charge of Social Affairs, “We have to give the full package to teach communities.” Read less

Urgent action is required to strengthen community-based nutrition interventions that improve caregivers’ knowledge and skills in preparing, preserving, and providing diverse nutritious foods using locally available resources. Priority should be given to promoting appropriate infant and young child feeding practices, conducting regular nutrition education and cooking demonstrations, identifying and supporting malnourished children early, and strengthening referrals to health facilities for appropriate treatment. Deliberate efforts should also be made to engage men and community leaders in nut... Read morerition initiatives and address harmful cultural beliefs and practices that prevent pregnant and lactating women and young children from accessing nutritious foods. At the same time, interventions should strengthen household food security and resilience by promoting climate-smart agriculture, diversified food production, household gardens, and improved access to appropriate farming inputs. Strengthening collaboration among communities, health facilities, government departments, traditional leaders, and other partners will be critical to ensuring a coordinated and sustainable response that addresses both the immediate and underlying causes of malnutrition among children under five. Read less

1. Ensure school canteens provide only nutritious food options. 2. Strengthen the role of PHMs and ensure enforcement of relevant policies. 3. Improve nutrition education and awareness during pregnancy. 4. Restart and strengthen the Pidihath programme to improve child nutrition. 5. Move beyond routine home visits every three months and adopt more effective engagement methods. 6. Introduce greater diversity in school meal programmes. 7. Strengthen nutrition education within schools. 8. Promote family-level awareness and accountability, with stronger government follow-up mechanisms. 9. Engage re... Read moreligious and community leaders in influencing school environments and behaviours. 10. Strengthen the presence and accessibility of MOH services at village level. 11. Address frequent transfers of government officers to ensure continuity of services. 12. Improve awareness and monitoring of food waste and food practices. Read less

Conduct community-based nutrition awareness programmes. Strengthen child-focused nutrition education. Promote positive dietary behaviour change among families. Improve school nutrition programmes and food quality. Expand income-generation opportunities for households. Promote self-employment initiatives. Strengthen community resilience and livelihood development. Support sustainable livelihood activities to improve household food security. Promote and strengthen home gardening initiatives. Support women’s empowerment through food production and livelihood activities. Improve local access to ... Read morenutritious foods. Address animal threats that affect household cultivation and food production. Continue and strengthen school breakfast programmes. Expand school meal support to higher grade levels. Improve the quality and accessibility of nutritious foods in schools. Strengthen government monitoring, review, and support mechanisms. Improve disaster preparedness and response systems. Provide infrastructure support to improve food access and service delivery. Enhance road and transport facilities to improve market access and food distribution. Strengthen community participation in nutrition-related initiatives. Implement community awareness campaigns on nutrition and food security. Encourage family-level and community-level actions to improve child nutrition. Promote women’s empowerment and community ownership of nutrition interventions. Read less

Encourage regular attendance at work at plantations Promote self-employment opportunities. Support mushroom cultivation. Promote candle production and other small-scale income-generating activities. Provide skills training and practical guidance for livelihood development. Create suitable spaces and facilities for poultry and chick rearing. Improve access to nutritious foods for adolescents. Ensure equal nutritional support for both boys and girls. Strengthen agricultural and nutrition-related support services. Increase field visits and follow-up by government officers and extension workers. C... Read moreonduct soil testing and provide technical agricultural assistance. Conduct regular community pocket meetings. Increase community engagement and participation. Strengthen motivation and positive attitudes toward work and self-improvement. Reduce school dropout rates. Increase awareness programmes for parents on child nutrition and healthy eating practices. Strengthen the involvement of Agrarian Service Centres. Increase engagement of relevant government stakeholders. Mobilize community organizations to support nutrition initiatives. Enhance the role of NGOs and development partners in providing technical knowledge and practical guidance. Improve household income as a strategy to address malnutrition. Strengthen community awareness on healthy diets and nutrition practices. Promote sustainable food production and home-based nutrition solutions where feasible. Read less