Pounra sex

To address the procuement risk, the Government bas aprroved the required legislation and, with Bank assistance, establisbed CAMEO, an orgnizaon designed to undertake the importation and distribution of essential geric dregs. It would also prevent recurrence of onchocerciasis and major outbreaks of human trypanosomiasis as well as eradicate draunculiasis which affects about 34% of the villages in Burlina-the highest prevalence of any Sahelian country. The first risk is that the expected procurement of essential generic dgs and their distribution may be slow to matialize.

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Af REEMENTS TO BE REACHED AND Ts M p R s bo d ft fidingo pa Bank appranisa sim w h sed B Fina u In un 19. (2) Reduce micronutrient deficiencies by: (a) supporting supplemention of vitamin A, iodine, and iron in severely deficient areas; and (b) developing a longer-term, durable national strategy for reducing micronutnient deficiencies, which would include inter alia food fortification and dieta"y modification.Public Disclosure Authorized ca AS5s t-a/ -)/a CURNCY OUIVLENT Curncy Unit = CFA Franc (CPAF) I US

Af REEMENTS TO BE REACHED AND Ts M p R s bo d ft fidingo pa Bank appranisa sim w h sed B Fina u In un 19. (2) Reduce micronutrient deficiencies by: (a) supporting supplemention of vitamin A, iodine, and iron in severely deficient areas; and (b) developing a longer-term, durable national strategy for reducing micronutnient deficiencies, which would include inter alia food fortification and dieta"y modification.

Public Disclosure Authorized ca AS5s t-a/ -)/a CURNCY OUIVLENT Curncy Unit = CFA Franc (CPAF) I US$1 = 270 CFAF (Rate prior to Janyary 12, 1994) Curmnt Rate = CFA Francl USSI = 580 CFAF WEIGHTS AND MEASURES Metric System I m. de sad pdmr I Primaq Health Care Post SA - Specal Accou SAFER - Soc#W ajhcbw d'icda a de Maksanom I Afica Firm for Stue sa Achievemnt Se P - Save the Childr Fund SPE - Sagqe mm d'di I Government Certified Mi A SIDA - Syndv me d'lmw Jfic cqids I AIDS SMI - Sawt mamelk aet infundk / Mote and Chld Heath SOEs - State of Expends_ SONAPHARM - Soc-M nanalk d'appavonmantph Iadque National Pharmaceul Supply Company SOSUCO - Soci Et acsq,v de Ia Como E I Como6 Company of Sugar Manufetus 3SP - Soins de sanapfar / Primary Health Care msu - Seually Trnmited Disea TDCI - Troubes Du ear Carncas an de Iodine Deficiency Diseses TRO - Ih Erapk de rfda"en par voe oral UCP - Unit d oorfinaton du projet 1 Project Coordini Unit UNDP - United Nations Development Programme UNFPA - Unitd Nations Fund for Populatn Acvies UNICEF - United Nations lntemaonad Children's Fund USAID - United Se Agecy for Inrnatinal Developm USC - Un W de souin des comosa VHW - Vllage Health Worker VITAL - Viamin A Fidd Support Project (JSAID) WHO - Wodtd Health O:anizaton WID - Women in Dealoment BURKINA EAS ', ALTH AND NUTRITON PROJECT fpdsn) TABLE OF CONTENTS Clr ET AND PROJCT SUMMARY...,.i I. 2.3 Maternal mortality is also high with 810 per 100,000 births (1988).

toa a I World Health Oaiza OR - Opeationa Reseah OSr - Ofca de sang ha auvai&ers I Bureau of Worker' Health PASE - Pogramme dppa a la su4weillanca ipudhmlgi q I Epidemiological Surveillaem Support Proje At PCU - Proect Coordinang Unit PDDS - Pk ide &wlppain & dibct Wa E I Dit Healh Development Plan PDSN - Proj.: devloppamaude sawn ade nurton I Hea and Nuti Development Poject PDSS - Proj es 4 dioppamaemes * ansfa de sam / Health Serviea Deveowmen Project PEG - Prevuuona Lc conrak dha and es goelsr a I Training Comm. About 18% of babies suffer from insufficient birthweight which limits their canaces of survival.

To mitigate this risk, a moderate level of cost recovery would be gradually implemented so as not to result in a disincentive for people to utilize the primary level of the health care system.

3bh third risk is the time required for regaining confidence of the population in the health car centers, especially in light of the proposed cost recovery scheme coupled with the recent devaluation of the CFA franc.

