IIN : private sector nutrition/child survival

The project will consist of training and of local activities to complement two AID/W child survival projects, Applied Diarrheal Disease Research (ADDR) and Dietary Management of Diarrhea (DMD). IIN will provide selected PVO"s and public agencies involved in P.L. 480 Title II and Sector 416 feeding programs with TA and intensive training at the regional level. Principal activities will consist of: (1) improvement in agencies" food aid targeting; (2) TA to each agency in developing a program of nutrition education, growth monitoring, and other child survival interventions, including training for 50 Ministry of Health (MOH), PVO, and public agency nutritionists/trainers and 2,000 community health workers; (3) the development of educational materials culturally appropriate for use in community-level child survival promotion, and the provision of these and of 500 infant weighing scales to PVO and other agency promoters. The project will include Peruvian participation in DMD research at a rural sierra site in Ancash Department and, to complement this research, gather ethnographic data on traditional beliefs and practices regarding diarrhea for 300-400 cases in a peri-urban slum of Lima. The project will train 250 PVO and MOH doctors/nurses and 250 other health professionals, respectively, in a workshop on the implications of DMD research and through a 1-week course on DMD and its incorporation into the National Diarrheal Disease Control Program (NDDCP) norms. Some 10 physicians from Peruvian medical schools will be trained in the latest DMD research techniques and theories through participation in 2 clinical studies. The National Advisory Council on the DMD project will be expanded to include more Peruvian health professionals in research supervision and evaluation. In support of the ADDR project, the project will fund Peruvian participation in anthropological and epidemiological home surveillance research in two sierra sites (one rural and one peri-urban) on the causes, age-specific frequency rates, family perception, and home treatment of diarrhea. This component will complement the Ancash study; the results of both will disseminated to the local MOH area and incorporated in NDDCP norms. Amendment of 11/7/89 extends project to permit completion of project activities and a final evaluation. The total life of the project is now 4.5 years from the initial obligation date of 6/86. (PD-ABC-062)