Common use of Future Applications of Lessons Learned Clause in Contracts

Future Applications of Lessons Learned. ❑ Continue to expand the census to other communities, along with growth monitoring of all children under age 2, and strengthen the nutritional rehabilitation program. ❑ Use the nutrition intervention as an entry point for community IMCI, and reinforce behavior change in the other CS interventions as part of the home visit and counseling strategy. ❑ Continue training of ANs and HVs in participative educational methodologies to improve communication for behavior change. ❑ Improve quality of care at the Health Sector level through continued support and in-service training in child and maternal nutrition. ❑ Improve the registration process to track child weights, follow-up activities and results, and the administration and record keeping of Vitamin A and iron sulfate. ❑ Improve the supply system for micronutrients. ❑ Make agreements and action plans with each family that has a child with negative growth tendencies, as part of a strategy to prevent moderate and severe malnutrition. ❑ Continue efforts to engage men and local authorities in an analysis of nutrition indicators and creative planning to improve nutritional status, such as home gardens and crop diversification, among others. ❑ Include follow-up of women who have apparently unwanted pregnancies to prevent low birth weight and poor feeding practices, emphasizing self-esteem and value identification. A reflection on values might include: “what values do I have regarding the purpose of life, how can I express these by taking care of myself and by making decisions that will protect my health and the health of others, especially a child whom I choose to bring into the world”. ❑ Consider applying the “Municipal Inter-Sector Model” used in Puerto ▇▇▇▇▇▇ to other municipalities. In Puerto ▇▇▇▇▇▇, the municipality has formed an inter-sector committee to address issues in the areas of health, education, infrastructure, transportation, and agricultural production. This municipality has responded to requests from health centers, schools, and communities with allocation of resources. One example is a joint activity between health and education to teach reproductive health to several groups of high school juniors and seniors. ❑ Strengthen efforts to hire more female health workers and to recruit female health volunteers to enhance educational activities with mothers. (i) Comparison of Baseline and Final Evaluation Survey

Future Applications of Lessons Learned. ❑ Continue to expand the census to other communities, along with growth monitoring of all children under age 2, and strengthen the nutritional rehabilitation program. ❑ Use the nutrition intervention as an entry point for community IMCI, and reinforce behavior change in the other CS interventions as part of the home visit and counseling strategy. ❑ Continue training of ANs and HVs in participative educational methodologies to improve communication for behavior change. ❑ Improve quality of care at the Health Sector level through continued support and in-service training in child and maternal nutrition. ❑ Improve the registration process to track child weights, follow-up activities and results, and the administration and record keeping of Vitamin A and iron sulfate. ❑ Improve the supply system for micronutrients. ❑ Make agreements and action plans with each family that has a child with negative growth tendencies, as part of a strategy to prevent moderate and severe malnutrition. ❑ Continue efforts to engage men and local authorities in an analysis of nutrition indicators and creative planning to improve nutritional status, such as home gardens and crop diversification, among others. ❑ Include follow-up of women who have apparently unwanted pregnancies to prevent low birth weight and poor feeding practices, emphasizing self-esteem and value identification. A reflection on values might include: “what values do I have regarding the purpose of life, how can I express these by taking care of myself and by making decisions that will protect my health and the health of others, especially a child whom I choose to bring into the world”. ❑ Consider applying the “Municipal Inter-Sector Model” used in Puerto ▇▇▇▇▇▇ to other municipalities. In Puerto ▇▇▇▇▇▇, the municipality has formed an inter-sector committee to address issues in the areas of health, education, infrastructure, transportation, and agricultural production. This municipality has responded to requests from health centers, schools, and communities with allocation of resources. One example is a joint activity between health and education to teach reproductive health to several groups of high school juniors and seniors. ❑ Strengthen efforts to hire more female health workers and to recruit female health volunteers to enhance educational activities with mothers. . (i) Comparison of Baseline and Final Evaluation SurveySurvey Maternal and Newborn Care (10% Effort)‌ 1. Increase the number of women who receive at least one prenatal care visit 56% 26% 48%