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Af REEMENTS TO BE REACHED AND Ts M p R s bo d ft fidingo pa Bank appranisa sim w h sed B Fina u In un 19. (2) Reduce micronutrient deficiencies by: (a) supporting supplemention of vitamin A, iodine, and iron in severely deficient areas; and (b) developing a longer-term, durable national strategy for reducing micronutnient deficiencies, which would include inter alia food fortification and dieta"y modification.Public Disclosure Authorized ca AS5s t-a/ -)/a CURNCY OUIVLENT Curncy Unit = CFA Franc (CPAF) I US$1 = 270 CFAF (Rate prior to Janyary 12, 1994) Curmnt Rate = CFA Francl USSI = 580 CFAF WEIGHTS AND MEASURES Metric System I m. de sad pdmr I Primaq Health Care Post SA - Specal Accou SAFER - Soc#W ajhcbw d'icda a de Maksanom I Afica Firm for Stue sa Achievemnt Se P - Save the Childr Fund SPE - Sagqe mm d'di I Government Certified Mi A SIDA - Syndv me d'lmw Jfic cqids I AIDS SMI - Sawt mamelk aet infundk / Mote and Chld Heath SOEs - State of Expends_ SONAPHARM - Soc-M nanalk d'appavonmantph Iadque National Pharmaceul Supply Company SOSUCO - Soci Et acsq,v de Ia Como E I Como6 Company of Sugar Manufetus 3SP - Soins de sanapfar / Primary Health Care msu - Seually Trnmited Disea TDCI - Troubes Du ear Carncas an de Iodine Deficiency Diseses TRO - Ih Erapk de rfda"en par voe oral UCP - Unit d oorfinaton du projet 1 Project Coordini Unit UNDP - United Nations Development Programme UNFPA - Unitd Nations Fund for Populatn Acvies UNICEF - United Nations lntemaonad Children's Fund USAID - United Se Agecy for Inrnatinal Developm USC - Un W de souin des comosa VHW - Vllage Health Worker VITAL - Viamin A Fidd Support Project (JSAID) WHO - Wodtd Health O:anizaton WID - Women in Dealoment BURKINA EAS ', ALTH AND NUTRITON PROJECT fpdsn) TABLE OF CONTENTS Clr ET AND PROJCT SUMMARY...,.i I. 2.3 Maternal mortality is also high with 810 per 100,000 births (1988). toa a I World Health Oaiza OR - Opeationa Reseah OSr - Ofca de sang ha auvai&ers I Bureau of Worker' Health PASE - Pogramme dppa a la su4weillanca ipudhmlgi q I Epidemiological Surveillaem Support Proje At PCU - Proect Coordinang Unit PDDS - Pk ide &wlppain & dibct Wa E I Dit Healh Development Plan PDSN - Proj.: devloppamaude sawn ade nurton I Hea and Nuti Development Poject PDSS - Proj es 4 dioppamaemes * ansfa de sam / Health Serviea Deveowmen Project PEG - Prevuuona Lc conrak dha and es goelsr a I Training Comm. About 18% of babies suffer from insufficient birthweight which limits their canaces of survival. To mitigate this risk, a moderate level of cost recovery would be gradually implemented so as not to result in a disincentive for people to utilize the primary level of the health care system. 3bh third risk is the time required for regaining confidence of the population in the health car centers, especially in light of the proposed cost recovery scheme coupled with the recent devaluation of the CFA franc.

= 270 CFAF (Rate prior to Janyary 12, 1994) Curmnt Rate = CFA Francl USSI = 580 CFAF WEIGHTS AND MEASURES Metric System I m. de sad pdmr I Primaq Health Care Post SA - Specal Accou SAFER - Soc#W ajhcbw d'icda a de Maksanom I Afica Firm for Stue sa Achievemnt Se P - Save the Childr Fund SPE - Sagqe mm d'di I Government Certified Mi A SIDA - Syndv me d'lmw Jfic cqids I AIDS SMI - Sawt mamelk aet infundk / Mote and Chld Heath SOEs - State of Expends_ SONAPHARM - Soc-M nanalk d'appavonmantph Iadque National Pharmaceul Supply Company SOSUCO - Soci Et acsq,v de Ia Como E I Como6 Company of Sugar Manufetus 3SP - Soins de sanapfar / Primary Health Care msu - Seually Trnmited Disea TDCI - Troubes Du ear Carncas an de Iodine Deficiency Diseses TRO - Ih Erapk de rfda"en par voe oral UCP - Unit d oorfinaton du projet 1 Project Coordini Unit UNDP - United Nations Development Programme UNFPA - Unitd Nations Fund for Populatn Acvies UNICEF - United Nations lntemaonad Children's Fund USAID - United Se Agecy for Inrnatinal Developm USC - Un W de souin des comosa VHW - Vllage Health Worker VITAL - Viamin A Fidd Support Project (JSAID) WHO - Wodtd Health O:anizaton WID - Women in Dealoment BURKINA EAS ', ALTH AND NUTRITON PROJECT fpdsn) TABLE OF CONTENTS Clr ET AND PROJCT SUMMARY...,.i I. 2.3 Maternal mortality is also high with 810 per 100,000 births (1988). toa a I World Health Oaiza OR - Opeationa Reseah OSr - Ofca de sang ha auvai&ers I Bureau of Worker' Health PASE - Pogramme dppa a la su4weillanca ipudhmlgi q I Epidemiological Surveillaem Support Proje At PCU - Proect Coordinang Unit PDDS - Pk ide &wlppain & dibct Wa E I Dit Healh Development Plan PDSN - Proj.: devloppamaude sawn ade nurton I Hea and Nuti Development Poject PDSS - Proj es 4 dioppamaemes * ansfa de sam / Health Serviea Deveowmen Project PEG - Prevuuona Lc conrak dha and es goelsr a I Training Comm. About 18% of babies suffer from insufficient birthweight which limits their canaces of survival. To mitigate this risk, a moderate level of cost recovery would be gradually implemented so as not to result in a disincentive for people to utilize the primary level of the health care system. 3bh third risk is the time required for regaining confidence of the population in the health car centers, especially in light of the proposed cost recovery scheme coupled with the recent devaluation of the CFA franc.

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