التغذية والإيدز والعدوى بفيروسه : تقرير من الأمانة

‫ﻤﻨﻅﻤـﺔ ﺍﻟﺼﺤـﺔ ﺍﻟﻌﺎﻟﻤﻴـﺔ‬ ‫ﺝ‪٧/٥٩‬‬ ‫‪ ٤‬ﺃﻴﺎﺭ‪ /‬ﻤﺎﻴﻭ ‪٢٠٠٦‬‬ ‫‪A59/7‬‬

‫ﺠﻤﻌﻴﺔ ﺍﻟﺼﺤﺔ ﺍﻟﻌﺎﻟﻤﻴﺔ ﺍﻟﺘﺎﺴﻌﺔ ﻭﺍﻟﺨﻤﺴﻭﻥ‬ ‫ﺍﻟﺒﻨﺩ ‪ ٣-١١‬ﻤﻥ ﺠﺩﻭل ﺍﻷﻋﻤﺎل ﺍﻟﻤﺅﻗﺕ‬

‫ﺍﻟﺘﻐﺫﻴﺔ ﻭﺍﻷﻴﺩﺯ ﻭﺍﻟﻌﺩﻭﻯ ﺒﻔﻴﺭﻭﺴﻪ‬ ‫ﺘﻘﺭﻴﺭ ﻤﻥ ﺍﻷﻤﺎﻨﺔ‬ ‫ﺤﺙ ﺍﻟﻘﺭﺍﺭ ﺝ ﺹ ﻉ‪ ١٤-٥٧‬ﺍﻟﺩﻭل ﺍﻷﻋﻀﺎﺀ ﻋﻠﻰ ﺃﻥ ﺘﻘﻭﻡ‪ ،‬ﻋﻠﻰ ﺴﺒﻴل ﺍﻷﻭﻟﻭﻴﺔ‪ ،‬ﺒﻤﺘﺎﺒﻌـﺔ ﺍﻟـﺴﻴﺎﺴﺎﺕ‬ ‫‪-١‬‬ ‫ﻭﺍﻟﻤﻤﺎﺭﺴﺎﺕ ﺍﻟﺘﻲ ﺘﻌﺯﺯ‪ ،‬ﻓﻴﻤﺎ ﺘﻌﺯﺯﻩ‪ ،‬ﺇﺩﺭﺍﺝ ﺍﻟﺘﻐﺫﻴﺔ ﻀﻤﻥ ﺍﻻﺴﺘﺠﺎﺒﺔ ﺍﻟـﺸﺎﻤﻠﺔ ﻟﻸﻴـﺩﺯ ﻭﺍﻟﻌـﺩﻭﻯ ﺒﻔﻴﺭﻭﺴـﻪ‪.‬‬ ‫ﻭﺃﻋﺭﺏ ﺍﻟﻤﺠﻠﺱ ﺍﻟﺘﻨﻔﻴﺫﻱ‪ ،‬ﺇﺒﺎﻥ ﻤﻨﺎﻗﺸﺔ ﻤﻭﻀﻭﻉ ﺍﻷﻴﺩﺯ ﻭﺍﻟﻌﺩﻭﻯ ﺒﻔﻴﺭﻭﺴﻪ‪ ،‬ﻓﻲ ﺩﻭﺭﺘﻪ ﺍﻟـﺴﺎﺩﺴﺔ ﻋـﺸﺭﺓ ﺒﻌـﺩ‬ ‫ﺍﻟﻤﺎﺌﺔ‪ ،‬ﻋﻥ ﺩﻋﻤﻪ ﻟﻠﺘﻭﺼﻴﺎﺕ ﺍﻟﺨﺎﺼﺔ ﺒﺎﻹﺠﺭﺍﺀﺍﺕ ﺍﻟﻼﺯﻤﺔ ﻭﺍﻟﺘﻲ ﺃﺼﺩﺭﺘﻬﺎ ﺍﻟﻤﺸﺎﻭﺭﺓ ﺍﻟﺘﻘﻨﻴﺔ ﺍﻟﺘﻲ ﻋﻘﺩﺘﻬﺎ ﺍﻟﻤﻨﻅﻤﺔ‬ ‫ﻓﻲ ﺃﻓﺭﻴﻘﻴﺎ ﺒﺸﺄﻥ ﺍﻟﺘﻐﺫﻴﺔ ﻭﺍﻷﻴﺩﺯ ﺍﻟﻌﺩﻭﻯ ﺒﻔﻴﺭﻭﺴﻪ )ﺩﻭﺭﺒﺎﻥ‪ ،‬ﺠﻨﻭﺏ ﺃﻓﺭﻴﻘﻴﺎ‪ ١٣-١٠ ،‬ﻨﻴﺴﺎﻥ‪ /‬ﺃﺒﺭﻴل ‪١.(٢٠٠٥‬‬ ‫‪‬ﻨـﺎﺕ ﺍﻟﻌﻠﻤﻴـﺔ ﺒـﺸﺄﻥ‬ ‫ﻭﺍﺴﺘﻨﺩﺕ ﺘﻠﻙ ﺍﻟﺘﻭﺼﻴﺎﺕ ﺇﻟﻰ ﺃﻫﻡ ﺍﻟﻨﺘﺎﺌﺞ ﺍﻟﺘﻲ ﺨﻠﺹ ﺇﻟﻴﻬﺎ ﺍﺴﺘﻌﺭﺍﺽ ﻤﻔﺼل ﻷﺤﺩﺙ ﺍﻟﺒﻴ‬ ‫ﺍﺤﺘﻴﺎﺠﺎﺕ ﺍﻟﻤﺼﺎﺒﻴﻥ ﺒﻌﺩﻭﻯ ﺍﻷﻴﺩﺯ ﻤﻥ ﺍﻟﻤﻐﺫﻴﺎﺕ ﺍﻟﻜﺒﻴﺭﺓ ﺍﻟﻤﻘﺩﺍﺭ ﻭﺍﻟﻤﻐﺫﻴﺎﺕ ﺍﻟﺯﻫﻴﺩﺓ ﺍﻟﻤﻘﺩﺍﺭ‪ ،‬ﻭﻤـﻨﻬﻡ ﺍﻟﺤﻭﺍﻤـل‬ ‫‪‬ل ﻋﻥ ﺍﻷﻴـﺩﺯ‬ ‫ﺍ ﻟﻠﻔﻴﺭﻭﺴﺎﺕ ﺍﻟﻘﻬﻘﺭﻴﺔ‪ .‬ﻭﻓﻲ ﻤﺅﺘﻤﺭ ﺩﻭﻟﻲ ﻤﻜﻤ‬ ‫ﺎ ﻤﻀﺎﺩﹰ‬ ‫ﻭﺍﻟﻤﺭﻀﻌﺎﺕ ﻭﺍﻟﻤﺭﻀﻰ ﺍﻟﺫﻴﻥ ﻴﺘﻠﻘﻭﻥ ﻋﻼﺠﹰ‬ ‫ﻭﺍﻟﻌﺩﻭﻯ ﺒﻔﻴﺭﻭﺴﻪ ﻭﺍﻟﻐﺫﺍﺀ ﻭﺍﻷﻤﻥ ﺍﻟﻐﺫﺍﺌﻲ )ﺩﻭﺭﺒﺎﻥ‪ ،‬ﺠﻨﻭﺏ ﺃﻓﺭﻴﻘﻴﺎ‪ ١٦-١٤ ،‬ﻨﻴﺴﺎﻥ‪ /‬ﺃﺒﺭﻴـل ‪ ،(٢٠٠٥‬ﻋﻘـﺩﻩ‬ ‫‪‬ﻨﺎﺕ ﺍﻟﺘﻲ ﺒﺩﺃﺕ ﺘﺘﺯﺍﻴـﺩ ﺒـﺸﺄﻥ‬ ‫ﺍﻟﻤﻌﻬﺩ ﺍﻟﺩﻭﻟﻲ ﻟﺒﺤﻭﺙ ﺴﻴﺎﺴﺎﺕ ﺍﻷﻏﺫﻴﺔ ﻓﻭﺭ ﺍﻨﺘﻬﺎﺀ ﺍﻟﻤﺸﺎﻭﺭﺓ‪ ،‬ﺘﻡ ﺍﺴﺘﻌﺭﺍﺽ ﺍﻟﺒﻴ‬ ‫ﺍﻟﺼﻼﺕ ﺒﻴﻥ ﺍﻷﻴﺩﺯ ﻭﺍﻟﻌﺩﻭﻯ ﺒﻔﻴﺭﻭﺴﻪ ﻭﺍﻷﻤﻥ ﺍﻟﻐﺫﺍﺌﻲ ﻭﺁﺜﺎﺭﻫﺎ ﻋﻠﻰ ﺘﺨﻁﻴﻁ ﺍﻟﺴﻴﺎﺴﺎﺕ ﻭﺍﻟﺒﺭﺍﻤﺞ‪.