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	<title>Nutrition | Mali Health</title>
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	<description>Building A Community Health System</description>
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	<title>Nutrition | Mali Health</title>
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		<title>Improving livelihoods and food security by reducing organic waste</title>
		<link>https://malihealth.org/food-security-gsk/</link>
		
		<dc:creator><![CDATA[Mali Health]]></dc:creator>
		<pubDate>Sun, 15 Sep 2024 16:59:36 +0000</pubDate>
				<category><![CDATA[Gnaman ni Sôrô ani Kènèya]]></category>
		<category><![CDATA[Women]]></category>
		<category><![CDATA[Kalabambougou]]></category>
		<category><![CDATA[Nutrition]]></category>
		<category><![CDATA[Sabalibougou]]></category>
		<category><![CDATA[Sikoro]]></category>
		<guid isPermaLink="false">https://malihealth.org/?p=4350</guid>

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				<div class="et_pb_text_inner">The <a href="https://malihealth.org/gsk/" target="_blank" rel="noopener"><span style="text-decoration: underline;">Gnaman ni Sôrô ani Kènèya</span></a> project has entered its third phase. Women and youth in three peri-urban communities are building a local, circular economy designed to create sustainable livelihoods and address environmental health and climate threats.</p>
<p>After extensive data collection and community engagement in Phases 1 and 2, circular economic activities have begun by establishing composting and gardening cooperatives. From our community research, we found that 57% of waste generated in peri-urban communities is organic, and can be composted, turning unmanaged waste products into a valuable resource.</p>
<p>Beginning in January, 180 women successfully formed 4 cooperatives In Kalabambougou, Sikoro, and Sabalibougou and started acquiring skills in gardening, composting, and cooperative management.</p>
<p><img fetchpriority="high" decoding="async" class="aligncenter size-full wp-image-4430" src="https://malihealth.org/wp-content/uploads/2024/09/1-3.jpg" alt="A cooperative General Assembly Meeting." width="990" height="660" srcset="https://malihealth.org/wp-content/uploads/2024/09/1-3.jpg 990w, https://malihealth.org/wp-content/uploads/2024/09/1-3-980x653.jpg 980w, https://malihealth.org/wp-content/uploads/2024/09/1-3-480x320.jpg 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 990px, 100vw" /></p>
<p>Our baseline data collection revealed some interesting findings.</p>
<p>All 180 women participating in the project have been pursuing gardening activities for subsistence and as their primary income-generating activity for at least 5 years. We expected that composting would be a new idea – and only 4 of them demonstrated knowledge of composting. But nearly half of them, 88 of 180, had limited gardening knowledge. This result indicates just how limited resources are for this group of women, validating the significant need for the project, and leading our team to focus more on mastery of basic skills. In addition, twenty women already had strong knowledge of cooperative management.</p>
<p>About 21% of the project participants (38 of 180 women) reported having no income, the monthly incomes for the rest of the group ranged from 3000 FCFA (about $5) to 22826 FCFA (about $38). Of those with some monthly income, only 8 women reported having enough to be able to save and set aside funds for future needs.</p>
<p>Most of the women participating in the project have been participating in our health savings groups, and 80% (144 of 180 women) knew what to do when there was a health need for themselves or their families. Without sufficient funds to act on that knowledge, the ability to make decisions to protect their health can be limited, but fortunately they can take loans from their savings groups to help meet these needs.</p>
<p><img decoding="async" class="aligncenter size-large wp-image-4429" src="https://malihealth.org/wp-content/uploads/2024/09/1-7.jpg" alt="" width="990" height="742" srcset="https://malihealth.org/wp-content/uploads/2024/09/1-7.jpg 990w, https://malihealth.org/wp-content/uploads/2024/09/1-7-980x735.jpg 980w, https://malihealth.org/wp-content/uploads/2024/09/1-7-480x360.jpg 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 990px, 100vw" /></p>
<p>One of the most significant and immediate results of the project has been its impact on food security for women and their families. As they cultivate vegetables, women are not only able to generate income through the sale of their products in local markets, but they are also able to provide fresh produce for their households. In communities where access to nutritious food is limited and prices are often prohibitive, access to this resource is having an immediate impact on child and family health.</p>
<p>The composting activities are ramping up, as the cooperatives sort out their collection and distribution systems. They are already collecting organic waste where the majority of it is generated, at the local markets, and they are working out how to manage more widespread collection operations. With their full operations, women will not only have a local source of nutrients to boost soil health in their own gardens, they will also be able to sell their compost to others. Fertilizers are one of the most costly inputs for gardeners and cultivators across Bamako – and their compost will be an affordable alternative.</p>
<p><img decoding="async" class="aligncenter size-full wp-image-4428" src="https://malihealth.org/wp-content/uploads/2024/09/1-8.jpg" alt="" width="990" height="705" srcset="https://malihealth.org/wp-content/uploads/2024/09/1-8.jpg 990w, https://malihealth.org/wp-content/uploads/2024/09/1-8-980x698.jpg 980w, https://malihealth.org/wp-content/uploads/2024/09/1-8-480x342.jpg 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 990px, 100vw" /></p>
<p>&nbsp;</p>
<p>The project is fostering a sense of community and collaboration among the participants, as they work together to manage their cooperatives and share knowledge about sustainable agricultural practices. Their collective efforts are building social capital that not only improves social cohesion but increases local resilience to the economic challenges they face.</p>
<p>As the gardening and composting activities continue to grow, the cooperatives will begin plastic sorting and recycling activities in 2025. From our research, we found that plastic comprised 14% of all waste generated, so diverting it for recycling and reuse is the next step to building a circular, zero-waste economy.</div>
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		<title>How a strong community health system keeps mothers at the heart of primary care</title>
		<link>https://malihealth.org/mothers-nutrition-demo/</link>
		
