Contents: Overview 1. Why invest in nutrition? 2. How serious is malnutrition and why does it happen? 3. Routes to better nutrition 4. Getting to scale 5. Accelerating progress in nutrition: next steps
This publication presents the activities and lessons learned from a project which sought to halve malnutrition among preschool children, raise primary school enrollment, reduce dropout and repetition rates, improve psycho-social and cognitive development, and increase the number of mothers practicing appropriate childcare. A strategic communication programme was designed to help mothers and other caregivers adopt new behaviours needed to achieve project outcomes. It helped the project team identify necessary changes in behaviour, knowledge or attitude for all target audiences; frame project-related issues relevant to different stakeholders, such as parliamentarians, mothers, community leaders, educators, and local government administrators; craft persuasive messages according to their needs, concerns and perceptions; and use the most appropriate communication channels. The communication strategy included a: national advocacy effort aimed at parliamentarians, health and education ministry officials, district and community leaders; multi-media campaign that emphasized three behaviour change interventions; training programme for health workers and pre-school teachers on their role; and monitoring and evaluation component to ensure that materials were disseminated via cost-effective channels of communication and that messages reached target audiences. Lessons learned emphasize the value of developing a comprehensive communication strategy during project design.
"To assist countries in their efforts to improve maternal health and reduce maternal mortality, the World Bank is publishing two volumes: Investing in Maternal Health: Learning from Malaysia and Sri Lanka, and Reducing Maternal Mortality: Learning from Bolivia, China, Egypt, Honduras, Indonesia, Jamaica, and Zimbabwe. These two books offer success stories in improving health and reducing maternal mortality in a range of developing countries. The first book is based on the experiences of Malaysia and Sri Lanka during the past five to six decades. The second book discusses the more recent experiences of Bolivia, China (Yunnan), Egypt, Honduras, Indonesia, Jamaica, and Zimbabwe. These nine countries have made important strides in improving maternal health, and these two books outline what worked and what did not"
This conference report addresses the benefits and challenges of investing in early childhood development. Programmes that invest in children's basic needs: health, nutrition, emotional and intellectual development help ensure children's progress in primary school, through secondary school and then into the workforce.This in turn can help break the cycle of poverty. It concludes that the effectiveness of ECD programmes should be continually evaluated, and a deliberately planned global coalition to fund ECD initiatives should be pursued. The publication includes essential resource information that includes descriptions and case studies of successful early childhood development programmes throughout the world. Written in an accessible style, it is aimed at policymakers and practitioners
A case study of the RESCUER project, in Iganga District, Eastern Uganda. The project was designed to link the traditional rural community health providers with the formal health delivery system in a cost-effective way. The increased number of deliveries under trained personnel, and increased referrals to health units, led to a reduction of about 50 percent in the maternal mortality rate (MMR) in three years
This directory features World Bank lending and non-lending programs that target children in the 0-8 age group. It describes Early Childhood Development (ECD) projects and project components and includes economic and sector work and capacity building initiatves. It aims to comprehensively document the World Bank's early years intervention programs and to provide lessons for future ECD projects. ECD programs in Africa are characterised by a high degree of community involvement and civil society participation, including NGOs. Implementation strategies combine key government sectors and programs at central, regional and district levels, and work with non-traditional implementers of World Bank projects such as international and national NGOs and foundations
This extensive resource guide and handbook is designed to help development professionals, programme planners, trainers, policy makers and child advocates to develop integrated approaches to working with young children living in poverty. It is organised into seven sections: the basics of early childhood development; needs assessment; setting project goals and objectives; choosing an appropriate approach; creating the infrastructure to deliver services; evaluation; and costs and financing.
This manual is part four of the World Bank's nutrition toolkit. It aims to help with the design and supervision of effective and feasible nutrition projects and project components and to carry out comprehensive analysis of sectoral and policy issues affecting food consumption and nutrition
This paper surveys health reform in the former Soviet republics of Central Asia, in the aftermath of their independence and transition from the Soviet command economy. Socio-economic, epidomiological and institutional realities face the countries. Section 2 sets out demographic and epidemiological trends, which suggest the scope and priorities for health services. The next section analyzes recent economic performance, highlighting worsening financial constraints. The existing health systems are evaluated in Section 4, centering on their primary strengths and weaknesses. Section 5 addresses critical institutional elements of the reform process, including decentralization and staffing issues. The reform agenda facing health policymakers in Central Asia is then investigated in Section 6, focusing upon empirical and descriptive aspects, in order to provide a reliable basis for discussing future options. Section 7 concludes that the large declines in real health spending signal that each country will have to do more with less. Consequently, current public health programs like maternal and child health programs will need to be restructured; improvement incentives to induce consumers and providors to behave more efficiently will have to be issued; and modorn management and quality assurance systems will have to be introduced. Although the reform debate focuses on financial sustainability, particularly attempts to bring in additional non-budget revenues, equally important is the need to focus on basic public health activities and delivery system restructuring.
The early child development (ECD) website is a knowledge source designed to assist policy makers, programme managers, and practitioners in their efforts to promote the healthy growth and integral development of young children. It lists details of the key players in the field of ECD, contains downloadable resources including documents, reports and websites, and has a regional focus on Africa, the Caribbean and Latin America. The website contains sections on the World Bank's ECD and HIV/AIDS initiative in sub-Saharan Africa as well as tools and manuals developed by the World Bank's ECD team