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1.L’appui par le secteur de lufupa,le territoire de Mutshatsha et le gouvernement avec differentes variétés des semences et engrains chimiques et un accompagnement technique afin pour assurer la sécurité sanitaire des produits agricoles. Cette promotion de la production agricole sera accompagnée d’une éducation nutritionnelle pour améliorer les connaissances et pratiques des ménages en vue d’une meilleure diversification du régime alimentaire. 2.Que l’autorité administrative ,partenaires techniques et financiers dans le secteur puissent appuyer la communauté à forer des nou... Lire plusveaux puits et amenager des anciennes sources d’eau existantes ainsi permettre un accès aux services d’eau et assaisement ameliorés et reduire les maladies d’origine hydrique 3.La rehabilitation et l’équipement du centre de santé ,renforcement des capacités du personnel de santé facilitant ainsi l’accès aux services et soins de qualité pour une prise en charge adequate des maladies sources d’un mauvais état nutritionnel dans le chef de la population de Tshinaweji. 4.Que l’autorité territoriale accompagne la communauté dans le secteur de l’agriculture en favorisant les investissements ciblant les femmes à travers notamment le renforcement de leurs capacités en vue de leur autonomisation et l’augmentation des revenus issus de l’agriculture pour les producteurs. Lire moins

1. Women groups want to be educated on nutrition matters, so they also replicate the knowledge to the rest of the community members. This may influence behavior change. 2. Participants would want to learn what constitutes good nutrition and what crops they should grow to promote good food at home. 3. Male participation in the fight against malnutrition, which is currently too low, is needed. 4. There is an immediate need for traditional leaders' involvement to regulate the sale of crops after harvest. The observation is that there are high levels of indiscipline among parents and do sale most ... Lire plusof their produce, leaving their families vulnerable to hunger and malnutrition. Lire moins

Tous les défis relevés trouvent également leurs correspondants en termes de solutions palliatives. Les actions urgentes proposées par la communauté après réflexion sont les suivantes : - Mener un plaidoyer auprès des autorités pour l’octroi des terres et l’interdiction du système de partage égal des récoltes en cas de location de terre qui est aujourd’hui considéré comme un véritable freint au développement des ménages agricoles ; - La sensibilisation des ménages pour leur adhésion aux groupes d’épargne pour la diversification des sources de revenus ; il faut encour... Lire plusager les ménages a adhérer aux coopératives qui organisent le système d’épargne afin de bénéficier de crédit pour organiser des activités génératrices de revenus. - La formation des jeunes désœuvrés (bandits) sur les métiers et la réinsertion sociale va résoudre le probleme de banditisme et de vol ; - La sensibilisation des ménages à travers la voix des ondes pour des leçons éducatives sur la planification familiale et les bonnes pratiques culinaires ; - Appuie matériels aux associations agricoles et aux agriculteurs pour l’augmentation de la production. Lire moins

SREEENING: CHWs, local leaders, WVR and its Implementing partner are taking decision to urgently screen children in order to know their weights and make follow up to children with malnutrition. how will it be done? We have what we call PDH Sessions where in community parents meet and learn how to prepare good nourished meal for children, feeding it and use hygiene while acquiring that culture. participants in the dialogue are going to practice these sessions for children who will be found malnourished

1. Churches will encourage people to plant fruit trees in their homes and fields. 2. They will introduce Health Sundays, where experts will be called in to give information on nutrition to churchgoers 3. Churches will be conducting workshops to build capacity for mothers and caregivers on food preparation. 4. The church will work with traditional leaders to promote the consumption of local foods, the growing of vegetables, and the diversification of crops. 5. Women groups will conduct lessons and regularly hold cooking demonstrations of nutrient-dense foods. Outreach of these activities will a... Lire pluslso be undertaken. 6. The church will also spearhead the formation of community nutritional groups. 7. The church will tailor specific sermons to help congregants understand the importance of nutrition. Lire moins

