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Behavioral Change for Preventing Diarrheal Diseases in Children

This project focuses on preventing diarrhea in children under five by promoting behaviors like handwashing and safe excreta disposal. Through a two-year program, health personnel and local promoters are trained to implement effective behavioral change strategies. The outcomes include the integration of diarrhea prevention materials into existing health programs, leading to a reduction in diarrhea cases. The project aims to instill new behavior patterns in the community and improve hygiene practices for long-term impact on children's health.

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Behavioral Change for Preventing Diarrheal Diseases in Children

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  1. CHANGING BEHAVIOR TO PREVENTDIARRHEAL DISEASES EHP

  2. Partnership • USAID-EHP/PAHO-IMCI • PAHO/Peru • MOH/Peru • local NGO/Peru • PAHO/Nicaragua • MOH/Nicaragua • local NGO/Nicaragua

  3. Focus • prevent diarrhea in children under five by changing family behaviors • hands wash • safe excreta disposal

  4. Diarrheal Disease and Children’s Health Diarrheal Disease in Child Control Programs EHP’s Approach to Hygiene Improvement Field Examples

  5. Primary Prevention The F-Diagram Fingers Sanitation Water Quality Fluids New Host Food Feces Flies Hand Washing Water Quantity Fields Source: Wagner and Lanois, 1958

  6. Effectiveness of Hardware and Hygiene Interventions inReducing Diarrhea Morbidity Excreta Disposal Facilities Water Quantity Intervention Water Quality Handwashing 0 10 20 30 40 Median reduction (%) Source: Esrey et al. 1991; Hutley et al. 1997.

  7. Methodology • identify the problem with and within the community • identify and negotiate the solutions with the community • door to door visits to assist and encourage the community for the changing • Duration of two years

  8. Main activities • health personnel training • local and participatory diagnosis • local promoters training • base line of diarrhea occurrence • develop diarrhea prevention materials integrated into IMCI materials

  9. Outcomes • health professionals and promoters from MOH and NGO’s able to apply an effective behavioral changing methodology • guide to reapply the methodology • diarrhea prevention materials integrated into IMCI materials

  10. Expected Results • new pattern of behavior incorporated in the values and practices of the community • reduction of the diarrhea cases in children under five

  11. Impact Indicators Percentage of children <5 years of age with diarrhea in the last two weeks Quantity of water used per capita per day Percentage of child caregivers and food preparers with appropriate handwashing behavior Percentage of population using hygienic sanitation facilities

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