‬‬ ‫ﺎ ﻟﻸﻨﺸﻁﺔ ﺍﻟﻭﻁﻨﻴﺔ ﻭﺍﻹﻗﻠﻴﻤﻴﺔ ﻭﺍﻟﺩﻭﻟﻴﺔ ﺍﻟﻤﺘﺨﺫﺓ ﻓﻴﻤﺎ ﻴﺨﺹ ﺍﻟﺘﻐﺫﻴﺔ ﻭﺍﻷﻴـﺩﺯ‬ ‫ﻭﺘﻭﺭﺩ ﺍﻟﻔﻘﺭﺍﺕ ﺍﻟﺘﺎﻟﻴﺔ ﺸﺭﺤﹰ‬ ‫‪-٢‬‬ ‫‪‬ﺫﻟﺕ ﻓﻲ ﻫﺫﺍ ﺍﻟﻤﺠﺎل ﻤﻨﺫ ﺃﻴﺎﺭ‪ /‬ﻤﺎﻴﻭ ‪ .٢٠٠٤‬ﻭﻟﻘـﺩ ﺘﻌـﺯﺯﺕ ﻫـﺫﻩ‬ ‫ﺎ ﻟﻠﺠﻬﻭﺩ ﺍﻟﺘﻲ ﺒ‬ ‫ﻭﺍﻟﻌﺩﻭﻯ ﺒﻔﻴﺭﻭﺴﻪ ﻭﺘﻭﻀﻴﺤﹰ‬ ‫ﺍﻷﻨﺸﻁﺔ ﺒﻔﻀل ﺍﻟﺘﻭﺼﻴﺎﺕ ﺍﻟﺼﺎﺩﺭﺓ ﻋﻥ ﻤﺸﺎﻭﺭﺓ ﺩﻭﺭﺒﺎﻥ ﻭﻤﻨﺎﻗﺸﺎﺕ ﺍﻟﻤﺠﻠﺱ ﺍﻟﺘﻨﻔﻴﺫﻱ‪ ،‬ﻭﺍﻟﺘـﻲ ﺸـﻜﻠﺕ ﻗﺎﻋـﺩﺓ‬ ‫ﻟﺘﺤﺩﻴﺩ ﺃﻭﻟﻭﻴﺎﺕ ﺍﻟﻌﻤل ﻭﺭﺴﻡ ﺨﻁﻁﻪ ﻟﺘﺴﺘﺭﺸﺩ ﺒﻬﺎ ﺃﻋﻤﺎل ﺍﻟﻤﻨﻅﻤﺔ ﻓﻲ ﻫﺫﺍ ﺍﻟﻤﺠﺎل‪.‬‬ ‫ﺎ ﺒﻨﻁﺎﻕ ﺍﻟﻌﻤل ﻭﺒﺎﻟﺘﻘﺩﻡ‬ ‫‪-٣‬‬ ‫ﻭﻨﺎﻗﺵ ﺍﻟﻤﺠﻠﺱ ﺍﻟﺘﻨﻔﻴﺫﻱ ﺍﻟﺘﻘﺭﻴﺭ ﻓﻲ ﺩﻭﺭﺘﻪ ﺍﻟﺴﺎﺒﻌﺔ ﻋﺸﺭﺓ ﺒﻌﺩ ﺍﻟﻤﺎﺌﺔ ﻭﺃﺤﺎﻁ ﻋﻠﻤﹰ‬ ‫ﺍﻟﻤﺤﺭﺯ ﻓﻲ ﻫﺫﺍ ﺍﻟﻤﺠﺎل‪٢.‬‬ ‫ﺍ ﻟﻌﺩﻡ ﻭﺠﻭﺩ ﺍﺴﺘﺭﺍﺘﻴﺠﻴﺎﺕ ﻟﻤﻌﺎﻟﺠﺔ ﺃﺜﺭ ﺍﻷﻴﺩﺯ ﻭﺍﻟﻌﺩﻭﻯ ﺒﻔﻴﺭﻭﺴﻪ ﻋﻠـﻰ‬ ‫ﺍﻟﺩﻋﻡ ﺍﻟﺘﻘﻨﻲ ﻭﺍﻟﺒﺭﻤﺠﻲ‪ .‬ﻨﻅﺭﹰ‬ ‫‪-٤‬‬ ‫ﺍﻟﻐﺫﺍﺀ ﻭﺍﻷﻤﻥ ﺍﻟﻐﺫﺍﺌﻲ‪ ،‬ﺘﺘﻌﺎﻭﻥ ﻤﻨﻅﻤﺔ ﺍﻟﺼﺤﺔ ﺍﻟﻌﺎﻟﻤﻴﺔ ﺍﻵﻥ ﻤﻊ ﺴﺎﺌﺭ ﻤﺅﺴﺴﺎﺕ ﺍﻷﻤﻡ ﺍﻟﻤﺘﺤﺩﺓ ﻭﻋﺩﺩ ﻤﻥ ﺍﻟﺸﺭﻜﺎﺀ‬ ‫ﺍﻟﻤﻌﻨﻴﻴﻥ ﻤﻥ ﺃﺠل ﺇﺘﺎﺤﺔ ﺍﻟﻔﺭﺹ ﺃﻤﺎﻡ ﺍﻟﺩﻭل ﺍﻷﻋﻀﺎﺀ ﻟﺼﻭﻍ ﺍﻟﺴﻴﺎﺴﺎﺕ ﻭﺭﺴﻡ ﺍﻟﺨﻁﻁ ﺍﻟﻘﻁﺎﻋﻴﺔ ﺍﻟﺸﺎﻤﻠﺔ ﺒـﺸﺄﻥ‬ ‫ﹸﻅﻤﺕ ﺤﻠﻘﺎﺕ ﻋﻤﻠﻴﺔ ﺘﺩﺭﻴﺒﻴﺔ‬ ‫ﺍﻟﻐﺫﺍﺀ ﻭﺍﻟﺘﻐﺫﻴﺔ ﻭﺘﻌﺯﻴﺯﻫﺎ ﻭﺘﻨﻔﻴﺫﻫﺎ ﺒﻐﺭﺽ ﻤﻌﺎﻟﺠﺔ ﺃﺜﺭ ﺍﻷﻴﺩﺯ ﻭﺍﻟﻌﺩﻭﻯ ﺒﻔﻴﺭﻭﺴﻪ‪ .‬ﻭﻨ‬ ‫ﻓﻲ ﺍﻹﻗﻠﻴﻡ ﺍﻷﻓﺭﻴﻘﻲ ﻭﺇﻗﻠﻴﻡ ﺠﻨﻭﺏ ﺸﺭﻕ ﺁﺴﻴﺎ ﻭﻤﻨﻁﻘﺔ ﺸﺭﻕ ﺍﻟﻤﺤﻴﻁ ﺍﻟﻬﺎﺩﺉ‪.‬‬ ‫‪ ١‬ﺍﻨﻅﺭ ﺍﻟﻭﺜﻴﻘﺘﻴﻥ ﻡ ﺕ‪ ١٢/١١٦‬ﻭﻡ ﺕ‪ /٢٠٠٥ /١١٦‬ﺴﺠﻼﺕ‪ ،١ /‬ﺍﻟﻤﺤﻀﺭ ﺍﻟﻤﻭﺠﺯ ﻟﻠﺠﻠﺴﺔ ﺍﻟﺜﺎﻨﻴﺔ )ﺍﻟﻨﺹ ﺍﻹﻨﻜﻠﻴﺯﻱ(‪.‬‬