		<dc:creator><![CDATA[Mali Health]]></dc:creator>
		<pubDate>Thu, 29 Apr 2021 10:51:00 +0000</pubDate>
				<category><![CDATA[Community Health Workers]]></category>
		<category><![CDATA[Women]]></category>
		<category><![CDATA[CSCom]]></category>
		<category><![CDATA[Nutrition]]></category>
		<category><![CDATA[Sibiribougou]]></category>
		<guid isPermaLink="false">https://malihealth.org/?p=2831</guid>

					<description><![CDATA[In March, one of our health center partners, CSCOMSEKASI, reported 2 new malnutrition cases. That may not seem like many, but malnutrition is one of the leading causes of preventable deaths among children under age 5 in Mali. One of the areas served by CSCOMSEKASI is Sibiribougou, a peri-urban community. The health center regularly sees [&#8230;]]]></description>
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<p class="has-black-color has-text-color wp-block-paragraph">In March, one of our <a href="https://malihealth.org/where-we-work" target="_blank" rel="noreferrer noopener"><span style="text-decoration: underline;">health center partners</span></a>, CSCOMSEKASI, reported 2 new malnutrition cases. That may not seem like many, but <strong>malnutrition is <a href="/-+children" target="_blank" rel="noreferrer noopener">one of the leading causes of preventable deaths among children</a> under age 5 in Mali</strong>.</p>



<p class="has-black-color has-text-color wp-block-paragraph">One of the areas served by CSCOMSEKASI is Sibiribougou, a <a href="/peri-urban-communities" target="_blank" rel="noreferrer noopener">peri-urban community</a>. The health center regularly sees some of the highest numbers of malnutrition cases in Commune IV. Sometimes, it has the highest number of cases in all of Bamako.</p>



<p class="has-black-color has-text-color wp-block-paragraph">One of the children who became sick in March was Natenin, age 4. She and her younger sister, age 19 months, live with their parents in Sibiribougou and participate in our community health program.</p>



<p class="has-black-color has-text-color wp-block-paragraph">Our team quickly got to work to organize a nutrition demonstration, a strategy used to help mothers learn to prepare foods which support their children’s development. Led by a nutritionist from the national health program, the session showed mothers how to prepare a porridge enriched with local ingredients, like carrots and pumpkin.</p>



<figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="806" height="372" src="https://malihealth.org/wp-content/uploads/2021/05/nutrition-demo.jpg" alt="Nutritionist speaking to mothers" class="wp-image-2843" srcset="https://malihealth.org/wp-content/uploads/2021/05/nutrition-demo.jpg 806w, https://malihealth.org/wp-content/uploads/2021/05/nutrition-demo-480x222.jpg 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 806px, 100vw" /><figcaption>The nutritionist speaks to mothers about providing the nutrients children need to grow</figcaption></figure>



<p class="has-black-color has-text-color wp-block-paragraph">The nutritionist shared that a major factor in malnutrition is repeatedly feeding children the same foods, which does not allow them to have a variety of nutrients. The porridge mothers learned to make is prepared with affordable local products that are available year-round; it provides balanced nutrition that ensures the good growth of children.</p>



<p class="has-black-color has-text-color wp-block-paragraph">We invited 25 mothers with children under age 2 from our program to come to the health center for the demonstration. They were joined by our community health workers, the nutrition staff at the health center, and other mothers from Sibiribougou.</p>



