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management practices.  So, it is possible that the figures for foods and liquids given etc, could be higher.  Also, it is not clear if mothers are truly giving less foods or if the children are simply refusing.  This issue will need to be revised for a future survey.  

D.  Immunizations

The results of the final survey show there has been a decrease in the percent of children (12-23mo.) that have received a complete set of vaccinations. In general they are only missing one, but this is about 50% of the children.  The coverage rate (% of children (12-23 mo.) who received OPV3) has reached 100%.  In addition the drop out rate has been calculated to be zero, but this figure is misleading.                                         

This variable, the drop out rate (DPT1-DPT3) only measures who has received DPT1 and DPT3, there is another group of children that have only received DPT1 or DPT3.  These children are not represented here, although the number is not very big.  Even though there was only a small change or improvement in mothers having their child’s vaccination card, the rate was quite high at 85%. (As stated in the results section though, this may not truly represent the percent of children with vaccination cards, due to a quantity of cards being kept at the Health Centers.  This in turn also reflects upon the number of children with a complete set of vaccinations.  So it is possible that these percents are higher.  It will be necessary to check with MINSA, since they are the ones with the cards.)

E.  Micronutrients

The knowledge surrounding what foods to give children when they are ready to be weaned (after the sixth month) appears to have slightly increased, for meats and vegetables but for the food groups of cereals, fruits, and beans, knowledge has decreased, hence more progress will need to occur.  This is essential  due to the rates of anemia having increased.  More interventions involving the women will have to occur.  It has been observed that the majority of health promoters are men, and since women may feel more comfortable around other women it could be possible to use the GALMES more.  Here the women could talk among themselves about their children’s health, what they are feeding them, etc.  The problem of parasites is also something to consider.  Additionally, the mothers may not feel that anemia is a problem, but a regular occurrence in a child’s life.  Other communication strategies may need to be implemented in order to change the mindset surrounding anemia and it’s consequences.  It is unfortunate that the other data on the retinol levels, and iodine concentrations were not available for discussion.     

F.  Family Planning

In the area of family planning there has been even more progress since the midterm report.   From the final survey results a higher number of women do not want or are not sure about having more children.  Of these women there has been an increase in contraceptive use from the baseline rate of 60% to 78% at final. Thus, it can be inferred that knowledge and practices surrounding family planning (FP) have been accepted and put to use.

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