Other experiences in social mobilization

However, immunization is not the only programme for which people can be mobilized. I have sumamarized, below, other causes and means of mobilization which have supported the goals of child survival and development and which complement Epi. Making it easier to achieve UCI. In number of countries, experience with the promotion of breastfeeding practice has proven quite successful. for instance, in Brazil in addition to a very well-designed social marketing programme, all feasible and practical allies came on-board, resulting in a quantified decline in child morbidity and mortality (see panel on page 139).
in the southern Indian state of Tamilnadu, the social welfare department has mobilized villager through the delivery of community-based nutrition programme. in the Tamilnadu integrated nutrition project, village women have been identified and trained as community nutrition workers, based it villages nutrition centres (see panel on page 140). They are paid and honorarium not a full salary. Not only has the programme had an impressive impact on the nutritional status of children in the programme areas, the community nutrition centres now act as the focal point for the health system in every village, a place where health workers can efficiently deliver immunization and other service to mother and children.
Although the Tamilnadu Integrated Nutrition Project, like Epi, was designed outside of the communities it intended to service, it was sufficiently decentralized in its implementation so as to give ownership to district and lower-level personnel. this is an essential ingredient for sustainable social mobilization. Even though there may be apparent efficiencies in allowing people the district level to take different approaches to training or to develop alternative communication materials, the freedom to incorporate such variations may be the key to motivating people and sustaining programmes.

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