Advocacy, increasing awareness and results-based programmes to support the immense life-saving benefits of breastfeeding can begin to reverse this trend.
Clinical care of these patients is complex and the evidence base for intervention programmes to support managing is based largely on trials of interventions for single conditions, which too often exclude patients with multimorbidity.
We started creating national programmes to support growth.
Public health nurses use parent education programmes to support individuals' transition to parenthood.
The choice of what is included is based on the purpose of the analysis; in this case to provide evidence to support the decision process regarding the introduction of a programme to support exclusive breastfeeding.
KEM is an Austrian aid programme to support energy change developments [29].
In community based programmes developing context embedded strategies to support, sustain and motivate this critical cadre of close to community providers is important in realising their potential.
CBM supported hospital based programmes at Acha Tugi, Ngaoundéré and Enongal.
After discharge, participants underwent an unsupervised home based programme, supported by telephone consultations.
At community level, promotions that can be done include "mass campaigns" on couple HIV testing, use of key and influential people to promote MI [ 19, 45], mass media campaigns such as television programmes [ 45] on MI, community mobilization [ 39] and involvement [ 26], male peers reaching to other men [ 46] and community based programme and support [ 26].
The provision of a comprehensive community based programme of early intervention and family support which built on existing services could have positive and persistent effects, not only on child and family development but also in helping break the intergenerational cycle of social exclusion, which could lead to significant long term gain to the Exchequer. .
