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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... Lire plush 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. Lire moins

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 ... Lire plusfamilies 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. Lire moins

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... Lire plusocal 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. Lire moins

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... Lire plusrs, 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. Lire moins

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... Lire plus 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. Lire moins

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... Lire plusc 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. Lire moins

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... Lire plusatrines. 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. Lire moins

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... Lire plusand care and sustainable farming. Lire moins

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 ... Lire plusdel 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 Lire moins

Entre las tres prioridades más destacadas fueron la construcción de infraestructura en el sector agropecuario y servicios básicos como (agua y carreteras), como segundo punto se destaco la importancia de la constante capacitación y participación ciudadana de la sociedad y como tercer punto se enfatizó en que estos programas, proyectos y cultura de formación debían ser impartidas por profesionales idóneos de la disciplina de los sectores a lo largo del sistema alimentario. Entre otras posibles soluciones se adicionaron la importancia la fuente de trabajo estable que influye en un facto... Lire plusr importante que es el caso de los altos niveles de pobreza en el sector primario. Adicional, mencionaron la concientización de la sociedad e inclusive los proveedores de formación. Por último, se detalla las soluciones dadas por los participantes: - Capacitar a los comunidades para producir de manera sostenible - Promover programas de educación nutricional - Co-crear infraestructura de acuerdo en contexto - Incrementar el personal profesional idóneos para velar por los precios de los alimentos - Fomentar el libre comercio - Crear infraestructuras adecuadas con personal idóneo en el ámbito hídrico para el mantenimiento - Elaborar vías de acceso que permita la distribución de alimentos -Crear conciencia de la situación actual de la comunidad - Crear sistemas de agronegocios en la comunidad - Articular rubros en diferentes localidades en una región con planificación agrícola Lire moins

1. Promote climate smart agriculture-rain farmers on drought-resistant crops, water-efficient irrigation, agroforestry, and sustainable grazing practices to enhance food security. 2. Enhance water access-Invest in water harvesting, storage, and purification systems, such as dams, boreholes, and rainwater harvesting, to mitigate water scarcity and water borne diseases. 3. Environmental conservation-Strengthen community-based initiatives to combat deforestation, promote reforestation, and rehabilitate degraded lands. 4. Increased nutrition education- Provide targeted education on balanced diets,... Lire plus food preservation, and cooking practices to improve household nutrition, particularly for women and children. 5. Increase women access to resources-Implement programs to provide women with access to land ownership, financial credit, and agricultural inputs. 6. Engage the youth-Engage youth in climate action and nutrition programs to build the next generation of resilient leaders. 7. Raise awareness on climate risk- Conduct community campaigns to highlight the impact of climate change on livelihoods and nutrition, encouraging proactive adaptation measures Lire moins