‫‪ ٢‬ﺍﻨﻅﺭ ﺍﻟﻭﺜﻴﻘﺔ ﻡ ﺕ‪ /٢٠٠٦ /١١٧‬ﺴﺠﻼﺕ‪ ،٢ /‬ﺍﻟﻤﺤﻀﺭ ﺍﻟﻤﻭﺠﺯ ﻟﻠﺠﻠﺴﺔ ﺍﻟﺭﺍﺒﻌﺔ )ﺍﻟﻨﺹ ﺍﻹﻨﻜﻠﻴﺯﻱ(‪.‬‬

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‫ﻭﻜﺠﺯﺀ ﻤﻥ ﺴﻠﺴﻠﺔ ﺍﻟﺭﻋﺎﻴﺔ ﻭﺍﻟﻤﻌﺎﻟﺠﺔ ﻭﺍﻟﺩﻋﻡ ﻟﻠﻨﺴﺎﺀ ﺍﻟﻤﺘﻌﺎﻴﺸﺎﺕ ﻤﻊ ﺍﻷﻴﺩﺯ ﻭﺍﻟﻌـﺩﻭﻯ ﺒﻔﻴﺭﻭﺴـﻪ ﻓـﻲ‬ ‫‪-٥‬‬ ‫ﺍﻟﺒﻴﺌﺎﺕ ﺍﻟﺸﺤﻴﺤﺔ ﺍﻟﻤﻭﺍﺭﺩ‪ ،‬ﺼﺩﺭ ﻓﻲ ﻋﺎﻡ ‪ ٢٠٠٤‬ﺩﻟﻴل ﻋﻥ ﺘﻐﺫﻴﺔ ﺍﻟﻨﺴﺎﺀ ﻭﺃﻁﻔﺎﻟﻬﻥ ﻤﻥ ﺍﻟﻤﺼﺎﺒﻴﻥ ﺒﻌﺩﻭﻯ ﻓﻴﺭﻭﺱ‬ ‫ﺍﻷﻴﺩﺯ‪ ١.‬ﻭﻗﺩﻤﺕ ﻓﺭﻗﺔ ﺍﻟﻌﻤل ﺍﻟﻤﺸﺘﺭﻜﺔ ﺒﻴﻥ ﺍﻟﻭﻜﺎﻻﺕ ﺍﻟﻤﻌﻨﻴﺔ ﺒﺎﻟﻭﻗﺎﻴﺔ ﻤﻥ ﺍﻨﺘﻘﺎل ﻓﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ ﻤـﻥ ﺍﻟﺤﻭﺍﻤـل‬ ‫ﻀﻊ ﻓﻲ ﻋﺩﺩ ﻤﻥ ﺍﻟﺒﻠﺩﺍﻥ ﺍﻷﻓﺭﻴﻘﻴﺔ‪ .‬ﻭﺴـﺎﻫﻤﺕ‬ ‫ﺎ ﺒﺸﺄﻥ ﻓﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ ﻭﺘﻐﺫﻴﺔ ﺍﻟﺭ ‪‬‬ ‫ﺎ ﺘﻘﻨﻴﹰ‬ ‫ﻭﺍﻷﻤﻬﺎﺕ ﺇﻟﻰ ﺍﻷﻁﻔﺎل ﺩﻋﻤ ﹰ‬ ‫ﺍﻟﻤﻨﻅﻤﺔ‪ ،‬ﻓﻲ ﻋﺎﻡ ‪ ،٢٠٠٤‬ﺒﺘﻘﺩﻴﻡ ﻤﺩﺨﻼﺕ ﻟﻠﺘﻭﺠﻴﻪ ﺍﻟﻌﻤﻠﻲ ﺒﺸﺄﻥ ﺇﺩﺭﺍﺝ ﺒﺭﺍﻤﺞ ﺨﺎﺼﺔ ﺒﺎﻟﻐﺫﺍﺀ ﻭﺍﻟﺘﻐﺫﻴﺔ ﻓﻲ ﺃﻨﺸﻁﺔ‬ ‫ﺩﻋﻡ ﺍﻟﻤﺼﺎﺒﻴﻥ ﺒﺎﻷﻴﺩﺯ ﻭﺍﻟﻌﺩﻭﻯ ﺒﻔﻴﺭﻭﺴﻪ ﻓﻲ ﺃﻭﺴﺎﻁ ﺍﻟﻼﺠﺌﻴﻥ ﻭﺍﻟﻤﺠﺘﻤﻌﺎﺕ ﺍﻟﺘﻲ ﺘﺴﺘﻘﺒﻠﻬﻡ‪ .‬ﻭﺘﻡ ﻭﻀـﻊ ﻭﺤـﺩﺓ‬ ‫ﻨﻤﻭﺫﺠﻴﺔ ﺘﺩﺭﻴﺒﻴﺔ ﻋﻥ ﺘﻐﺫﻴﺔ ﺍﻟﺭﻀﻊ ﻓﻲ ﺤﺎﻻﺕ ﺍﻟﻁﻭﺍﺭﺉ‪ ،‬ﻭﺫﻟﻙ ﻟﺘﺩﺭﻴﺏ ﺍﻟﻌﺎﻤﻠﻴﻥ ﻓﻲ ﻤﺠﺎل ﺍﻟﺘﻐﺫﻴﺔ‪ ،‬ﻭﺍﻟﺫﻱ ﻴﺸﻤل‬ ‫‪‬ﻱ ﻓﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ‪.‬‬ ‫ﺨﻴﺎﺭﺍﺕ ﻟﺘﻐﺫﻴﺔ ﺍﻟﺭﻀﻊ ﻓﻲ ﺒﻴﺌﺎﺕ ﺘﺘﻴﺴﺭ ﻓﻴﻬﺎ ﻭﺴﺎﺌل ﺘﺤﺭ‬ ‫‪-٦‬‬ ‫ﻭﻗﺎﻡ ﻋﺩﺩ ﻤﻥ ﺍﻟﺒﻠﺩﺍﻥ ﺍﻷﻓﺭﻴﻘﻴﺔ ﺒﺘﺤﺩﻴﺙ ﺃﻭ ﻭﻀﻊ ﺩﻻﺌل ﺒﺸﺄﻥ ﺍﻟﺘﻐﺫﻴﺔ ﻭﺍﻷﻴﺩﺯ ﻭﺍﻟﻌﺩﻭﻯ ﺒﻔﻴﺭﻭﺴﻪ‪ ،‬ﻭﺫﻟﻙ‬ ‫ﺒﺎﻻﺴﺘﻔﺎﺩﺓ ﻤﻥ ﻨﺘﺎﺌﺞ ﺍﻟﻤﺸﺎﻭﺭﺓ ﺒﺸﺄﻥ ﺍﺤﺘﻴﺎﺠﺎﺕ ﺍﻟﻤﺘﻌﺎﻴﺸﻴﻥ ﻤﻊ ﺍﻷﻴـﺩﺯ ﻭﺍﻟﻌـﺩﻭﻯ ﺒﻔﻴﺭﻭﺴـﻪ ﻤـﻥ ﺍﻟﻤﻐـﺫﻴﺎﺕ‪٢‬‬ ‫ﻭﺘﻭﺼﻴﺎﺕ ﻤﺸﺎﻭﺭﺓ ﺩﻭﺭﺒﺎﻥ‪ .‬ﻭﺃﺼﺩﺭﺕ ﻜﻴﻨﻴﺎ ﺩﻻﺌل ﻟﻔﺎﺌﺩﺓ ﺍﻟﻘﺎﺌﻤﻴﻥ ﻋﻠﻰ ﺇﻴﺘﺎﺀ ﺍﻟﺨﺩﻤﺎﺕ ﻓﻲ ﺍﻟﺨﻁﻭﻁ ﺍﻷﻤﺎﻤﻴﺔ ﻓﻲ‬ ‫ﻗﻁﺎﻋﺎﺕ ﺍﻟﺼﺤﺔ ﻭﺍﻟﺯﺭﺍﻋﺔ ﻭﺍﻟﺘﻌﻠﻴﻡ ﻭﺍﻟﺨﺩﻤﺎﺕ ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‪.‬‬ ‫‪-٧‬‬ ‫ﻭﻗﺩ ﻨﻅﻡ ﻓﻲ ﺁﺫﺍﺭ‪ /‬ﻤﺎﺭﺱ ‪ ٢٠٠٦‬ﺍﺠﺘﻤﺎﻉ‪ ،‬ﺒﺎﻟﺘﻌﺎﻭﻥ ﻤﻊ ﺍﻟﺼﻨﺩﻭﻕ ﺍﻟﻌﺎﻟﻤﻲ ﻟﻤﻜﺎﻓﺤـﺔ ﺍﻷﻴـﺩﺯ ﻭﺍﻟـﺴل‬ ‫ﺍ ﻤﻥ ﻤﻘﺘﺭﺤﺎﺕ ﺍﻟﺘﻤﻭﻴل ﺍﻟﻭﻁﻨﻴﺔ‪.