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Participants identified several urgent actions to address nutrition challenges. They emphasized the need to increase community awareness on proper infant and young child feeding practices through regular education and counseling sessions led by Community Health Workers. Providing nutritious food support, such as local protein sources like small fish and eggs, was proposed to motivate and assist vulnerable families. Improving hygiene and sanitation practices was also highlighted to reduce disease and malnutrition risk. To take these actions forward, participants suggested strengthening collabor... Read moreation between local health workers, community leaders, and nutrition programs like PDH. They recommended regular monitoring and follow-up visits to ensure sustained behavior change and support for malnourished children. Engaging local volunteers in training and empowering caregivers with practical skills were also seen as key steps. Finally, participants called for continuous resource mobilization and support from partners to maintain and expand these efforts effectively. Read less

Participants proposed several urgent actions to combat child malnutrition and improve household nutrition in the Gakenke district. First, they emphasized strengthening nutrition education for caregivers, focusing on practical skills such as meal planning, food preparation, and proper feeding practices for children under five. They recommended expanding the Positive Deviance Hearth approach to more villages, ensuring every community has trained local volunteers to lead sessions. Promoting kitchen gardens was identified as a priority to increase year-round access to vegetables and diversify diet... Read mores. Participants suggested that households be supported with seeds, tools, and training on climate-smart gardening techniques to cope with seasonal changes. They also called for improving hygiene and sanitation, proposing that handwashing stations be established in households and public places, coupled with ongoing community awareness campaigns. Access to clean water was seen as essential, requiring collaboration with local authorities and NGOs to improve water infrastructure. On the economic front, participants recommended income-generating activities for women, such as small livestock rearing or cooperative farming, to boost household food purchasing power. They suggested linking these activities with nutrition education so that increased income translates into better diets. For early detection and treatment of malnutrition, participants urged stronger links between community health workers and households, with regular home visits and growth monitoring. They proposed integrating nutrition checks into existing health outreach programs. Culturally, they highlighted the need to challenge food taboos that limit children’s diets, recommending targeted dialogues with community leaders, elders, and faith-based groups to foster acceptance of more diverse foods. Read less

Participants identified the following urgent actions and proposed ways to move them forward: Strengthen Nutrition Education: Increase awareness among caregivers on balanced diets and proper child feeding practices. This can be done through regular community sensitization, home visits by CHWs, and training sessions at ECD centers. Improve Access to Nutritious Foods: Support families, especially poor households, with nutritious food items like eggs and small fish. Promote local food production and diversification to ensure availability year-round. Enhance Hygiene and Sanitation: Promote WASH pra... Read morectices in communities and ECD centers to prevent diseases that contribute to malnutrition. This includes providing hygiene materials and training on sanitation. Provide Resources to ECD Centers: Supply cooking and hygiene materials to support the effective functioning of ECDs in promoting child health and nutrition. Increase Caregiver Engagement: Encourage caregivers to actively participate in nutrition programs and behavior change activities by organizing more interactive sessions and follow-ups. Cross-sector Collaboration: Strengthen integration between nutrition, health, WASH, and child protection sectors for holistic child development. Monitoring and Support: Continue regular monitoring and support from CHWs and volunteers to ensure proper implementation of nutrition interventions. Participants recommended that these actions be taken forward through collaboration between local leaders, health workers, NGOs like Caritas Byumba and World Vision Rwanda, and community members to ensure sustainability and impact. Read less

