Kunuga inzuzi zishika nka 10 mw’ivu. Kumemerako umwavu wo muri nyabarega ku nzuzi ugaca ufuka n’ivyatsi.
12. Ni ibihe muri ibi bikwirikira bitemewe?
Kwongeramwo umusoma ku musururu.
Gukata umwungu mu gihe woroshe kandi utanguye gusa n’umuhondo.
Gukaranga inzuzi z’utwuzango ku bagore bibungenze n’abonsa.
Gutabira umurima n’umwavu wa nyabarega.
1See http://barrieranalysis.fhi.net for more information.
2Mu nteguro ya Tubaramure,abakozi bahembwa bitwa imboneza. Igikorwa c’imboneza ni ukumenyereza abavyeyi b’abaremeshakiyago kworohereza inyigisho ku babanyi babo. Ku myimenyerezo mikeyi berekanye aho hejuru hari imboneza gusa kandi ntibashaka gukoreshwa n’imboneza mu baremeshakiyago mu gihe bariko barasangira n’ababanyi.
3Perceived severity is a behavioral determinant in barrier analysis. Use this lesson and discussion questions to increase the understanding of the severity of dehydration for children. For more information, seewww.barrieranalysis.com.
4Enquête de base 2010 du Programme Tubaramure – PM2A. BUJUMBURA, Juillet 2010. Page 58.
5USAID, UNICEF, WHO, p 19.
6These exercises have been adapted from Freedom from Hunger’s Diarrhea – Its Management and Prevention Facilitator’s Guide(2003).
7Action efficacy is a determinant in barrier analysis. Use this lesson and discussion questions to increase the belief in the effectiveness of ORS to prevent dehydration and speed recovery. For more information, see www.barrieranalysis.com.
8Source: King, F.S.; burgess, A.: Nutrition for Developing countries 2nd ed. Oxford Univ. Press, 1996. Page 161.
9 Baseline Report page 42. Of the children who had blood in their diarrhea, how many received SRO (45%).
10WHO/UNICEF Joint Statement.Clinical Management of Acute Diarrhoea. 2004. Available: http://www.childinfo.org/files/ENAcute_Diarrhoea_reprint.pdf
11Baseline Report page 49.
12The Treatment of Diarrhoea: A manual for Physicians and Other Senior Health Workers. WHO;2005. Available: http://www.who.int/child_adolescent_health/documents/.
13Positive attribute is a behavioral determinant in barrier analysis found to be significant to the feeding of sick children. Doers were 6 times more likely to mention that the child has good health if a parent feeds them even when they are not hungry.
14 Perceived severity is a behavioral determinant in barrier analysis found to be significant for increasing feeding frequency. Doers were 14.2 times more likely believe that malnutrition is a severe health problem than non-doers. For more information, review “La Structure du Changement de Comportement:Feeding Frequency (Burundi)and www.barrieranalysis.com.
15Use this story to increase the belief that in-laws would approve and support women to encourage their child to eat even if the child is not hungry. The barrier analysis surveys showed that doers were 6 times more likely to say that there in-laws approve of encouraging their non-hungry children to eat than doers (increased social acceptability).
18Increased perceived severity in a behavioral determinant in Barrier Analysis. Use this lesson to increase the belief that severe diarrhea can easily cause malnutrition and death if not treated. For more information, see www.barrieranalysis.com.
21Sarmila Mazumder, Sunita Taneja, Nita Bhandari, Brinda Dube, RC Agarwal, Dilip Mahalanabis, Olivier Fontaine & Robert E Black. Effectiveness of zinc supplementation plus oral rehydration salts for diarrhoea in infants aged less than 6 months in Haryana state, India. Bulletin of the World Health Organization. Volume 88: No. 10. October 2010, 717-796.Available: http://www.who.int/bulletin/volumes/88/10/10-075986/en/
22Niessen L W, Hove ten AC, Hilderink HH, W3ber M, Mulholland K, Ezzati M. Comparative Impact Assessment of child pneumonia interventions. Bull World Health Organ. 2009; 87 (6):472-8.
23Luby, Stephen P., Mubina Agboatwalla, Daniel R Feikin, John Painter, Ward Billhimer MS, Arshad Altaf, Robert M Hoekstra.Effect of handwashing on child health: a randomized controlled trial. The Lancet. Vol 366, July 16, 2005 Available: http://www.aku.edu/CHS/pdf/SoapHealth_ARI_Lancet_Man.pdf
24 Fuel for Life: Household Energy and Health WHO (2006)
25From our LDM study, we discovered that mothers who consumed retinol, B6, and protein rich foods during lactation had more well-nourished children. Roasted pumpkin and squash seeds are a good source of protein (body building foods) and iron (for strong blood) and some zinc. Roasted seeds are also being promoted as a healthy snack for pregnant and lactating mothers. Pumpkin flesh, leaves, and flowers are a good source of Vitamin B6, protein (leaves only), Vitamin A, iron and folate (important for fetal development).