‬‬ ‫ﻭﺍﻟﻤﻼﺭﻴﺎ‪ ،‬ﺍﺠﺘﻤﺎﻉ ﻋﻥ ﺍﻟﺘﻐﺫﻴﺔ ﺒﺎﻋﺘﺒﺎﺭﻫﺎ ﻋﻨﺼﺭﹰ‬ ‫ﻭﺴﺘﺸﺎﺭﻙ ﺍﻟﻤﻨﻅﻤﺔ ﻤﻊ ﻭﻜﺎﻻﺕ ﺃﺨﺭﻯ ﻓﻲ ﺘﻘﻴﻴﻡ ﺍﻟﺩﻻﺌل ﺍﻟﺘﻘﻨﻴﺔ ﺍﻟﺤﺎﻟﻴﺔ‪ .‬ﻭﻤﻥ ﺍﻟﺜﻐﺭﺍﺕ ﺍﻟﺘﻲ ﺘﻡ ﺍﻟﺘﻌـﺭﻑ‬ ‫‪-٨‬‬ ‫ﻋﻠﻴﻬﺎ ﺤﺘﻰ ﺍﻵﻥ ﻋﺩﻡ ﻭﺠﻭﺩ ﺩﻻﺌل ﻟﻠﻌﺎﻤﻠﻴﻥ ﺍﻟﺼﺤﻴﻴﻥ ﻋﻠﻰ ﺍﻟﻤﺴﺘﻭﻯ ﺍﻟﻤﺘﻭﺴﻁ ﺒﺸﺄﻥ ﺭﻋﺎﻴـﺔ ﺍﻟﺘﻐﺫﻴـﺔ ﻭﺩﻋﻤﻬـﺎ‬ ‫ﻟﻠﻤﺘﻌﺎﻴﺸﻴﻥ ﻤﻊ ﺍﻷﻴﺩﺯ ﻭﺍﻟﻌﺩﻭﻯ ﺒﻔﻴﺭﻭﺴﻪ؛ ﻭﻟﻠﺘﺩﺒﻴﺭ ﺍﻟﻐﺫﺍﺌﻲ ﻓﻲ ﺍﻟﻤﺴﺘﺸﻔﻴﺎﺕ ﻟﻠﻤﺼﺎﺒﻴﻥ ﺒﻌﺩﻭﻯ ﻓﻴﺭﻭﺱ ﺍﻷﻴـﺩﺯ‪،‬‬ ‫ﻭﺨﺎﺼﺔ ﺍﻷﻁﻔﺎل ﻤﻨﻬﻡ‪ ،‬ﻭﻟﺩﻋﻡ ﺍﻟﺘﻐﺫﻴﺔ ﻓﻲ ﺤﺎﻻﺕ ﺍﻟﻁﻭﺍﺭﺉ ﻟﻠﺴﻜﺎﻥ ﺍﻟﺫﻴﻥ ﺘﺭﺘﻔﻊ ﻤﻌﺩﻻﺕ ﺘﻔﺸﻲ ﻓﻴﺭﻭﺱ ﺍﻷﻴـﺩﺯ‬ ‫ﺒﻴﻨﻬﻡ؛ ﻭﺃﺩﻭﺍﺕ ﺍﻟﺘﻘﻴﻴﻡ ﻭﺍﻟﺩﻋﻡ ﺍﻟﻤﺒﺴﻁﺔ ﻟﻠﻘﺎﺌﻤﻴﻥ ﻋﻠﻰ ﺘﻘﺩﻴﻡ ﺨﺩﻤﺎﺕ ﺍﻟﺭﻋﺎﻴﺔ ﺍﻟﺼﺤﻴﺔ ﺍﻟﺨﺎﺼﺔ ﺒﻔﻴﺭﻭﺱ ﺍﻷﻴـﺩﺯ؛‬ ‫ﻭﻋﺩﻡ ﻭﺠﻭﺩ ﺘﻭﺼﻴﺎﺕ ﺒﺸﺄﻥ ﺘﺩﺒﻴﺭ ﺴﻭﺀ ﺍﻟﺘﻐﺫﻴﺔ ﺍﻟﺤﺎﺩ ﻓﻲ ﺇﻁﺎﺭ ﺍﻟﻤﺠﺘﻤﻌﺎﺕ ﺍﻟﻤﺤﻠﻴﺔ‪ ،‬ﺒﻤﺎ ﻓﻲ ﺫﻟﻙ ﺘﻐﺫﻴﺔ ﺍﻷﻁﻔـﺎل‬ ‫ﺍﻟﻤﺼﺎﺒﻴﻥ ﺒﻌﺩﻭﻯ ﻓﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ‪ .‬ﻭﺘﺘﻌﺎﻭﻥ ﺍﻟﻤﻨﻅﻤﺔ ﻤﻊ ﺒﺭﻨﺎﻤﺞ ﺍﻷﻏﺫﻴﺔ ﺍﻟﻌﺎﻟﻤﻲ ﻋﻠﻰ ﻭﻀﻊ ﻨﻬﺞ ﻟﺘﻘﺩﻴﻡ ﺍﻟﻤﻌﻭﻨﺔ‬ ‫ﺍﻟﻐﺫﺍﺌﻴﺔ ﻓﻲ ﺒﺭﺍﻤﺞ ﺍﻟﺭﻋﺎﻴﺔ ﻭﺍﻟﻌﻼﺝ ﻟﻐﺭﺽ ﺘﻤﻜﻴﻥ ﻤﻭﻅﻔﻲ ﺍﻟﺒﺭﻨﺎﻤﺞ ﺍﻟﻌـﺎﻟﻤﻲ ﻤـﻥ ﺍﻟﺘﻌـﺎﻭﻥ ﻤـﻊ ﺍﻟﻤـﻭﻅﻔﻴﻥ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﻴﻥ ﺍﻟﻘﺎﺌﻤﻴﻥ ﻋﻠﻰ ﺭﻋﺎﻴﺔ ﺍﻟﻤﺭﻀﻰ ﺍﻟﺫﻴﻥ ﻴﺘﻠﻘﻭﻥ ﻋﻼﺠﹰ‬ ‫ﺍ ﻟﻠﻔﻴﺭﻭﺴﺎﺕ ﺍﻟﻘﻬﻘﺭﻴﺔ‪ ،‬ﻭﻤﻊ ﺍﻷﻓﺭﻗﺔ ﺍﻟﻌﺎﻤﻠﺔ‬ ‫ﺎ ﻤﻀﺎﺩﹰ‬ ‫ﻓﻲ ﺍﻟﻤﺠﺘﻤﻌﺎﺕ ﺍﻟﻤﺤﻠﻴﺔ ﺍﻟﺘﻲ ﺘﻘﺩﻡ ﺍﻟﺩﻋﻡ ﻟﻠﻤﺭﻀﻰ ﻭﺃﺴﺭﻫﻡ‪.‬‬ ‫ﻭﺘﺘﻌﺎﻭﻥ ﺍﻟﻤﻨﻅﻤﺔ ﻤﻊ ﺒﻌﺽ ﺍﻟﻤﺅﺴﺴﺎﺕ ﻓﻲ ﺍﻟﻭﻻﻴﺎﺕ ﺍﻟﻤﺘﺤﺩﺓ ﺍﻷﻤﺭﻴﻜﻴﺔ ﻋﻠﻰ ﺍﺴﺘﻨﺒﺎﻁ ﺃﺩﺍﺓ ﻟﻠﻔﺭﺯ ﺘﺸﺘﻤل‬ ‫‪-٩‬‬ ‫ﻋﻠﻰ ﻁﺎﺌﻔﺔ ﻤﻥ ﺍﻷﺴﺌﻠﺔ ﺍﻟﻤﺘﻌﻠﻘﺔ ﺒﺘﻨﺎﻭل ﺍﻟﻐﺫﺍﺀ ﻭﺍﻟﻘﻴﺎﺴﺎﺕ ﺍﻟﺒﺸﺭﻴﺔ ﻭﺘﻘﺩﻴﺭﺍﺕ ﻟﻤﺎ ﻴﻠﺯﻡ ﻤـﻥ ﺒﻌـﺽ ﺍﻟﻤﻐـﺫﻴﺎﺕ‪.‬‬ ‫ﻭﺴﻴﺠﺭﻱ ﺍﺨﺘﺒﺎﺭ ﺍﻷﺩﺍﺓ ﻭﺘﻭﺯﻴﻌﻬﺎ ﻓﻲ ﻋﺎﻡ ‪ ،٢٠٠٦‬ﻭﻫﻲ ﻤﺨﺼﺼﺔ ﻟﻼﺴﺘﻌﻤﺎل ﻓﻲ ﻤﺭﺍﻓﻕ ﺍﻟﺨـﺩﻤﺎﺕ ﺍﻟـﺼﺤﻴﺔ‬ ‫ﻭﺍﻟﺒﺭﺍﻤﺞ ﺍﻟﻤﻨﻔﺫﺓ ﻋﻠﻰ ﻤﺴﺘﻭﻯ ﺍﻟﻤﺠﺘﻤﻌﺎﺕ ﺍﻟﻤﺤﻠﻴﺔ ﻟﺘﺤﺩﻴﺩ ﺍﻟﺒﺎﻟﻐﻴﻥ ﻭﺍﻷﻁﻔﺎل ﺍﻟﻤﻌﺭﻀﻴﻥ ﻟﺴﻭﺀ ﺍﻟﺘﻐﺫﻴﺔ ﻤﻥ ﻀﻤﻥ‬ ‫ﺍﻟﻤﺘﻌﺎﻴﺸﻴﻥ ﻤﻊ ﺍﻷﻴﺩﺯ ﻭﺍﻟﻌﺩﻭﻯ ﺒﻔﻴﺭﻭﺴﻪ ﺃﻭ ﺍﻟﻤﺼﺎﺒﻴﻥ ﺒﻬﻤﺎ‪.‬‬