Addressing these challenges requires a multi-faceted approach that combines policy reforms, capacity building, technology integration, and stakeholder collaboration. Here are possible solutions: 1. Inadequate Resource Allocation for Nutrition Advocate for increased funding: Engage policymakers through evidence-based advocacy to allocate a higher percentage of budgets to nutrition programs. Public-private partnerships: Leverage private sector resources to complement government efforts. 2. Poor Dissemination of Policies Simplify and localize policies: Translate complex policies into user-friendl... Lire plusy materials in local languages for broader understanding. Strengthen communication channels: Use mass media, social media, and community outreach to share policies widely. Train implementers: Build the capacity of county and sub-county staff to understand and apply policies effectively. 3. Lack of Policy, Guidelines, and Standards Develop tailored policies: Create and update guidelines for specialized areas like sports nutrition and clinical nutrition through multi-stakeholder consultations. Benchmark globally: Study successful frameworks from other countries to adapt and implement best practices. 4. Inadequate Nutrition Staff Recruit and retain personnel: Advocate for hiring more nutritionists at county and sub-county levels and ensure competitive compensation. Train existing staff: Upskill healthcare workers to provide basic nutrition services while referring complex cases to specialists. 5. Inadequate Data Collection and Reporting Tools Standardize tools: Develop and distribute harmonized data collection templates for use across all health facilities. Digitize data systems: Implement digital platforms to facilitate real-time data entry, analysis, and sharing. Train staff: Build capacity among healthcare providers to effectively use these tools. Lire moins

1. Parents, guardians, and caregivers need to be educated on the importance of consuming local foods rather than refined and packaged foods from chain stores. 2. Peasant farmers need to be educated on compost manure and traditional and affordable food preservation techniques. This will help them keep the harvest longer without fear of losing it to pests. Furthermore, using compost manure will lessen the expenditure on farming input, allowing more farmers to grow food for home consumption. 3. Households need to engage in gardening, growing vegetables, and other food that can improve family nutr... Lire plusition. 4. Participants suggest that it will take the involvement of parents, caregivers, and village head persons to commit to helping parents understand the importance of nutrition and crops that can help improve and secure households' food security. SMAGs have pledged to continue to offer information and improve knowledge to mothers and caregivers on the need to provide nutrition foods using locally sourced foods. Lire moins

Plusieurs actions ont été décidées comme urgentes à prendre, entre autres: (1) La sensibilisation de la communauté pour la prise de conscience du danger que représente la malnutrition au sein des communautés: C'est à ce niveau que les participants ont félicité World Vision pour avoir pensé à organiser ces dialogues sur la nutrition, car ce sont des moments où les gens discutent sur des sujets qui les concernent et qui concernent le bien-être de leurs familles. (2) Sensibilisation sur la mise en place des jardins domestiques: Etant donné que les terres cultivables sont devenues ... Lire plusrares, les participants ont proposé que chaque famille puisse avoir un petit jardin domestique afin de permettre à chaque famille d'avoir la possibilité de cultiver des légumes et améliorer ainsi l'état nutritionnel de leurs enfants. (3) Renforcement des activités génératrices de revenus: Comme l'agriculture est presque abandonnée à cause de l'insuffisance, voire du manque des terres cultivables, les participants au dialogue ont proposé de multiplier des actions qui visent à leur générer des revenus afin de palier au manque des produits agricoles qu'ils peuvent alors aller acheter dans d'autres entités où c'est encore possible d'en trouver. Ceci passe par le renforcement des saving groups qui sont déjà opérationnels pour rendre les communautés, surtout les femmes autonomes sur le plan financier. (4) Faire participer plusieurs personnes dans les activités de sensibilisation: Etant donné que ces dialogues sont organisés au niveau des communautés et où le nombre des participants est limité, les participants au dialogue de Ngandu ont suggéré à ce que World Vision puisse intensifier ces dialogues et les étendre dans d'autres entités, même dans des milieux les plus reculés, afin de se rassurer que la majorité de la population a la vraie information sur les causes de la malnutrition et qu'ils s'engagent à en faire leur lutte commune pour améliorer la situation. (5) Limiter les mariages précoces. Lire moins

Request for improved access to water in the community to improve hygiene, handwashing and also water for household backyard gardens. Proposals to be sent to government and other NGOS, including WV to support with clean water More training of mothers, especially teenage mothers on the importance of exclusive breastfeeding.

