AID cooperative agreement no. FAO-0500-A-00-3027-00 with the Foundation for the People [Peoples] of the South Pacific (FSP) in support of its proposal, entitled `Improving the quality of child survival services in the South Pacific (Vanuatu and Kiribati)," dated December 8, 1992

FSP will seek to improve services for 25,818 children under six and 21,457 women of childbearing age on the island of Espiritu Santo in Vanuatu and on six islands of the Gilbert group in Kiribati. FSP will (1) increase immunization coverage (including tetanus toxoid) by improving the cold chain with solar-powered refrigerators, training supervisors and nurses in Expanded Program of Immunization (EPI) management, and using community groups and leaders to promote immunization; (2) train nurses to educate mothers in home management of diarrhea, and train community leaders to increase community involvement in sanitation; (3) train health workers in the diagnosis and treatment of Vitamin A deficiency in children under 6, and distribute Vitamin A capsules to semi-annually to children under 6 and pregnant women; and (4) improve maternal nutrition and weaning practices through education of mothers and community members, improve health worker skills in growth monitoring and promotion; (5) improve prenatal care by training traditional birth attendants (TBAs) in hygienic delivery techniques and in recognizing and referring high-risk pregnancies; (6) improve case management of acute respiratory infection (ARI) by nurses and educate mothers to recognize danger sign of ARI; and (7) promote malarial prophylaxis for pregnant women, improve malaria diagnosis, and involve health center staff and the community in vector control programs.