‫‪Nutrition counselling, care and support for HIV-infected women: Guidelines on HIV-related care, treatment ١‬‬ ‫‪and support for HIV-infected women and their children in resource-constrained settings: Geneva, World Health‬‬ ‫‪Organization, 2004.‬‬ ‫‪Nutrient requirements for people living with HIV/AIDS: Report of a technical consultation, World Heath‬‬ ‫‪Organization, Geneva, 13-15 May 2003, Geneva, World Health Organization, 2003.‬‬

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‫ﻀﻊ ﻭﺍﻟﻭﻗﺎﻴﺔ ﻤﻥ ﺍﻨﺘﻘﺎل ﻓﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ ﻤﻥ ﺍﻷﻡ ﺇﻟـﻰ ﺍﻟﻁﻔـل‪.‬‬ ‫‪ -١٠‬ﺒﻨﺎﺀ ﺍﻟﻘﺩﺭﺍﺕ ﻟﻐﺭﺽ ﺘﺤﺴﻴﻥ ﺘﻐﺫﻴﺔ ﺍﻟﺭ ّ‬ ‫ﺘﻡ ﺨﻼل ﻋﺎﻤﻲ ‪ ٢٠٠٣‬ﻭ‪ ٢٠٠٤‬ﻭﻋﻠﻰ ﻨﻁﺎﻕ ﻭﺍﺴﻊ‪ ،‬ﺘﻭﺯﻴﻊ ﺇﻁﺎﺭ ﻟﻸﻋﻤﺎل ﺫﺍﺕ ﺍﻷﻭﻟﻭﻴﺔ ﻓﻲ ﻤﺠـﺎل ﺍﻟﻌـﺩﻭﻯ‬ ‫‪‬ﻨﺎﺕ‪ ،‬ﻭﺩﻻﺌل ﻋﻠﻰ ﺍﻟﻤـﺴﺅﻭﻟﻴﻥ ﻭﻤـﺩﻴﺭﻱ ﺍﻟﺭﻋﺎﻴـﺔ ﺍﻟـﺼﺤﻴﺔ‬ ‫ﻀﻊ‪ ،‬ﻭﺍﺴﺘﻌﺭﺍﺽ ﻟﻠﺒﻴ‬ ‫ﺒﻔﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ ﻭﺘﻐﺫﻴﺔ ﺍﻟﺭ ‪‬‬ ‫ﻭﺍﻟﻤﺸﺭﻓﻴﻥ ﻋﻠﻴﻬﺎ‪ ،‬ﺒﺎﻹﻀﺎﻓﺔ ﺇﻟﻰ ﻜﺘﻴﺏ ﻋﻥ ﺍﻟﺒﺤﻭﺙ ﺍﻟﻤﻴﺩﺍﻨﻴﺔ‪ ١.‬ﻭﺘﻡ ﻓﻲ ﻋﺎﻡ ‪ ٢٠٠٤‬ﺇﻨﺘﺎﺝ ﻤﻌﻴﻨﺎﺕ ﻓـﻲ ﻤﺠـﺎل‬ ‫ﺍﻟﺘﻨﺎﺼﺢ ﺍﺸﺘﻤﻠﺕ ﻋﻠﻰ ﻟﻭﺤﺎﺕ ﻗﻼﺒﺔ ﻭﺃﺩﻟﺔ ﺘﻭﺠﻴﻬﻴﺔ ﻭﻤﺭﺠﻌﻴﺔ ﻭﻤﻨﺸﻭﺭﺍﺕ ﻟﺘﻭﺯﻴﻌﻬﺎ ﻋﻠﻰ ﺍﻟﻌﺎﻤﻠﻴﻥ ﻓﻲ ﺍﻟﺨﻁـﻭﻁ‬ ‫ﺍﻷﻤﺎﻤﻴﺔ‪.‬‬ ‫‪ -١١‬ﻭﻗﺩﻡ ﺩﻋﻡ ﻤﺎﻟﻲ ﻟﺘﻨﻅﻴﻡ ﺩﻭﺭﺍﺕ ﻟﺘﺩﺭﻴﺏ ﺍﻟﻤﺩﺭﺒﻴﻥ ﻋﻘﺩﺕ ﻓﻲ ﻋـﺎﻤﻲ ‪ ٢٠٠٤‬ﻭ‪ ٢٠٠٥‬ﻓـﻲ ﻋـﺩﺩ ﻤـﻥ‬ ‫ﺍﻟﺒﻠﺩﺍﻥ ﺍﻷﻓﺭﻴﻘﻴﺔ ﻟﻀﻤﺎﻥ ﺘﻘﺩﻴﻡ ﺍﻟﺘﻭﺠﻴﻪ ﺍﻟﻤﻼﺌﻡ ﻟﻸﻤﻬـﺎﺕ ﺒـﺸﺄﻥ ﺍﻹﺭﻀـﺎﻉ ﻓـﻲ ﺴـﻴﺎﻕ ﺍﻷﻴـﺩﺯ ﻭﺍﻟﻌـﺩﻭﻯ‬ ‫ﺒﻔﻴﺭﻭﺴﻪ‪ .‬ﻭﻴﻘﻭﻡ ﻋﺩﺩ ﻤﻥ ﺍﻟﺒﻠﺩﺍﻥ ﺍﻷﻓﺭﻴﻘﻴﺔ ﺒﺘﻭﺴﻴﻊ ﻨﻁﺎﻕ ﺍﻟﺘﺩﺭﻴﺏ ﻟﻴﺸﻤل ﺍﻷﻗﺎﻟﻴﻡ ﻭﺍﻟﻤﻘﺎﻁﻌـﺎﺕ ﻭﺫﻟـﻙ ﻟﺘﺯﻭﻴـﺩ‬ ‫ﺍﻟﻌﺎﻤﻠﻴﻥ ﺍﻟﺼﺤﻴﻴﻥ ﺒﺎﻟﻤﻬﺎﺭﺍﺕ ﺍﻟﻼﺯﻤﺔ ﻟﺩﻋﻡ ﺍﻷﻤﻬﺎﺕ‪ ،‬ﺒﻤﻥ ﻓﻴﻬﻥ ﺍﻟﻤﺼﺎﺒﺎﺕ ﺒﻌﺩﻭﻯ ﻓﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ‪ ،‬ﻭﺫﻟـﻙ ﻤـﻥ‬ ‫ﺃﺠل ﺍﺨﺘﻴﺎﺭ ﻭﺘﻁﺒﻴﻕ ﺃﻨﻤﺎﻁ ﺍﻟﺘﻐﺫﻴﺔ ﺍﻟﻤﻨﺎﺴﺒﺔ ﻷﻁﻔﺎﻟﻬﻥ ﺍﻟﺭ ‪‬‬ ‫ﻀﻊ‪ .‬ﻭﻗﺎﻤﺕ ﺒﻠﺩﺍﻥ ﺃﺨﺭﻯ ﺒﺘﻨﻘﻴﺢ ﺍﻟـﺴﻴﺎﺴﺎﺕ ﻭﺍﻟـﺩﻻﺌل‬ ‫ﻀﻊ‪ ،‬ﻭﺠﺭﻯ ﺘﻭﺯﻴﻌﻬﺎ ﻋﻠـﻰ ﻨﻁـﺎﻕ ﻭﺍﺴـﻊ ﻋﻠـﻰ ﺍﻟﻌـﺎﻤﻠﻴﻥ ﺍﻟـﺼﺤﻴﻴﻥ‬ ‫ﺍﻟﺨﺎﺼﺔ ﺒﻔﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ ﻭﺘﻐﺫﻴﺔ ﺍﻟﺭ ‪‬‬ ‫ﻭﺍﻻﺠﺘﻤﺎﻋﻴﻴﻥ‪.‬‬ ‫‪ -١٢‬ﻭﺍﺸﺘﺭﻜﺕ ﺍﻟﻤﻨﻅﻤﺔ‪ ،‬ﻤﻊ ﺍﻟﻴﻭﻨﻴﺴﻴﻑ ﻭﺸﺒﻜﺔ ﺍﻟﻌﻤل ﺍﻟﺩﻭﻟﻲ ﻤﻥ ﺃﺠل ﺃﻏﺫﻴﺔ ﺍﻷﻁﻔﺎل ﻭﻤﺅﺴﺴﺔ ﻫﻴﻠﻴﻥ ﻜﻴﻠـﺭ‬ ‫ﺍﻟﺩﻭﻟﻴﺔ ﻭﻤﻨﻅﻤﺔ ﺍﻟﺼﺤﺔ ﻟﻐﺭﺏ ﺃﻓﺭﻴﻘﻴﺎ‪ ،‬ﻓﻲ ﺘﻨﻅﻴﻡ ﺤﻠﻘﺔ ﻋﻤﻠﻴﺔ )ﻜﻭﺘﻭﻨﻭ‪ ،‬ﺸﺒﺎﻁ‪ /‬ﻓﺒﺭﺍﻴﺭ ‪ (٢٠٠٥‬ﺘﻨﺎﻭﻟﺕ ﺨﻁـﻁ‬ ‫ﺍﻟﻌﻤل ﺍﻟﺨﺎﺼﺔ ﺒﺘﻐﺫﻴﺔ ﺍﻟﺭ ‪‬‬ ‫ﻀﻊ ﻓﻲ ﺴﻴﺎﻕ ﻓﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ‪.‬‬ ‫‪ -١٣‬ﻭﺘﺘﻌﺎﻭﻥ ﺍﻟﻤﻨﻅﻤﺔ ﻤﻊ ﺍﻟﻴﻭﻨﻴﺴﻴﻑ ﻋﻠﻰ ﺘﻨﻘﻴﺢ ﺩﻟﻴل ﺍﻟﺘﺩﺭﻴﺏ ﻭﺃﺩﻭﺍﺕ ﺍﻟﺘﻘﻴﻴﻡ ﺍﻟﻤﺴﺘﺨﺩﻤﺔ ﻓـﻲ ﻤﺒﺎﺩﺭﺘﻬﻤـﺎ‬ ‫ﺍﻟﻤﺸﺘﺭﻜﺔ ﻟﻠﻤﺴﺘﺸﻔﻴﺎﺕ ﺍﻟﺼﺩﻴﻘﺔ ﻟﻸﻁﻔﺎل‪ ،‬ﻭﺫﻟﻙ ﻓﻲ ﻀﻭﺀ ﺠﺎﺌﺤﺔ ﺍﻷﻴﺩﺯ ﻭﺍﻟﻌﺩﻭﻯ ﺒﻔﻴﺭﻭﺴﻪ‪ .‬ﻭﺘﻡ ﺍﺨﺘﺒﺎﺭ ﺍﻟﻜﺘﻴـﺏ‬ ‫ﻭﺍﻷﺩﻭﺍﺕ ﻓﻲ ﺯﻤﺒﺎﺒﻭﻱ ﻋﻘﺩﺕ ﺒﻌﺩﻩ ﺤﻠﻘﺔ ﻋﻤﻠﻴﺔ ﺍﺴﺘﻐﺭﻗﺕ ﺜﻼﺜﺔ ﺃﻴﺎﻡ ﻟﺘﻭﺠﻴﻪ ﻤﺴﺅﻭﻟﻲ ﺍﻻﺘﺼﺎل ﺍﻟﻘﻁﺭﻴﻴﻥ ﺒـﺸﺄﻥ‬ ‫ﺃﻫﻤﻴﺔ ﺇﺤﻴﺎﺀ ﺍﻟﻤﺒﺎﺩﺭﺓ ﻓﻲ ﺴﻴﺎﻕ ﻓﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ )ﻫﺭﺍﺭﻱ‪ ،‬ﺘﺸﺭﻴﻥ ﺍﻟﺜﺎﻨﻲ‪ /‬ﻨﻭﻓﻤﺒﺭ ‪.(٢٠٠٥‬‬ ‫ﻀﻊ ﻭﺼﻐﺎﺭ ﺍﻷﻁﻔـﺎل‬ ‫‪ -١٤‬ﻭﻁﻭﺭﺕ ﺍﻷﻤﺎﻨﺔ ﺩﻭﺭﺓ ﺘﺩﺭﻴﺒﻴﺔ ﻤﺘﻜﺎﻤﻠﺔ ﻤﺩﺘﻬﺎ ﺨﻤﺴﺔ ﺃﻴﺎﻡ‪ ،‬ﻭﻫﻲ ﺘﻌﻨﻲ ﺒﺘﻐﺫﻴﺔ ﺍﻟﺭ ‪‬‬ ‫ﺎ ﻓﻲ ﻏﺎﻨـﺎ‬ ‫ﺎ ﻟﻠﻤﺭﺸﺩﻴﻥ ﺍﻟﻌﺎﺩﻴﻴﻥ ﻤﺘﺎﺒﻌﺘﻬﺎ‪ .‬ﻭﺒﻌﺩ ﺘﺠﺭﺒﺔ ﺍﻟﺩﻭﺭﺓ ﻤﻴﺩﺍﻨﻴﹰ‬ ‫ﻭﺘﺭﻜﺯ ﻋﻠﻰ ﺍﻟﻌﺎﻤﻠﻴﻥ ﺍﻟﺼﺤﻴﻴﻥ‪ ،‬ﻭﻴﻤﻜﻥ ﺃﻴﻀﹰ‬ ‫ﹸﺭﻉ ﻓﻲ ﺘﻁﺒﻴﻘﻬﺎ ﻓﻲ ﺴﺒﻌﺔ ﺒﻠﺩﺍﻥ ﻤﻥ ﺇﻗﻠﻴﻡ ﻏﺭﺏ ﺍﻟﻤﺤﻴﻁ ﺍﻟﻬﺎﺩﺉ‪.‬‬ ‫ﻭﺠﺎﻤﺎﻴﻜﺎ ﻭﺠﻨﻭﺏ ﺃﻓﺭﻴﻘﻴﺎ ﺸ‬ ‫‪‬ـﻊ‪،‬‬ ‫ﺎ ﻭﺼﻐﺎﺭ ﺍﻷﻁﻔﺎل‪ ،‬ﺒﻤﻥ ﻓﻴﻬﻡ ﺍﻟﺭﻀ‬ ‫ﻀﻊ ﺍﻷﻜﺒﺭ ﺴﻨﹰ‬ ‫‪ -١٥‬ﻭﺘﻡ ﻨﺸﺭ ﺩﻻﺌل ﺒﺸﺄﻥ ﺴﻴﺎﺴﺎﺕ ﻭﺒﺭﺍﻤﺞ ﺘﻐﺫﻴﺔ ﺍﻟﺭ ‪‬‬ ‫ﻤﻥ ﺃﺒﻨﺎﺀ ﺍﻷﻤﻬﺎﺕ ﺍﻟﻤﺼﺎﺒﺎﺕ ﺒﻌﺩﻭﻯ ﻓﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ‪ ،‬ﺍﻟﺫﻴﻥ ﻻ ﻴﺭﻀﻌﻭﻥ ﺃﻤﻬﺎﺘﻬﻡ‪ ،‬ﻭﺫﻟﻙ ﺒﻌﺩ ﺍﺠﺘﻤﺎﻉ ﺠﺭﺕ ﻓﻴـﻪ‬ ‫‪‬ﻨﺎﺕ‪٢.‬‬ ‫ﻤﻨﺎﻗﺸﺔ ﺍﻟﻨﺘﺎﺌﺞ ﺫﺍﺕ ﺍﻟﺼﻠﺔ ﺍﻟﻤﺴﻨﺩﺓ ﺒﺎﻟﺒﻴ‬

