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Annual Report 2002 - Save the Children

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Bangladesh<br />

The Reading for <strong>Children</strong><br />

program helps ready<br />

preschoolers for formal<br />

education while maintaining<br />

mo<strong>the</strong>rs’ literacy skills.<br />

<strong>Save</strong> <strong>the</strong> <strong>Children</strong> provides access to reproductive health<br />

care by training traditional healers, birth attendants and<br />

female doctors in modern methods of contraception and<br />

o<strong>the</strong>r protective health practices so that pregnant women<br />

have a better chance of a clean and safe delivery in <strong>the</strong>ir<br />

home and a healthy newborn.<br />

STRONG BEGINNINGS ® FOR<br />

EDUCATION<br />

A child’s health and success in life is strongly associated<br />

with literacy and his or her mo<strong>the</strong>r’s level of education. In<br />

many parts of <strong>the</strong> developing world, however, children<br />

have nei<strong>the</strong>r <strong>the</strong> access nor <strong>the</strong> money to attend school,<br />

and in some countries <strong>the</strong>re is cultural resistance to<br />

educating girls. <strong>Save</strong> <strong>the</strong> <strong>Children</strong>’s groundbreaking,<br />

community-based Strong Beginnings program aims to<br />

reverse <strong>the</strong>se conditions and has now been replicated in<br />

more than 20 countries. It is based on <strong>the</strong> premise that<br />

learning is a life-long process that begins at birth.<br />

Myanmar, where an average of more than 400 women<br />

die during pregnancy or childbirth out of every 100,000<br />

live births, is one of many countries where <strong>Save</strong> <strong>the</strong><br />

<strong>Children</strong> conducts family planning and reproductive<br />

health programs. Established in partnership with local<br />

governments and village health volunteers in underserved<br />

rural communities, <strong>the</strong>se programs address <strong>the</strong> conditions<br />

that most often contribute to maternal, as well as<br />

infant, mortality: frequent and closely spaced births,<br />

malnutrition, disease and obstetric emergencies that are<br />

left untreated.<br />

The interventions are simple and low cost, but <strong>the</strong><br />

results are dramatic. After only 18 months, <strong>the</strong> use of<br />

modern contraception by couples in <strong>Save</strong> <strong>the</strong> <strong>Children</strong>’s<br />

program area increased from 4 percent to 24 percent;<br />

nearly half <strong>the</strong> pregnant women received iron supplements;<br />

and 70 percent received two doses of tetanus toxoid<br />

vaccine to protect against neonatal tetanus – a leading<br />

killer of newborns.<br />

In Ethiopia, <strong>Save</strong> <strong>the</strong> <strong>Children</strong>’s adolescent reproductive<br />

and sexual health program currently involves 28 government<br />

schools in Addis Ababa, reaching 126,000 students<br />

and 4,500 teachers with reproductive health information<br />

and referrals to sites where <strong>the</strong>y can obtain condoms,<br />

learn about HIV/AIDS prevention and receive counseling<br />

services.<br />

Couples attending family planning information<br />

sessions in <strong>Save</strong> <strong>the</strong> <strong>Children</strong>’s program area in <strong>the</strong><br />

Philippines are now spacing pregnancies fur<strong>the</strong>r apart,<br />

which has been shown to improve <strong>the</strong> health and survival<br />

of children and of mo<strong>the</strong>rs. In Haripur District, Pakistan,<br />

Preparing <strong>Children</strong> for Success<br />

<strong>Save</strong> <strong>the</strong> <strong>Children</strong>’s early childhood development program<br />

in <strong>the</strong> rural Thanh Hoa and Tho Xuan districts of Vietnam<br />

is one of <strong>the</strong> newest examples of families and communities<br />

engaged in projects to ensure that children grow up<br />

healthy, active and ready to learn. In several remote, ethnic<br />

minority areas, groups were organized and individuals were<br />

trained to lead discussions for parents and caregivers on<br />

topics such as prenatal health, childbirth and postpartum<br />

care. They also discussed feeding, bathing and talking with<br />

young children, involving <strong>the</strong>m in household tasks and<br />

activities using both Vietnamese and <strong>the</strong>ir indigenous<br />

languages. Such preschool preparation has resulted in<br />

higher levels of achievement and lower dropout rates<br />

when <strong>the</strong> children entered <strong>the</strong> formal school system.<br />

Empowering Communities Through<br />

Education<br />

The CHANCE project (Child-centered Alternatives<br />

for Non-formal Community-based Education) in <strong>the</strong><br />

Nakasongola District of Uganda demonstrates <strong>the</strong> power of<br />

community commitment and participation. With technical<br />

assistance and quality supervision from <strong>Save</strong> <strong>the</strong> <strong>Children</strong>’s<br />

professional staff, <strong>the</strong>se communities formed a total of 68<br />

classes serving over 2,500 children from populations that<br />

o<strong>the</strong>rwise would not have been able to attend school, such<br />

as pastoralists who tend livestock for a living, <strong>the</strong> very poor<br />

and those affected by HIV/AIDS. The children’s academic<br />

performance is surpassing that of students in government<br />

schools in all subjects, and is being accomplished in shorter<br />

10 CREATING REAL AND LASTING CHANGE

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