Grant no. PDC-0502-A-00-5095-00 to Save the Children Federation

SCF will train families and communities in 10 CS behaviors, and help communities organize, implement, and monitor primary health care (PHC) in support of these behaviors. In general, SCF will conduct regional workshops to prepare its personnel for the project, including training in the 10 targeted CS behaviors: oral rehydration therapy (ORT); vaccination of women and children; acquiring and using clean water; sanitary disposal of excreta; breastfeeding, weaning, and child feeding; growth monitoring; finding competent care for severe illness, as well as for pregnancy and and delivery; maternal nutrition; and family planning. SCF will also establish documentation protocols. collect baseline data, and train community health committees and family trainers. Efforts in Bangladesh will focus on ORT, immunization, growth monitoring/counseling, training/use of traditional birth attendants, and sanitation and nutrition education in four rural upazilas: Rangunia, Nasirnagar, Ghior, and Mirzapur. Stress will be on training multipurpose women workers to serve as home visitors assisted by male health aids. In Bolivia, SCF will establish a community-based, family-oriented PHC system providing ORT, immunization, growth monitoring, and nutrition/health education to 80% of the families in each target community. Efforts will focus on Saavedra and 23 surrounding small communties in Santiesteban Province and in Quime and Inquisivi, Inquisivi Province. Ecuadorean families will receive training in all 10 CS categories. SCF will also develop training systems for SCF and MOH staff and for community workers, and will help the MOH conduct regular health fairs to provide services (e.g., vaccinations) that are otherwise not readily available. Impact areas will include 20 of Quito"s 90 marginal communities and an urban-marginal area of Portoviejo. Efforts in Indonesia will be limited to Clinching District, a densely populated slum at the northern limit of Jakarta. In Zimbabwe, SCF will expand CS activities in three of its four ongoing impact areas: the Muusha communal area of Chimanimani District, Mupedzahnamo, and the Tongogara refugee camp. Targets are to provide complete series of vaccinations, along with ORT and sanitation training, to 80% of the target population over a 3-year period, after which SCF funds and community contributions will replace A.I.D. funding.