Participants identified several urgent actions to improve child nutrition and proposed ways to implement them: Strengthen Nutrition Education: Enhance training for caregivers and ECD leaders on preparing balanced diets using locally available foods. This can be done through regular cooking demonstrations and community sensitization campaigns. Improve Hygiene and Sanitation: Promote better WASH practices to reduce diseases that affect nutrition. This includes building latrines, providing clean water, and encouraging handwashing at critical times. Integrate Nutrition with Other Sectors: Foster c... Read moreollaboration between health, education, and water sectors to provide comprehensive support to children. This involves joint planning, resource sharing, and coordinated interventions at the community level. Support Home-Based ECD Centers: Provide resources and continuous capacity building to ECD centers to ensure they can effectively monitor and support child nutrition and health. Increase Food Security: Support households with access to nutritious foods like small livestock, fruits, and vegetables through agricultural programs and community gardens. Strengthen Monitoring and Follow-up: Empower Community Health Workers to conduct regular follow-ups with families to track child growth and provide ongoing counseling. Participants proposed these actions be taken forward through partnership among government agencies, NGOs, community leaders, and families, with clear roles and accountability. They recommended continuous community engagement, resource mobilization, and periodic evaluation to ensure sustainability and effectiveness. Read less

Participants identified several urgent actions to improve child nutrition and proposed practical ways to implement them: Strengthen community sensitization: Increase awareness campaigns on balanced diets, hygiene, and infant feeding practices to educate caregivers. This can be done through regular community meetings and home visits by Community Health Workers (CHWs). Support food availability: Provide nutritional support such as eggs, small fish, and other protein-rich foods to vulnerable families, especially during food-scarce seasons. Partners and local authorities should coordinate to suppl... Read morey these foods at PDH sites. Enhance training for CHWs: Regular refresher trainings and supervision should be conducted to improve CHWs’ skills in monitoring and counseling caregivers effectively. Improve follow-up systems: Develop better tools and schedules for home visits to ensure consistent monitoring of malnourished children’s progress. Promote hygiene and sanitation: Encourage construction of latrines and use of clean water to reduce disease incidence, which impacts nutrition. Strengthen partnerships: Encourage collaboration between government, NGOs, and local communities to pool resources and coordinate nutrition interventions. Mobilize resources: Advocate for more funding and material support to sustain PDH activities and reach more children. Participants emphasized that these actions must be community-driven, supported by local leaders and partners, and continuously monitored for impact to ensure successful rehabilitation and prevention of child malnutrition. Read less

Participants identified several urgent actions to address the nutrition challenges in their community. First, they emphasized the need for continuous household counselling by Community Health Workers (CHWs), especially for families with children aged 0–23 months, pregnant women, and lactating mothers. They proposed that CHWs be supported with refresher trainings, job aids, and regular supervision to ensure accurate nutrition messaging and follow-up. Strengthening Positive Deviance Hearth (PDH) sessions was seen as critical for rehabilitating malnourished children and equipping caregivers wit... Read moreh practical cooking demonstrations using locally available and affordable foods. Participants suggested expanding PDH coverage to reach more villages and increasing community mobilization through local leaders and faith-based groups. To tackle seasonal food shortages, participants proposed promoting kitchen gardening and small-scale livestock rearing to diversify household diets. They also recommended training households on post-harvest storage to reduce food losses. Collaboration with local agriculture officers and cooperatives was highlighted as a way to increase food production and affordability. Improving hygiene and sanitation was identified as another priority. Actions include community-led campaigns on handwashing, safe water use, and latrine maintenance. Linking nutrition activities with WASH (Water, Sanitation, and Hygiene) programs was seen as essential to breaking the cycle of infection and malnutrition. Participants also stressed the importance of addressing cultural barriers. They suggested involving men, elders, and community influencers in nutrition education to challenge harmful food taboos and encourage shared household responsibility for child nutrition. Read less

Participants identified several urgent actions necessary to enhance the effectiveness of the PDH (Positive Deviance Hearth) sessions and improve child nutrition outcomes in the Mutete Sector: Provision of Nutritious Food Support: Participants emphasized the need to support PDH sites with nutritious food items such as small fish, eggs, and vegetables. These foods would not only be used during PDH cooking demonstrations but also serve as an incentive for poor families to participate. The community proposed that local partners and government institutions collaborate to mobilize resources or link ... Read morefamilies to social protection programs like Girinka or Ubudehe support. Community Sensitization and Mobilization: It was proposed to strengthen community mobilization through CHWs and local leaders to raise awareness about the importance of PDH sessions. Regular home visits and use of existing community structures were recommended to encourage consistent participation and behavioral change. Capacity Building for CHWs and Caregivers: To ensure high-quality PDH implementation, participants proposed continuous training and mentorship of CHWs in nutrition counseling, food preparation, and monitoring of child growth. Additionally, equipping caregivers with knowledge on locally available nutritious foods was seen as key to sustaining practices at home. Strengthening Monitoring and Evaluation: Participants recommended improving data collection and follow-up of children enrolled in PDH sessions. This includes the use of standardized tools and frequent supervision to track progress and provide timely feedback. Linkage with Other Nutrition and Health Services: Integration of PDH with other community-based services such as growth monitoring, deworming, and ECD centers was proposed to create a more holistic support system for children under five. Read less