• Promote and adopt irrigation farming to ensure consistent agricultural production throughout the year. • Encourage the use of organic manure to improve soil fertility and reduce dependence on chemical fertilizers which is expensive these days. • Practice improved agricultural technologies to increase crop yields and resilience to climate change. • Engage local leaders to advocate for reducing excessive food preparation during cultural ceremonies. • Intensify cooking demonstrations to teach effective food utilization and improve nutrition. • Promote family planning methods to addr... Lire plusess the challenges associated with overpopulation. • Support natural regeneration practices to restore soil health and enhance environmental sustainability Lire moins

- Nutrition intervention to focus more on prevention of severe wasting & nutrition oedema: Emphasis was stressed on ensuring all interventions are very cost effective and target prevention more than Management of Malnutrition. Emphasis and support should be directed towards surveillance, screening and community sensitization on consumption of locally available nutritious foods. - Regions & Councils to conduct routine assesment of nutrition status rather than depending on 4 year gaps surveys: Enhanced routine monitoring will ensure tackling Malnutrition instantly and hence ensure better... Lire plus results with surveys. It also helps us with evidence based decision making instantly and ending Malnutrition early. All stakeholders including WV should assist with availability of equipments and technical support in their catchment areas. - Support National efforts towards consumption of biofortified and fortified foods. The district councils to come up with CMV (Complex of Minerals & Vitamins) needs per their area and work together with the partners World Vision but espeially Harvest Plus and Sanku to emphasize the community in the consumption of fortified foods and crops. - Need to scale up PDHearth in project areas and the Government to include PDHearth in National guidelines, Plans & Agendas: WV has done well with PDHearth model its time for scale up of this evidence based community management of severe wasting & nutrition oedema. - spots implementations of interventions needs to stop: All Nutrtion interventions should rather target a small geographical area in totality than spreading out and cover small areas (spots) Lire moins

The nutrition dialogue in Kiambu County identified several urgent actions necessary to address the pressing challenges of malnutrition and health inequities. Key actions included enhancing community education, particularly for young mothers, adolescent girls, and marginalized groups, to encourage healthier dietary practices and behaviors. Participants stressed the need for targeted interventions such as strengthening community health promoter (CHP) capacity and training daycare operators on proper nutrition and hygiene practices. Addressing the lack of adequate nutritional supplements, like Re... Lire plusady-to-Use Therapeutic Foods (RUTF) and Ready-to-Use Supplementary Foods (RUSF), was also prioritized to ensure immediate support for malnourished children. Furthermore, participants emphasized the importance of promoting food security at the household level by developing kitchen gardens, with a model garden proposed at Makongeni Health Center to inspire other households. To tackle systemic gaps, stakeholders called for policies supporting food fortification and the creation of inclusive programs that address the needs of people with disabilities. Strengthening data collection and harmonization between community-level and health facility data was seen as crucial for accurate decision-making and effective policy implementation. To take these actions forward, participants proposed a collaborative approach involving multi-sectoral partnerships between local government, health, agriculture, and education sectors, alongside community-level engagement. Advocacy for improved resource allocation, policy development, and regulation enforcement for daycare centers was also suggested to ensure sustained progress and equitable access to nutrition and health services across Kiambu County. Lire moins

In the Rowangchhari Bandarban hill area, practical measures such as homestead gardening, rearing hens and ducks, and cultivating pond fish are effective in reducing malnutrition. Educating mothers and caregivers about proper nutrition is crucial. Local governments should increase budgets for food security through food allowances and social safety net programmes. Livelihood initiatives, including livestock rearing, fisheries, entrepreneurship, and small businesses such as tailoring, grocery shops, tea stalls, and handicraft production, can help alleviate poverty and improve food security. Mass ... Lire plusawareness campaigns through seminars, discussions, and gatherings in mosques, churches, and temples can effectively spread the message about nutrition. Promoting practices like using vermicompost, consuming iodised salt, eating family meals together, and preparing weekly food plans can improve dietary habits. Increasing budgets for the livestock and fisheries departments, along with improved monitoring, is necessary. Providing subsidies or special allowances for marginalised farmers and extremely poor individuals, expanding maternity allowances, and introducing a midday meal programme in primary schools are vital steps. Awareness about safe and nutritious food should target both poor and wealthy families through workshops, campaigns, and learning sessions, as many remain unaware of healthy practices. Civil society organisations, child forums, youth groups, health service providers, teachers, Union Parishad members, faith leaders, and adolescent clubs play key roles in raising awareness. Government agencies, including agriculture, health, and women affairs departments, along with NGOs such as World Vision, GROUSE, BNK, and HN Foundation, can provide essential support. Practical community initiatives include creating gardens near mosques, rearing livestock, cultivating zinc-enriched rice with compost, and using vermicompost. Livelihood-focused efforts, like livestock rearing and Lire moins