Page 40 - EMBRACE Book
P. 40

Ntagisanimana, Rwanda
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               “I am a community and environmental health worker. I                      they didn’t understand the importance of giving their
               work with the community health workers based in this                      children a balanced diet. They would feed their children
               health facility, and I am in charge of seeing that everything             until they were full, but they weren’t feeding them a
               related to sanitation and hygiene is taken care of.                       balanced diet.

               When EMBRACE began, they asked me if I would like to                      Change didn’t happen right away. It was step by step. Every
               become a Trainer of Trainers. As a Trainer of Trainers, I was             month we had a cooking demonstration. Every week the
               trained by EMBRACE in all of the key messages of the project.             EMBRACE groups would meet and discuss topics related to
               After my training, I returned to my catchment area to                     hygiene, sanitation, nutrition, the whole EMBRACE package.
               conduct trainings to all the people who would become                      Slowly there has been change.
               trainers of their own groups. I trained 72 people. I don’t
               know how many people they have now trained, however.                      There is a huge, positive impact in the last three years from
                                                                                         EMBRACE. All the villagers knew how to wash their hands
               In our trainings we talked about the prevention of diarrhea,              before. But somehow, sickness was still prevalent. But now,
               deworming, skin illnesses, tuberculosis, etc. We also talked              there is a high improvement. In addition, every person in the
               about nutrition and a balanced diet. We taught about                      village knows to do permaculture now. Around every home
               permaculture and how to grow kitchen gardens so that                      there are gardens from which you can pick fruits and
               people can ensure they have a balanced diet, especially                   vegetables right before eating them. People are enjoying a
               pregnant women and children. We also hosted cooking                       more balanced diet. It wasn’t like this before. This is one of
               demonstrations so that people could learn how to cook the                 the biggest changes since the project. Before EMBRACE,
               new vegetables they would be growing, and why these                       everyone used to cultivate only one kind of vegetable. But
               vegetables are healthy for them and their children.                       now they have gardens and ‘food forests’ with a mixture of
               EMBRACE constructed the cooking demonstration shelters in                 different types of food crops like maize, vegetables, fruit, and
               each village. When the women and children come, they cook                 potatoes.
               along with the instructor, and then give the food to their
               children.                                                                 EMBRACE has also reduced the rate of diarrhea and
                                                                                         hookworms at the community level through its hygiene and
               I’m very involved with all the activities related to children. I          sanitation trainings, hand washing trainings, and the
               go every month to the growth monitoring sessions. If we see               construction of latrines.
               a weakness in a village, we work to correct the situation. We
               work with the community health workers to try to improve                  EMBRACE has helped us in every field related to community
               the children’s health. I am very integrated and involved in               health such as nutrition, hygiene, sanitation, etc. There is an
               growth monitoring at the village level.                                   expression in Kinyarwanda, if you want to describe what’s
                                                                                         been done in this area, it’s like the difference between day
               Even though this region of Rwanda is known as the bread                   and night.
               basket of Rwanda, the problem is in people’s understanding.
               Before EMBRACE, they grew their crops to sell at the markets              EMBRACE has also give this health facility many non-medical
               of Rwanda. But EMBRACE has taught them how important it                   materials. Before we would use buckets as recycle bins. But
               is to feed their families first before taking their crops to the          now we have updated, modern recycle bins. EMBRACE also
               market. So there has been a change at the family level. Some              gave us an incinerator so we can properly dispose of bio-
               people are surprised to learn that their families are facing              hazardous materials.
               malnutrition. But after they learn more about nutrition and a
               healthy diet, they began to consume their own produce to                  Many non-governmental organizations have come through
               ensure their family had a balanced diet. So over time their               here. You could go out in to the communities, though, and
               understanding has changed and now there’s an                              you wouldn’t see any difference that they had made. But
               improvement.                                                              with EMBRACE, what it’s accomplished here, it’s visual. You
                                                                                         can go to the field and see that EMBRACE has done
               Some mothers suspected their children of malnutrition.                    something that has changed the community’s health and
               When the community health workers told them, they weren’t                 wealth. It has done much and you can see it.”
               surprised. But some mothers were taken by surprise because







                                                                                                                                                                                                                                                                                                                       Photo: © 2019 ADRA | Frank Spangler
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