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Previously, we have found that buspirone injected at the dose of 2.5 mg site to the dentate gyrus of the hippocampus, increased the time spent on exploration of open arms in the elevated plus maze, and increased the number of central entries in the open field, as well [Kostowski et al., Eur J Pharmacol, 1989]. Furthermore, it was shown with the help of a selective lesion to the serotonergic neurons and intrastructural injections of drugs that hippocampal postsynaptic 5-HT1A receptors account for the anti-emotional effects of azapirones in the Vogel conflict test and open field test [Stefaski et al., Neuropharmacology, 1993]. Consequently, it has been hypothesized that postsynaptic inhibition of the temporal lobe structures, including the hippocampus, resulting from the hyperpolarization of local neuronal population following 5-HT1A receptors stimulation, appears to be an important element of the anti-anxiety action of buspirone [PaYnik et al., Pol J Pharmacol, 1994]. In the present study, to further examine the site of action of buspirone, the anxiolytic-like action of buspirone on the conditioned emotional response CER, a freezing reaction ; , was studied in parallel with the immunocytochemical reaction in different brain structures to detect c-Fos protein the product of expression of the c-fos gene, a marker of changes in neuronal activity. It was shown that buspirone given before testing session 24 h after aversive training ; produced an inverted bell-shaped dose-response curve, and significantly decreased freezing reaction at the dose of 1.5 mg, without changing rat motor behavior. Exposure of animals to aversively conditioned context a contextual fear ; selectively induced the production of c-Fos protein in the dentate gyrus, CA-1 and CA-3 layers of the hippocampus, and the medial amygdala. Pretreatment of rats with buspirone 1.5 mg kg ; significantly attenuated the effects of aversive memory on c-Fos protein expression only in the CA-1 and CA-3 layers of the hippocampus proper. The presented data show a direct contribution of particular hippocampal regions to the anxiolytic effects of buspirone on contextual fear.
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Some distributeurs said that learning about medicine and how to care for children were personal benefits that they had gained from the program. Some also mentioned the 1000 francs or "insimburamubyizi" and soft drinks that they get during training as encouragement for their work. On the flip side, however, almost all said that the work can be difficult at times and that there are moments when it's hard for them to keep up with it and that it demands "total devotion". "Everything is difficult since we're volunteers. Sometimes we go to the child's home to give the medicine in the night. We need to make our reports. Sometimes we have to get up very early or use our own petrol for our home lamps ; . Sometimes we have to help getting a sick child that needs to be referred to the HC. We have to walk three hours to deliver our reports but it is voluntary work so we accept it. We would never abandon our work. We accepted to be volunteers." Kibogora Distributeur ; Distributeurs in Gitwe said that of all the things they do giving medicine is probably the easiest. For them, everything else is hard, especially recognizing danger signs "since they don't have enough materials" e.g., thermometers ; to know when a child with fever should be referred. They also described filling in forms, turning in reports and explaining to parents how to care for the sick child as difficult tasks. Other matters that make the work harder are when colleagues do things that are not permitted by the program. In one Gitwe area, it was reported that a Distributeur was discovered to be giving out medicines other than the one for fever provided by the program and had to be "chased away" by the other Distributeurs. f. Sources of information Sources of information on child health for Distributeurs included meetings, "gacaca", "umuganda", and the HC. Many said they get or would like to get information from the radio, even if they did not currently own one. Some said they had been trained to provide information and that they have educational materials including small booklets that help them. Gitwe Distributeurs mentioned local authorities and church as other good places to get information. In Kibogora, the Distributeurs said they had books on nutrition, malaria and HIV AIDS that they found helpful and that, "We learn from trainings and books." g. Community and HC support Distributeurs at all of the sites sampled reported that they received regular visits from HC staff. In most cases, the visits are two to three times every six months. They also see HC staff when they turn in their reports at the end of the month. Some Gitwe Distributeurs, however, indicated that before decentralization their visits from the HC were more regular and that they could benefit from more contact. As one Distributeur explained: "Before decentralization the titulaire from the health center would visit us. When he would visit he would look at how we were storing our medicine, hygiene and whether we were using clean water. He would also supervise how we recorded information in our registers." Another Distributeur from the same area added: "We meet the agents from the health center each month, but for supervision it was before decentralization that we would meet during meetings and trainings. We could be helped by lots of visits." In addition to more trainings, educational materials, and help with transportation, other items proposed by Distributeurs to help them with their work included umbrellas, raincoats or boots for the rainy season. Because they are often called on to visit homes in the night some kerosene for home lamps or a flashlight torch with batteries were suggested by others. A special cup and container for boiled water to be reserved exclusively for children receiving treatment were more suggestions. Mosquito nets, thermometers, and radios "to follow educational programs" were also proposed, as were bicycles and combivent.
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