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Nirajan commented on Group Care for Child Health

Dear Duncan and the Team ; This is indeed a great idea to support a system of rural health care delivery. In Nepal's context, where people have to walk long and long hours to reach a health facility and even have to wait for additional hours to see a health service provider ; this intervention could be supportive to manage child health issues at household and community level. As, community participation has been an important aspect of primary health care , involving community people (fathers,mothers,youths,adolescents etc.) for health advocacy at community level is very crucial and cost effective. The idea to conduct group education sessions on pediatric care at ward level (the smallest administrative unit in Nepal) could be beneficial in sensitizing mothers for appropriate health care advice, management of illness at household level, on time visit and referral to health facility etc. High Proportion of Severe Malnutrition, Severe Dehydration and Severe Pneumonia has still been a public health challenge in child health. It seems this intervention (Group Education, Follow up care,Parental guidance,Community Participation,Strengthening health facility) is well designed to address real challenges of pediatric health care in poor resource settings. My suggestion is to involve different existing community level structures like Mothers' Group, Female Community Health Volunteers, WASH committee, Community Forest Users Group, Women Saving Groups, Key influencing people of the community etc. to have strong community mobilization and sustainability of the intervention.