A path shared for 27 years - IFAD

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“A big problem is the distance between health centres: about 25-30 km. Pre-natal visits should be done every month from the third month but that’s a long way for a pregnant woman to walk.” Liliane Denehaudjimbaye, Nutrition field worker, North Guéra, Chad “The nutrition programme was run by a lady called Agnes working at the hospital. Her assistant took over when she died. Like Agnes, she’s there to reassure the mothers of malnourished children referred to us by the health centres. She urges them to enter the nutrition education programme at their local health centre where they learn how to monitor child growth and prepare nutritious meals. They bring most of the ingredients from their homes and the hospital provides supplements. All that is still going on.” Didace Nkubana, Nurse-radiologist, Ngarama Hospital, Byumba, Rwanda “The health centre is far away and the road is very steep. I take the babies there only when they are really sick. The nurse tells me I should take them there for periodic check-ups and vaccinations but I cannot see why I should do that if they’re OK. Myself, I go there only when I’m feeling really sick.” Mrs. Saba, Gash-Barka, Eritrea Our health centre is always running out of medicines. We have to buy practically everything ourselves and we haven’t had a midwife for months. If it weren’t for the training provided to the traditional midwives, nothing much would have changed even though the health centre is completely new. Comments from villagers in Buhanika subcounty, Hoima, Uganda The health centre is part of our daily life. It encourages us to help each other and work together. The fact that all the villages have an elected representative on the health centre management has increased exchanges between us, we no longer live in isolation. Comments from a women’s group in Tonka, Mali 82 Patient returning home on a traditional stretcher carried by men from her village in Rwanda. ©The Joint Programme Traditional stretcher used by people in remote villages in Rwanda. ©The Joint Programme Every primary health centre should have a cow on the premises for nutrition rehabilitation and education (WHO recommendation), Rwanda. ©IFAD/R. Chalasani
Child receiving a penicillin jab in Tanzania. ©IFAD/C. Nesbitt 83
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A path shared for 27 years Enabling
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A path shared for 27 years Enabling
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The opinions expressed in this book
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Preface The Belgian Survival Fund J
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This book… commemorates the innov
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A brief history On 20 October 1983,
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“The Belgian Survival Fund was a
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Overview of the mainstream portfoli
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Overview of achievements Between 19
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THE VILLAGE The village is the focu
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WATER FOR LIFE Water is essential f
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WATER SOURCES Africans get water fr
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We’re convinced that the project
Page 33 and 34: The project helped us build a dam a
Page 35 and 36: Our lake was dying … Things were
Page 37 and 38: View of Nounou village, Mali ©The
Page 39 and 40: At first, we were bothered by the f
Page 41 and 42: KNOWLEDGE - OLD AND NEW Traditional
Page 43: “The older women were the first t
Page 46 and 47: “The project helped us build 11 s
Page 48: INFORMATION AND COMMUNICATION Cell
Page 51 and 52: LIVELIHOOD OPTIONS FOR THE RURAL PO
Page 53: “Hunger creates a vicious cycle t
Page 56: LAND If you have land, you are If y
Page 59 and 60: “I can even talk to my husband ab
Page 61 and 62: The cereal banks were supposed to b
Page 63 and 64: STRENGTH IN UNITY In the old days,
Page 65 and 66: The project was going to rehabilita
Page 67 and 68: “Trawlers were a big problem: the
Page 69 and 70: We know how to keep the water contr
Page 72 and 73: 70Deciding and doing things togethe
Page 74 and 75: PARTICIPATION It takes time to win
Page 76 and 77: We helped the project people select
Page 78 and 79: 76Health care
Page 80: Primary health care centres Fifteen
Page 83: “People sometimes ask me why I st
Page 87: We make sure the children wash thei
Page 90 and 91: TRADITIONAL HEALERS AND MIDWIVES Wa
Page 92 and 93: 90Microfinance
Page 94 and 95: SOLIDARITY GROUPS Traditional savin
Page 96 and 97: “Before marrying, I worked as a n
Page 98 and 99: “Duterimbere helps women overcome
Page 100 and 101: 98Post-conflict interventions
Page 102 and 103: “I think that one of the most imp
Page 104 and 105: The Socio-health Programme in Rwand
Page 106 and 107: “I was manager of the IFAD-financ
Page 108 and 109: A path shared
Page 110 and 111: “During the 1990s community devel
Page 113 and 114: Odds and ends Herders watering thei
Page 115: The first Summit on the Economic Ad
Page 118 and 119: Overview of the mainstream portfoli
Page 120 and 121: A quick guide to development termin
Page 122 and 123: The core Editorial Team: Norman Mes
Page 124: Belgian Fund for Food Security Via
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A path shared for 27 years - IFAD

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