Table 21 : Trend of the situation at care centres for cases of acute malnutrition 2008 2009 2010 2011 2012 Centres for Recovery and Intensive Nutritional Education (CRENI) Number of functioning CRENI Number of children in care Cure rate Case fatality rate 44 45 48 49 49 3 379 2 214 3 379 2616 1765 66,67 % 60,4 % 53,1 % 79 % 41.5 % 8,3 % 7,4 % 8,1 % 11 % 11 % Centres for Recovery and Outpatient Nutritional Education (CRENAS), Number of functioning CRENAS 221 441 579 532 541 Number of children in care 987 8 387 13 065 12 321 5000 Cure rate 65,06 % 68,55 % 57,50 % 59,76 % 68,3 % Case fatality rate 2,75 % 1,12 % 1% 0,72 % 1% Centres for Recovery and Outpatient Nutritional Education (CRENAM), Number of functioning CRENAM 39 39 11 12 8 Number of children in care Cure rate 6452 95,43 % 1673 99,55 % 4 381 95,28 % 10 744 89.7 % Case fatality rate 0,24 % 0,06 % 0,35 % 0.1 % Source : Ministry of Public Health / Department of Health of the Child and the Mother and Reproduction. 313.In 2010, as part of the nutrition improvement of vulnerable groups and to ensure the survival and optimal development of each child, a manual used as a reference for physicians and paramedics entitled "Infant feeding and young children and women's nutrition "(ANJE and NdF) was developed. 314.This manual highlights best practices through effective interventions aimed at promoting and protecting the infant and young child, especially breastfeeding and complementary feeding and nutrition of women. 315.In addition, 224 health workers at the Basic Health Centres (CSB) and 2,854 community workers have been trained in ANJE and NdF. The involvement of trained community workers and dispatched at the community level has helped to increase the number of children with access to care and nutrition promotion program. 316.In terms of prevention of malnutrition, the biennial organisation of the Week of Health of the Mother and Child (SSME), helped strengthen and integrate effective strategies to achieve the targets in the most remote areas. Since April 2007, the dissemination of messages of different themes into 21 local dialects has achieved a coverage rate of over 80% in terms of Vitamin A and mebendazole deworming for children aged 6 to 59 months. 317.The results of a study on the diagnosis of the nutritional status of children 51

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