‫‪HIV and infant feeding: framework for priority actions. Geneva, World Health Organization, 2003; Newell ١‬‬ ‫‪M-L, HIV transmission through breastfeeding: a review of available evidence. Geneva, World Health‬‬ ‫‪Organization, 2004; UNICEF/UNAIDS/WHO/UNFPA, HIV and infant feeding: Guidelines for decision-makers.‬‬ ‫‪Geneva, World Health Organization, 2003; HIV and infant feeding: a guide for health-care managers and‬‬ ‫‪supervisors. Geneva, World Health Organization, 2003.‬‬ ‫‪Guiding principles for feeding non-breastfed children 6-24 months of age. Geneva, World Health‬‬ ‫‪Organization, 2005.‬‬

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‫‪ -١٦‬ﻭﻜﺜﻔﺕ ﻤﻜﺎﺘﺏ ﺍﻟﻤﻨﻅﻤﺔ ﺍﻹﻗﻠﻴﻤﻴﺔ ﺩﻋﻤﻬﺎ ﻓﻲ ﻤﺠﺎل ﺘﺨﻁﻴﻁ ﺍﻟﺒﺭﺍﻤﺞ ﻭﺒﻨﺎﺀ ﺍﻟﻘـﺩﺭﺍﺕ‪ .‬ﻭﻨﻅـﻡ ﺍﻟﻤﻜﺘـﺏ‬ ‫ﺍﻹﻗﻠﻴﻤﻲ ﻷﻓﺭﻴﻘﻴﺎ ﺍﺠﺘﻤﺎﻋﺎﺕ ﺒﺸﺄﻥ ﺍﻟﺘﺨﻁﻴﻁ ﻟﻠﺒﻠﺩﺍﻥ ﺍﻟﻨﺎﻁﻘﺔ ﺒﺎﻹﻨﻜﻠﻴﺯﻴﺔ ﻭﺍﻟﻔﺭﻨﺴﻴﺔ ﻭﺍﻟﺒﺭﺘﻐﺎﻟﻴﺔ‪ ،‬ﻭﺫﻟﻙ ﺒﺎﺴـﺘﺨﺩﺍﻡ‬ ‫ﻀﻊ‪ ،‬ﻭﻗﺩﻡ ﺩﻋﻤﻪ ﻟﺩﻭﺭﺍﺕ ﺘﺩﺭﻴﺏ ﺍﻟﻤﺩﺭﺒﻴﻥ ﻋﻠﻰ ﺘﻘﺩﻴﻡ ﺍﻟﻨﺼﺎﺌﺢ ﺒـﺸﺄﻥ‬ ‫ﺃﺩﻭﺍﺕ ﺘﺘﻌﻠﻕ ﺒﻔﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ ﻭﺘﻐﺫﻴﺔ ﺍﻟﺭ ‪‬‬ ‫ﻀﻊ ﻓﻲ ‪ ١٩‬ﺒﻠﺩﹰ‬ ‫ﺘﻐﺫﻴﺔ ﺍﻟﺭ ‪‬‬ ‫ﺎ ﻭ‪ ٢٠٠٠‬ﻋﺎﻤل ﺼـﺤﻲ‪.‬‬ ‫ﺍ‪ .‬ﻭﻓﻲ ﻨﻬﺎﻴﺔ ﻋﺎﻡ ‪ ٢٠٠٤‬ﺘﺠﺎﻭﺯ ﻋﺩﺩ ﺍﻟﻤﺘﺩﺭﺒﻴﻥ ‪ ٢٥٠‬ﻤﺩﺭﺒﹰ‬ ‫ﻀﻊ ﻓﻲ ﺴـﻴﺎﻕ ﺍﻷﻴـﺩﺯ‪،‬‬ ‫ﻭﻗﺩﻡ ﺍﻟﻤﻜﺘﺏ ﺍﻹﻗﻠﻴﻤﻲ ﻟﻸﻤﺭﻴﻜﺘﻴﻥ ﺩﻋﻤﻪ ﻟﻠﺘﺩﺭﻴﺏ ﻋﻠﻰ ﺘﻘﺩﻴﻡ ﺍﻟﻨﺼﺎﺌﺢ ﺒﺸﺄﻥ ﺘﻐﺫﻴﺔ ﺍﻟﺭ ‪‬‬ ‫ﻭﺃﺠﺭﻯ ﺍﺠﺘﻤﺎﻋﺎﺕ ﺘﺨﻁﻴﻁﻴﺔ ﻟﺒﻠﺩﺍﻥ ﻤﻥ ﺃﻤﺭﻴﻜﺎ ﺍﻟﻭﺴﻁﻰ ﻭﻤﻨﻁﻘﺔ ﺍﻟﺒﺤﺭ ﺍﻟﻜﺎﺭﻴﺒﻲ ﻭﺍﻟﻤﺨﺭﻭﻁ ﺍﻟﺠﻨﻭﺒﻲ ﻭﻋﺩﺩ ﺁﺨﺭ‬ ‫ﻤﻥ ﺍﻟﺒﻠﺩﺍﻥ‪ .‬ﻭﻨﻅﻡ ﺍﻟﻤﻜﺘﺏ ﺍﻹﻗﻠﻴﻤﻲ ﻟﺠﻨﻭﺏ ﺸﺭﻕ ﺁﺴﻴﺎ ﺩﻭﺭﺓ ﺘﺩﺭﻴﺒﻴﺔ ﺸﺎﺭﻜﺕ ﻓﻴﻬﺎ ﺴﺒﻌﺔ ﺒﻠﺩﺍﻥ‪ ،‬ﻭﺘﻨﺎﻭﻟﺕ ﺍﻟﺩﻭﺭﺓ‬ ‫ﻀﻊ‪ .‬ﻭﺘﻭﻟﻰ ﺍﻟﻤﻜﺘـﺏ ﺍﻹﻗﻠﻴﻤـﻲ‬ ‫ﻤﻭﻀﻭﻉ ﺍﻟﺭﻀﺎﻋﺔ ﺍﻟﻁﺒﻴﻌﻴﺔ ﻓﻲ ﺴﻴﺎﻕ ﺍﻷﻴﺩﺯ ﻭﺘﻘﺩﻴﻡ ﺍﻟﻨﺼﺎﺌﺢ ﺒﺸﺄﻥ ﺘﻐﺫﻴﺔ ﺍﻟﺭ ‪‬‬ ‫ﻷﻭﺭﻭﺒﺎ ﺘﻨﻅﻴﻡ ﺩﻭﺭﺍﺕ ﺘﺩﺭﻴﺒﻴﺔ ﻤﻼﺌﻤﺔ ﻟﻺﻗﻠﻴﻡ ﺍﺴﺘﻐﺭﻗﺕ ﻜل ﺩﻭﺭﺓ ﻤﻨﻬﺎ ﺜﻼﺜﺔ ﺃﻴﺎﻡ ﻭﺘﻨﺎﻭﻟﺕ ﻤﻭﻀﻭﻉ ﺍﻟﺭﻀـﺎﻋﺔ‬ ‫ﺍﻟﻁﺒﻴﻌﻴﺔ ﻭﻓﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ ﻭﺘﻐﺫﻴﺔ ﺍﻟﺭ ‪‬‬ ‫ﻀﻊ‪ .‬ﻭﺃﻋﺩ ﺍﻟﻤﻜﺘﺏ ﺍﻹﻗﻠﻴﻤﻲ ﻟﺸﺭﻕ ﺍﻟﻤﺘﻭﺴﻁ ﻤﻭﺍﺩ ﺘﺩﺭﻴﺒﻴﺔ ﺒﺎﻟﻠﻐﺔ ﺍﻟﻌﺭﺒﻴـﺔ‪،‬‬ ‫ﺎ ﻟﻤﺩﻴﺭﻱ ﺤﻠﻘﺎﺕ ﺍﻟﺘﺩﺭﻴﺏ ﺍﻹﻗﻠﻴﻤﻴﺔ‪ .‬ﻭﻓﻲ ﺇﻗﻠﻴﻡ ﻏﺭﺏ ﺍﻟﻤﺤﻴﻁ ﺍﻟﻬﺎﺩﺉ‪ ،‬ﺘﻡ ﺘﺩﺭﻴﺏ ﺍﻟﻌﺎﻤﻠﻴﻥ ﺍﻟـﺼﺤﻴﻴﻥ‬ ‫ﻭﺃﻨﺸﺄ ﺘﺠﻤﻌﹰ‬ ‫ﻀﻊ‪.‬‬ ‫ﻋﻠﻰ ﺘﻐﺫﻴﺔ ﺍﻟﺭ ‪‬‬ ‫‪ -١٧‬ﺒﻨﺎﺀ ﺍﻟﻘﺩﺭﺍﺕ ﻤﻥ ﺃﺠل ﺘﺤﺴﻴﻥ ﺍﻟﺭﻋﺎﻴﺔ ﻭﺍﻟﺩﻋﻡ ﺍﻟﻤﻘﺩﻤﻴﻥ ﻟﻠﻤﺘﻌﺎﻴﺸﻴﻥ ﻤﻊ ﺍﻷﻴﺩﺯ ﻭﺍﻟﻌﺩﻭﻯ ﺒﻔﻴﺭﻭﺴـﻪ‪.‬‬ ‫ﻼ‪ ١‬ﻭﺃﻋﺩﺘﺎ ﺩﻭﺭﺓ ﻗـﺼﻴﺭﺓ ﺍﻷﻤـﺩ‬ ‫ﺃﺼﺩﺭﺕ ﻤﻨﻅﻤﺔ ﺍﻟﺼﺤﺔ ﺍﻟﻌﺎﻟﻤﻴﺔ ﻭﻤﻨﻅﻤﺔ ﺍﻷﻤﻡ ﺍﻟﻤﺘﺤﺩﺓ ﻟﻸﻏﺫﻴﺔ ﻭﺍﻟﺯﺭﺍﻋﺔ ﺩﻟﻴ ﹰ‬ ‫ﻟﺘﺯﻭﻴﺩ ﺍﻟﻘﺎﺌﻤﻴﻥ ﻋﻠﻰ ﺘﻘﺩﻴﻡ ﺍﻟﺭﻋﺎﻴﺔ ﺒﺎﻟﻤﻌﺎﺭﻑ ﺍﻟﻌﻤﻠﻴﺔ ﻋﻥ ﺍﻟﺭﻋﺎﻴﺔ ﺍﻟﺘﻐﺫﻭﻴﺔ ﻭﺩﻋﻡ ﺍﻟﻤﺘﻌﺎﻴﺸﻴﻥ ﻤﻊ ﺍﻷﻴﺩﺯ ﻭﺍﻟﻌﺩﻭﻯ‬ ‫ﺒﻔﻴﺭﻭﺴﻪ‪ .