Participants identified several urgent actions to improve child nutrition and proposed practical ways to implement them: Strengthen community sensitization on balanced diets and hygiene practices using local examples. They proposed increasing regular community meetings, radio programs, and door-to-door education led by CHWs and volunteers. Increase male involvement in nutrition and caregiving. Participants recommended organizing couple-based trainings and engaging local leaders to advocate for shared parenting responsibilities. Provide regular refresher trainings to CHWs, ECD caregivers, and l... Read moreocal leaders on nutrition, growth monitoring, and early intervention. Ensure consistent supply of basic materials (cooking tools, hygiene kits, posters) to support ECD centers and hearth sites. They proposed collaboration with local government and NGOs to mobilize these resources. Strengthen home follow-up visits to encourage continued positive practices beyond hearth sessions. They suggested developing a joint follow-up plan between Caritas Byumba, WVR, and CHWs. Improve food accessibility by promoting small-scale kitchen gardens and livestock rearing, with practical training and seed support for vulnerable households. Enhance coordination among stakeholders through quarterly review meetings to monitor progress and share lessons learned. These actions were agreed to be integrated into future planning sessions by Caritas Byumba and WVR, with clear roles for community leaders, CHWs, and caregivers to ensure sustainability. Read less

Participants identified several urgent actions to address malnutrition. First, they emphasized continued education for caregivers on preparing balanced meals using available local foods. They suggested increasing the number of cooking demonstrations and hearth sessions in more villages. Second, they called for stronger community mobilization through local leaders and CHWs to identify and support more malnourished children early. Third, they proposed integrating nutrition education into community gatherings and churches. Participants also urged increased collaboration between NGOs, health cente... Read morers, and local authorities to sustain the PDH model. They recommended supporting caregivers with kitchen gardens and small livestock to improve household food diversity. Lastly, they requested regular follow-up visits after hearth sessions to ensure long-term behavior change. Read less

Participants identified several urgent actions to fight malnutrition: Strengthen nutrition education: Caregivers requested continued training on preparing balanced meals using locally available food. They proposed regular community-based sessions like cooking demonstrations. Promote home gardening: Participants suggested every family should grow vegetables and fruits to improve diet diversity. Local leaders and community health workers were tasked to follow up. Improve hygiene practices: Emphasis was placed on educating families about handwashing and clean food preparation. They proposed using... Read more community gatherings and CHWs to spread messages. Community support: They encouraged mutual help among families, especially in food sharing and supporting vulnerable households. These actions aim to improve knowledge, practices, and food access to reduce child malnutrition. Read less

Participants identified several urgent actions needed to combat malnutrition and stunting in Burera District. Key among them were: Scaling up community education on balanced diets and hygiene, using existing platforms like Umuganda, churches, and ECD centers to reach parents and caregivers. Rehabilitation of malnourished children: Establishing regular follow-up systems in health centers and community health workers (CHWs) to monitor nutritional progress and provide counseling. Establishing household-level solutions, including vegetable gardens, fruit tree planting, and the provision of domesti... Read morec animals (e.g., cows, goats) to improve access to animal-sourced food. Promoting behavior change by sensitizing parents against alcohol and substance abuse, and encouraging fathers to be more engaged in child nutrition. Strengthening Professional Umuganda as an integrated model that includes food demonstrations, house and latrine construction, and food distribution to vulnerable families. Enhanced multi-sectoral collaboration: Local authorities, partners like WVR and Caritas Byumba, and community members committed to a joint accountability model for better implementation. Increased community contribution through food sharing for ECD centers, ensuring that children receive nutritious meals during their formative years. To move forward, the participants proposed stronger coordination between local government, civil society, and development partners, periodic evaluations of nutrition programs, and continued high-level advocacy to secure political will and community ownership. Read less

