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Efforts to address religious inhibitions that stymie contraceptive use could focus on community sensitization programs on the benefits of family planning.
Nyimba District was also selected because local communities expressed interest in participating following community sensitization programs related to orange maize performed by the National Food and Nutrition Commission (Lusaka, Zambia) and a prior efficacy study orchestrated by UW-Madison (29) in previous years.
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The HBCT program began with a community sensitization program in which facilitators, usually drawn from the local community, worked with local government officials to explain the program to the community.
Normally under large scale MoHSW-run programs, community sensitization is not included, especially for introducing a new intervention into the EPI program.
This variation of knowledge and use of the vouchers in both health workers and among the targeted clients could be indicative of the need to improve both facility and community sensitization of the voucher program and the benefit packages.
Optimal functioning of iCCM programs will require community sensitization and targeted health systems strengthening to enhance observable program benefits like reduced child mortality.
All were in agreement that there is need for intensive community sensitization about cervical cancer, scaling up the program to all health centers and training more providers who can do cervical cancer screening and treatment.
o PMTCT implementers and administrators should work together in developing strategies to further strengthen male partner involvement in maternal care and family support for infant feeding o Issues around anemia and blood transfusion need to be considered as part of PMTCT monitoring since these are risk factors to MTCT o Include community sensitization as part and parcel of the PMTCT program.
Second, although there was community sensitization about the CMDs at the start of the program, there was no continued sensitization.
This could be done through a combination of methods that involve community sensitization, empowerment and integration into existing district systems during program implementation.
Conversely, studies by Kelly and others 10 and Nsungwa-Sabiti and others 11 refer to the challenges associated with timely and quality supervision and insufficient community sensitization and dialogue, which have undermined the impact of some programs.
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