© P. Vermeulen / Handicap International

© W. Daniels pour Handicap International

© B. Franck / Handicap International

Projet / Thème : Pérennité des services de réadaptation Rédacteur : L BOURBE Dernière MàJ Janvier 2013

Diffusion : CA Version : 1 Validation/statut :

Nutrition – Nutrition – Disability :Disability :

Same fight for Same fight for sustainibility?sustainibility?

Reminder : Malnutrition Reminder : Malnutrition

►Severe acute malnutrition (Marasmus, Kwashiorkor) – 26M

►Moderate acute malnutrition – 68M►Chronic malnutrition – 165M ►(Faim) – 852 M

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Fight against malnutrition =Fight against malnutrition = 3 revolutions 3 revolutions

►1990 = Therapeutic milk

►2000 = Ready-to-use therapeutic food (RTUF)

►2010 = Community based management of acute malnutrition

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Similar points between the Similar points between the thematicsthematics

1. Injustice (VA-Mines/Children)2. All contexts (Emergency Reconstruction

D.)3. A same name for very different realities4. Approximative figures5. Actors (IO, private sector)6. Profession (medical, paramedical)7. A double supervisory body (ministries)8. Orphan / donors - underfunded9. Community involvement10. Forgotten in the basic training courses

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& some differences & some differences ►Millenium Development Goal►Targetted beneficiairies (voice/silent)►Actors (UN)►Solutions (simple – complicated / short term – long term) ►Number of professional involved►Treatment costs

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Beginnnings of sustainability Beginnnings of sustainability = =

Key stepsKey steps►Focus on severe acute malnutrition►Partnerships

Alliance Int. Org. Scientific involvment Private sector’s support

►Advocacy Institutionnal donors Politics (Brazil) Public opinion (2008)

►Alleviate the burden on the central services►Training

QUESTIONS ?QUESTIONS ?

►Why such an approach would’nt be realistic for the rehabilitation sector?

►Where would lay the obstacles ?

7Pérennité des services de réadaptation

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Thanking youThanking you