‬ﻭﻋﻘﺩﺕ ﺍﺠﺘﻤﺎﻋﺎﺕ ﺇﻗﻠﻴﻤﻴﺔ ﻓﻲ ﺠﺎﻜﺎﺭﺘﺎ )ﺘﺸﺭﻴﻥ ﺍﻷﻭل‪ /‬ﺃﻜﺘﻭﺒﺭ ‪ (٢٠٠٥‬ﻭﺠﻭﻫﺎﻨﺴﺒﺭﻍ )ﺘﺸﺭﻴﻥ ﺍﻟﺜﺎﻨﻲ‪/‬‬ ‫ﻨﻭﻓﻤﺒﺭ ‪ (٢٠٠٥‬ﻟﺘﺯﻭﻴﺩ ﺍﻟﻤﺩﺭﺒﻴﻥ ﻤﻥ ﺍﻟﻤﺅﺴﺴﺎﺕ ﺍﻟﺼﺤﻴﺔ ﺒﺎﻟﻤﻌﻠﻭﻤﺎﺕ ﻭﻤﻘﺩﻤﻲ ﺍﻟﺭﻋﺎﻴﺔ ﻭﺃﺴﺭﻫﻡ ﺒﺎﻟﻤﻭﺍﺩ ﺍﻟﻼﺯﻤﺔ‬ ‫ﻟﺘﻘﺩﻴﻡ ﺍﻟﺭﻋﺎﻴﺔ ﺍﻟﺘﻐﺫﻭﻴﺔ ﺍﻟﻌﻤﻠﻴﺔ ﻭﻟﺩﻋﻡ ﺍﻟﻤﺘﻌﺎﻴﺸﻴﻥ ﻤﻊ ﺍﻷﻴﺩﺯ ﻭﺍﻟﻌﺩﻭﻯ ﺒﻔﻴﺭﻭﺴﻪ‪.‬‬ ‫ّﻨﺎﺕ‪ .‬ﺭﻜﺯﺕ ﺍﻟﺒﺤﻭﺙ ﺍﻷﺨﻴﺭﺓ ﺍﻟﺘﻲ ﺘﺤﺼل ﻋﻠﻰ‬ ‫‪ -١٨‬ﺍﻟﺒﺤﺙ ﺍﻟﻌﻤﻠﻲ ﻭﺍﻟﺴﺭﻴﺭﻱ ﻟﺩﻋﻡ ﺍﻟﺒﺭﻤﺠﺔ ﺍﻟﻤﺴﻨﺩﺓ ﺒﺎﻟﺒﻴ‬ ‫ﻀﻊ ﻤـﻥ ﺃﺒﻨـﺎﺀ ﺍﻟﻤـﺼﺎﺒﺎﺕ‬ ‫ﺩﻋﻡ ﺍﻟﻤﻨﻅﻤﺔ ﻭﺍﻟﺠﺎﺭﻴﺔ ﻓﻲ ﺸﺘﻰ ﺍﻟﺒﻠﺩﺍﻥ ﻋﻠﻰ ﺘﻭﻀﻴﺢ ﺍﻟﻤﺴﺎﺌل ﺍﻟﻤﺘﺼﻠﺔ ﺒﺘﻐﺫﻴﺔ ﺍﻟﺭ ‪‬‬ ‫ﺒﻔﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ‪ ،‬ﺒﻤﺎ ﻓﻲ ﺫﻟﻙ ﺘﻘﻴﻴﻡ ﻨﻭﻋﻴﺔ ﺍﻟﻨﺼﺢ ﺍﻟﻤﻘﺩﻡ ﺒﺸﺄﻥ ﺍﻟﺘﻐﺫﻴﺔ ﻤﻥ ﺃﺠل ﺍﻟﻭﻗﺎﻴﺔ ﻤﻥ ﺍﻨﺘﻘﺎل ﻓﻴﺭﻭﺱ ﺍﻷﻴـﺩﺯ‬ ‫ﻤﻥ ﺍﻷﻡ ﺇﻟﻰ ﺍﻟﻁﻔل‪ ،‬ﻭﻭﻀﻊ ﺍﻟﺘﻭﺼﻴﺎﺕ ﺍﻟﺘﻲ ﺘﺭﻜﺯ ﻋﻠﻰ ﺍﻟﻨﺴﺎﺀ ﺍﻟﻤﺼﺎﺒﺎﺕ ﺒﻔﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ‪ ،‬ﻭﺍﻟﻌﻭﺍﻤل ﺍﻟﺘﻲ ﺘﺅﺜﺭ‬ ‫ﻋﻠﻰ ﻤﻤﺎﺭﺴﺎﺕ ﺍﻟﺘﻐﺫﻴﺔ ﻟﺩﻯ ﺍﻷﻤﻬﺎﺕ ﺍﻟﻤﺼﺎﺒﺎﺕ ﺒﻌﺩﻭﻯ ﻓﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ‪ .‬ﻭﻟﻠﺩﺭﺍﺴﺔ ﺍﻷﺨﻴﺭﺓ ﺃﻫﻤﻴﺔ ﺤﺎﺴﻤﺔ ﻓﻲ ﻓﻬﻡ‬ ‫‪‬ﻨﺎﺕ ﺍﻟﺠﺩﻴﺩﺓ ﺇﻟﻰ ﺃﻥ ﺍﻻﻗﺘﺼﺎﺭ ﻋﻠﻰ‬ ‫ﺃﺴﻠﻭﺏ ﺴﺭﺍﻴﺔ ﻓﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ ﺍﻟﻤﺭﺘﺒﻁ ﺒﺄﻨﻤﺎﻁ ﺍﻹﺭﻀﺎﻉ ﺍﻟﻁﺒﻴﻌﻲ‪ .‬ﻭﺘﺸﻴﺭ ﺍﻟﺒﻴ‬ ‫ﺍﻟﺭﻀﺎﻋﺔ ﺍﻟﻁﺒﻴﻌﻴﺔ ﻗﺩ ﻴﺅﺩﻱ ﺇﻟﻰ ﺘﻘﻠﻴﺹ ﺍﻨﺘﻘﺎل ﻓﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ ﺇﻟﻰ ﻤﺴﺘﻭﻯ ﺃﻗل ﻤﻥ ﻤﺴﺘﻭﺍﻩ ﻋﻨﺩ ﺍﺘﺒـﺎﻉ ﺃﺴـﻠﻭﺏ‬ ‫ﺍﻟﺘﻐﺫﻴﺔ ﺍﻟﻤﺨﺘﻠﻁﺔ‪ ٢.‬ﻭﺴﺘﺘﺎﺡ‪ ،‬ﻓﻲ ﻋﺎﻡ ‪ ،٢٠٠٦‬ﻨﺘﺎﺌﺞ ﺩﺭﺍﺴﺎﺕ ﻤﻤﺎﺜﻠﺔ ﻭﺩﺭﺍﺴﺎﺕ ﺃﺨﺭﻯ ﺘﺘﻨﺎﻭل ﻤﻭﻀﻭﻉ ﺍﻷﻤﻬﺎﺕ‬ ‫ﺎ ﺸﺩﻴﺩ ﺍﻟﻔﻌﺎﻟﻴﺔ ﻀﺩ ﺍﻟﻔﻴﺭﻭﺴﺎﺕ ﺍﻟﻘﻬﻘﺭﻴﺔ‪.‬‬ ‫ﺍﻟﻤﺭﻀﻌﺎﺕ ﺍﻟﻼﺌﻲ ﻴﺘﻠﻘﻴﻥ ﻋﻼﺠﹰ‬ ‫ﺜل ﻨﻘﺹ ﺍﻟﻤﻐﺫﻴﺎﺕ ﺍﻟﺯﻫﻴﺩﺓ ﺍﻟﻤﻘﺩﺍﺭ ﻤﺸﻜﻠﺔ ﻜﺒﺭﻯ ﻟﻠﻤﺘﻌﺎﻴﺸﻴﻥ ﻤـﻊ ﺍﻷﻴـﺩﺯ ﻭﺍﻟﻌـﺩﻭﻯ ﺒﻔﻴﺭﻭﺴـﻪ‪.‬‬ ‫‪ -١٩‬ﻭﻴﻤ ﹼ‬ ‫ﻭﻟﻜﻥ ﺍﻟﻤﻌﺎﺭﻑ ﻤﺎﺯﺍﻟﺕ ﻤﺤﺩﻭﺩﺓ ﺒﺸﺄﻥ ﺍﻟﺘﻔﺎﻋﻼﺕ ﺒﻴﻥ ﺍﻟﻤﻐﺫﻴﺎﺕ ﺍﻟﺯﻫﻴﺩﺓ ﺍﻟﻤﻘﺩﺍﺭ ﻭﺍﻟﺤﺎﻟﺔ ﺍﻟﻔﺴﻴﻭﻟﻭﺠﻴﺔ ﺃﻭ ﺒـﺸﺄﻥ‬ ‫ﺃﺜﺭ ﻫﺫﻩ ﺍﻟﻤﻐﺫﻴﺎﺕ ﻋﻠﻰ ﺘﻁﻭﺭ ﺍﻟﻤﺭﺽ‪ .‬ﻭﻴﺤﺘﺎﺝ ﺍﻟﻤﺼﺎﺒﻭﻥ ﻭﺍﻟﻤﺘـﺄﺜﺭﻭﻥ ﺒﺎﻷﻴـﺩﺯ ﻭﺒﺎﻟﻌـﺩﻭﻯ ﺒﻔﻴﺭﻭﺴـﻪ ﺇﻟـﻰ‬ ‫ﺎ‬ ‫‪‬ﻨـﺎﺕ ﺍﻟﻤﺘﺎﺤـﺔ ﺤﺎﻟﻴـﹰ‬ ‫‪‬ﻨﺎﺕ ﻗﺎﻁﻌﺔ ﻀﻤﻥ ﺍﻟﺒﻴ‬ ‫ّ ﺍﻟﻤﻐﺫﻴﺎﺕ ﺍﻟﺯﻫﻴﺩﺓ ﺍﻟﻤﻘﺩﺍﺭ‪ .‬ﻭﻻ ﺘﻭﺠﺩ ﺒﻴ‬ ‫ﻜل‬ ‫ﻨﻅﺎﻡ ﻏﺫﺍﺌﻲ ﻴﺅﻤﻥ ﻟﻬﻡ ﹸ‬ ‫ﺒﺸﺄﻥ ﺃﺜﺭ ﺍﻟﻤﻐﺫﻴﺎﺕ ﺍﻟﺯﻫﻴﺩﺓ ﺍﻟﻤﻘﺩﺍﺭ ﺍﻹﻀﺎﻓﻴﺔ ﻋﻠﻰ ﺍﻨﺘﻘﺎل ﻓﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ ﻭﺘﻁﻭﺭﻩ ﻋﻨـﺩ ﻋـﺩﻡ ﻭﺠـﻭﺩ ﻋـﻭﺯ‬ ‫‪Living well with HIV/AIDS. A manual on nutritional care and support for people living with HIV/AIDS.‬‬ ‫‪١‬‬ ‫‪Geneva, World Health Organization and Rome, Food and Agriculture Organization of the United Nations, 2002.‬‬ ‫‪Iliff PJ et al. Early exclusive breastfeeding reduces the risk of postnatal HIV-1 transmission and increases‬‬ ‫‪HIV-free survival. AIDS. 19:699-708, 2005.‬‬