Strengthening Nutrition Education: Participants emphasized the need for ongoing community-based nutrition education. They proposed that local health workers and trained volunteers continue to sensitize parents—especially mothers—on preparing balanced meals using locally available foods. Demonstrations during Positive Deviance Hearth (PDH) sessions should be scaled up to reach more families. Improving Hygiene and Sanitation: As poor hygiene contributes to repeated infections and undernutrition, participants called for regular hygiene campaigns and improvements in access to clean water and l... Read moreatrines. They suggested training households on safe food handling and personal hygiene as part of PDH sessions. Improving Hygiene and Sanitation: As poor hygiene contributes to repeated infections and undernutrition, participants called for regular hygiene campaigns and improvements in access to clean water and latrines. They suggested training households on safe food handling and personal hygiene as part of PDH sessions. Enhancing Collaboration and Follow-Up: Participants proposed that health centers and community leaders maintain regular follow-up with families of malnourished children. They recommended integrating PDH into existing community health systems and school feeding programs to ensure sustainability. Read less

Education and Awareness: Promote knowledge about natural and fresh foods. Food Preservation: Develop methods for preserving food. Church Involvement: Encourage churches to support seed gardening, storage, and regeneration. Gender Roles: Challenge men to take more responsibility for nutrition. Land Reform: Address land distribution issues. Church Empowerment: Provide resources and capacity-building for churches. School Curriculum: Reintroduce agricultural science in schools. Support Indigenous Foods: Advocate for traditional food sources over imports. Skill Development: Train congregations in l... Read moreand care and sustainable farming. Read less

Para abordar estos desafíos, los participantes propusieron una serie de acciones prioritarias: 1. Mejoramiento de los servicios básicos: Implementación de paneles solares para mitigar los problemas eléctricos, mantenimiento de potabilizadoras y promoción de la cosecha de agua con tanques de reserva en los hogares. 2. Infraestructura y transporte: Reparación de carreteras y aumento de unidades de transporte público con tarifas reguladas para mejorar la accesibilidad y la movilidad de la población. 3. Gestión ambiental y residuos: Creación de programas de educación ambiental, fomento ... Read moredel reciclaje y regulación de horarios y frecuencia de recolección de basura. 4. Seguridad comunitaria: Fortalecimiento de iniciativas como rondas de patrullaje, instalación de garitas de vigilancia y programas de vecinos vigilantes para reducir la delincuencia. 5. Acceso a educación y salud: Construcción y equipamiento de nuevos centros educativos y de salud en zonas desatendidas, junto con la contratación de personal calificado. 6. Sostenibilidad y seguridad alimentaria: Promoción de huertos comunitarios y familiares, fomento de la agricultura sostenible y fortalecimiento de la economía circular a través de la cría de animales y el aprovechamiento de residuos orgánicos como abono. 7. Fomento del empleo y la economía local: Creación de ferias de empleo comunitarias y establecimiento de cooperativas que regulen el transporte y otros sectores clave. Para abordar estos desafíos y ejecutar las acciones propuestas, es fundamental la participación de actores clave en Panamá. Entre ellos se encuentran: Ministerio de Obras Públicas (MOP), Policía Nacional, Autoridad de Aseo Urbano y Domiciliario (AAUD), Ministerio de Salud (MINSA), Ministerio de Educación (MEDUCA), Ministerio de Desarrollo Agropecuario (MIDA), Naturgy y Empresa de Distribución Eléctrica ENSA, Instituto Nacional de Formación Profesional y Capacitación para el Desarrollo Humano (INADEH), Gobiernos Locales y Líderes comunitarios Read less