<p class="has-black-color has-text-color wp-block-paragraph">She began by sharing the recipe, explaining the ingredients, quantities, and the method&nbsp;:</p>



<p class="has-black-color has-text-color wp-block-paragraph"><strong>Ingredients</strong><br>2kg of sorghum<br>2kg of wheat<br>2kg of fonio<br>1kg of corn<br>1kg of rice<br>5kg of baobab flour<br>10 carrots<br>1 medium pumpkin<br>1 tablespoon of salt<br>10kg of sugar<br>1 small container of peanut oil</p>



<p class="has-black-color has-text-color wp-block-paragraph"><strong>Preparation</strong><br>Wash each grain well separately<br>Mix them in the same container and grind them<br>Sift the mixed flour and set aside<br>Sift the baobab flour well<br>Mix the two flours and set aside<br>Wash the vegetables well<br>Boil and mash them</p>



<div class="wp-block-jetpack-tiled-gallery aligncenter is-style-rectangular"><div class="tiled-gallery__gallery"><div class="tiled-gallery__row"><div class="tiled-gallery__col" style="flex-basis:42.62629455852439%"><figure class="tiled-gallery__item"><img decoding="async" alt="Mashing pumpkin and carrot" data-height="372" data-id="2841" data-link="https://malihealth.org/potiron-carotte" data-url="https://malihealth.org/wp-content/uploads/2021/05/potiron-carotte.jpg" data-width="417" src="https://i2.wp.com/malihealth.org/wp-content/uploads/2021/05/potiron-carotte.jpg?ssl=1" layout="responsive"/></figure></div><div class="tiled-gallery__col" style="flex-basis:57.37370544147561%"><figure class="tiled-gallery__item"><img decoding="async" alt="Sifting flours" data-height="292" data-id="2842" data-link="https://malihealth.org/sift-flour" data-url="https://malihealth.org/wp-content/uploads/2021/05/sift-flour.jpg" data-width="441" src="https://i0.wp.com/malihealth.org/wp-content/uploads/2021/05/sift-flour.jpg?ssl=1" layout="responsive"/></figure></div></div></div></div>



<p class="has-black-color has-text-color wp-block-paragraph">Then, she got to cooking, inviting mothers to help her at each step.</p>



<p class="has-black-color has-text-color wp-block-paragraph"><strong>Cooking</strong><br>Boil 10 liters of water in a clean pot<br>When water is lukewarm, using a calabash and a ladle, slowly mix some water into the flour mixture until blended<br>Pour the solution back into the pot<br>Mix and stir until a homogeneous mixture is obtained<br>Then add the mash made of carrot and pumpkin to the porridge and simmer for about 5 minutes.<br>Then add the salt, sugar and a cup of oil<br>Let stand a few minutes before serving</p>



<div class="wp-block-media-text alignwide is-stacked-on-mobile"><figure class="wp-block-media-text__media"><img loading="lazy" decoding="async" width="306" height="286" src="https://malihealth.org/wp-content/uploads/2021/05/Malick-tasting.jpg" alt="" class="wp-image-2845 size-full" srcset="https://malihealth.org/wp-content/uploads/2021/05/Malick-tasting.jpg 306w, https://malihealth.org/wp-content/uploads/2021/05/Malick-tasting-300x280.jpg 300w" sizes="(max-width: 306px) 100vw, 306px" /></figure><div class="wp-block-media-text__content">
<p class="has-black-color has-text-color wp-block-paragraph">Then came the best part – the tasting! All the children attending enjoyed the portions they were served, giving their full approval of this new dish. Mothers equally approved. They not only liked the taste, but appreciated that the ingredients were local and accessible. These nutrition demonstrations not only give mothers access to important health information, it also facilitates a permanent change to more nutritious meals in their households.</p>



<p class="has-black-color has-text-color wp-block-paragraph">At the end of the session, Natenin’s mother addressed the group. She thanked the nutritionist for sharing this information and advice, and with it, vowed that her children would never know malnutrition again.</p>
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<p class="has-black-color has-text-color wp-block-paragraph">When mothers are supported with information and resources to keep their children healthy, the results are astounding. While <a href="https://www.unicef.org/media/media_101034.html" target="_blank" rel="noreferrer noopener">a 2017 UNICEF study</a> found the national rate of acute malnutrition in Mali rested at 10.7%, we had just 14 cases of acute malnutrition among the 2,350 children served by our community health program in 2020. Putting mothers at the heart of health interventions works. <strong>Strong community health systems react quickly to community needs by keeping women and mothers at the heart of local, accessible solutions.</strong></p>



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