Cooperative agreement no. PDC-0503-A-00-5117-00 to CARE

These activities, which will focus in particular on oral rehydration therapy (ORT) and immunization, will take place in communities where CARE already has an established presence. In Bolivia, CARE, in collaboration with Ministry of Health (MOH) personnel and other PVO"s, will implement a rural health education program, targeting 59,220 persons (of whom 30% are children 0-9, 36% females 10+, 34% male 10+) in 126 communities in Chuquisaen, Tarija, and La Paz departments. This program, which will stress ORT and diarrheal disease control, will be implemented by health promoters and local volunteers working directly with women and via cooperative efforts with schoolteachers, mother"s clubs, community water committees, and other health groups. CARE will also support national vaccination campaigns at the local level. In Haiti, CARE will provide health education and services via its existing Community Integrated Nutrition and Education Center (CINEC) infrastructure to: (1) at-risk mothers and their children, beginning at the pre-natal phase and (2) children enrolled in the CINEC program. CARE will target the 121 communities where CINEC"s are located to reach 105,000 persons directly, 30,000 of whom will be CINEC-enrolled children. The program will ultimately serve 100% of at-risk women and their infants (0-12 months) and 100% of all second and third degree malnourished children aged 0-5. To insure an effective delivery system, CARE will collaborate with such agencies as the Ministries of Health and Education, the Association of Private Health Organizations, and the Peace Corps. In Uganda, CARE will support newly established local health facilities in the Jinja, Iganga, and Kumali districts of the southeast region through: (1) development and field testing of health education materials, a baseline survey instrument, and monitoring and evaluation protocols related to ORT, immunization, and other PHC areas; (2) training of village women and traditional birth attendants in health education techniques; and (3) material assistance (e.g., roofing sheets for maternity additions to health posts). CARE will also help form a PVO coordinating committee to reduce the duplication of PVO services and encourage a close relationship between the PVO"s and the MOH. In Indonesia, CARE will train 750-900 community health workers (CHW"s) in 48 villages to promote and coordinate immunization programs, train mothers in the use of ORT, and facilitate primary PHC services with local community health centers. CARE will also provide training and TA to CHW"s as needed.