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General promotion of proper hygiene was included in three of the nutrition policies and strategies (6�C8). In a survey Oxygenase conducted for a nutrition programme on the border between Mali and Mauritania, participants reported that soap is too expensive, so it is not purchased (15). Further, the participants reported that due to a lack of food, latrines are rarely needed; therefore there is no need to build them. These were very limited findings that could be used to guide educational messages for this programme, but broader scale research would be needed to guide educational messages in national nutrition programmes. Among the IYCN documents reviewed, the Training Module for Human Nutrition (74), which is intended for pre-service training of health professionals, Dasatinib provided the most comprehensive guide for safe food preparation and storage techniques, water safety and general hygienic practices. There was little guidance on proper food handling or good hygiene in the general nutrition training manuals and programme documents. The IMCI programme (24), intended for national coverage, promotes general good hygiene, and other small-scale programmes, such as the An B�� Jigi (21, 22), ACF-IEC (14), and the PRODESS Community Nutrition programme (23) also promoted some aspects of proper hygiene. In 2009, Mali, the government and UNICEF promoted the importance of hand washing by gathering about 10?000 school children to break the world record of number of children washing hands at one time (http://www.unicef.org/wcaro/2009-3705.html). The national DHS surveys collected data on the per cent of households with appropriate methods of disposing of human wastes (in toilets, latrines or by burying the wastes) and the percentage of households with treated water for drinking. The 2006 DHS (30) noted that just 44% of households had either a toilet or a rudimentary latrine to dispose of human wastes and only one-third of households used some sort of treated water for drinking. Based on these results, there is a need to improve hygienic practices and related infrastructure. The national protocol for the management of malnutrition provides clear guidelines for screening learn more and treatment of acute malnutrition. This document is supported by national nutrition policies and training materials. Facility-based and community-based screening and intervention programmes have been implemented to combat the high prevalence of acute malnutrition among children