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Proposed Strategy

1) In the MAM clinic, children under 5 years with infectious diseases or malnutrition receive medical treatment. Children under 5 years of age are weighed and measured in the clinic. Acute severe malnourished children (weight/height <70%) have an estimated mortality of 50-70% without treatment). All children with malnutrition (weight/height <75%) are admitted in the MAM feeding centre for medical treatment and therapeutic feeding (6 meals a day). After discharge they are followed up for 6 months. With therapeutic feeding and/or Tuberculosis treatment their survival is around 90%. After treatment children usually develop well and the treatment doesn’t need to be repeated

2) ANC services are provided to prevent diseases and complicated deliveries without expert supervision. To prevent transmission of syphilis and HIV from mothers to children, all pregnant women should to be screened with laboratory tests. If positive they should receive antibiotics or ART to protect the baby.

3) Many women have more children than they want and more children they can care for adequately. This leads to poor health of both mothers and children. Family planning will be offered to all women who visit the clinics.

4) All women who come for ANC or birth control services are screened for STD and together with their partner, treated if necessary. Sex workers and others with high risk behavior are invited to visit the clinic to be screened for STD’s and HIV. This is a proven strategy to reduce transmission in the community.

5) Health education is provided through Burmese health education videos with Burmese movie stars, posters, pamphlets and flip charts made with local painters and cartoonists. Condoms are provided to brothels and free lance sex workers.

6) Patients with advanced AIDS will be offered treatment for opportunistic infections, antiretroviral treatment and food. An increasing number of women with children are HIV positive and need treatment. All children of HIV positive women will be tested and treated if necessary.

7) The clinic will focus on children and pregnant women but any patient with serious life threatening disease will be examined and treated in the clinic if feasible within the limits of the organization.

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