There have been limited comprehensive interventions that address multiple determinants of child health in settings where the effects of poverty, poor personal hygiene and environmental sanitation are compounded by limited access to appropriate health care. This application seeks to build on studies conducted by African Population and Health Research Centre (APHRC) in Nairobi, Kenya to pilot test interventions focusing on improved home-based care of ill children, strengthened provision of care in health faci lities, and improved personal hygiene and environmental sanitation - "the three pillar approach". This approach goes a step further than the "shared-care model" that has had considerable success in rural areas in sub-Saharan Africa. Through this applicatio n the partners seek to conduct exploratory studies in Ghana and Malawi with a view to later implement interventions in west, east and southern Africa. The main aim of this application is to facilitate strengthening of the consortium and to prepare the comm unities to undertake an intervention project from 2005 onwards. The proposed project has four complementary steps '· (1) formation of an expert group comprised of scientists from Europe and Africa; (2) pilot test interventions in Kenya, and conduct explora tory studies in Ghana and Malawi; (3) disseminate information on child health to policy makers through in-country and regional seminars and targeted publications; and (4) develop and submit a STREP proposal on improving child health based on the "three pil lar approach". This project will ultimately reduce the burden of disease among children leading to less expenditure on health by households and governments. It has benefits for women who spend substantial amounts of time and resources managing childhood il lnesses. The project will also increase visibility of child health problems in urban poor areas, thus placing this issue high on the development agenda of#'
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Funding SchemeSSA - Specific Support Action