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‫‪A59/7‬‬

‫ﺝ‪٧/٥٩‬‬

‫ﻏﺫﺍﺌﻲ ﻤﻌﻴﻥ‪ .‬ﻭﺒﻌﺩ ﺍﺴﺘﻌﺭﺍﺽ ﻟﻠﻤﻌﻁﻴﺎﺕ ﺍﻟﻌﻠﻤﻴﺔ ﺍﻟﻤﺘﺎﺤﺔ‪ ،‬ﺃﻭﺼﺕ ﺍﻟﻤﻨﻅﻤـﺔ ﺒـﺄﻥ ﻻ ﺘﺘﺠـﺎﻭﺯ ﺍﻟﻜﻤﻴـﺔ ﺍﻟﺘـﻲ‬ ‫ﻴﺘﻨﺎﻭﻟﻬﺎ ﺍﻟﻤﺘﻌﺎﻴﺸﻭﻥ ﻤﻊ ﻓﻴﺭﻭﺱ ﺍﻷﻴﺩﺯ ﻤﻥ ﺍﻟﻤﻐﺫﻴﺎﺕ ﺍﻟﺯﻫﻴﺩﺓ ﺍﻟﻤﻘﺩﺍﺭ ﻜﻤﻴﺔ ﻭﺍﺤﺩﺓ ﻤﻥ ﺍﻟﻜﻤﻴﺎﺕ ﺍﻟﻴﻭﻤﻴﺔ ﺍﻟﻤﻭﺼﻰ‬ ‫ﺒﻬﺎ‪١.‬‬

‫ﺍﻹﺠﺭﺍﺀ ﺍﻟﻤﻁﻠﻭﺏ ﻤﻥ ﺠﻤﻌﻴﺔ ﺍﻟﺼﺤﺔ‬ ‫ﺠﻤﻌﻴﺔ ﺍﻟﺼﺤﺔ ﻤﺩﻋﻭﺓ ﺇﻟﻰ ﺍﻟﻨﻅﺭ ﻓﻲ ﻤﺸﺭﻭﻉ ﺍﻟﻘﺭﺍﺭ ﺍﻟﻭﺍﺭﺩ ﻓﻲ ﺍﻟﻘﺭﺍﺭ ﻡ ﺕ‪١١٧‬ﻕ‪.٢‬‬ ‫‪-٢٠‬‬

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‫‪Nutrient requirements for people living with HIV/AIDS.‬‬

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‫‪5‬‬