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Influencing the influencers: Community tools for engaging fathers, grandmothers and leaders in nutrition. Faith Thuita Ms, PATH FSN Network Knowledge Sharing Meeting, June 11-13, 2012, Addis Ababa, Ethiopia. - PowerPoint PPT Presentation
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Influencing the influencers: Community tools for engaging fathers, grandmothers and leaders in nutrition
Faith Thuita Ms, PATH
FSN Network Knowledge Sharing Meeting, June 11-13, 2012,
Addis Ababa, Ethiopia
Tools to engage fathers, grandmothers, and community leaders for improved maternal and child nutrition• In this session we will:
– Review some evidence about influencers
– Examine a package of tools the IYCN Project developed to “influence the influencers” for who can support improved nutrition and caring behaviors
– Learn about a study in Kenya that is evaluating the impact of engaging men and grandmothers on maternal and young children’s diets using the tools.
– Do an exercise based on one of the tools, and some small group work to think about influencing the influencers through our current projects
Evidence for who influences a mother’s decision about IYCF and her own diet
Photo: Mike Wang/PATH
Roles and Influence of grandmothers and men – Family
approach• Mother-child dyad nestled within
family.
• Need to address community norms, not just individual behaviour.
• GM - Care givers, senior advisors and consultants on pregnancy, child birth and care for infants and young children).
Roles of men/Fathers
• Provision of financial resources – basic family needs
• Financial and logistic resources for routine and emergency health care
Formative research data: Barrier Analyses
Behavior / Approves/Disapproves
Country
Odds Ratio (Degree of Association)
Husband
Grand-mother / Grand- father
CousinMother-in-
LawFamily
MemberMedic. Staff
Neighbors/ Friends
Other
Excl. BF, Approves 6.5 3.8 5.9 10.4
EBF, Approves DRC 2.3 (blank = no s.s. findings)
EBF, Disapproves 7.1
EBF, Disapproves DRC 6.8
EBF, Disapproves Sierra L. 4.0
EBF, Disapproves
Immediate BF, Approves 4.2 4.0 4.0
Immediate BF, Disapproves 12.5 11.0
Encouraging non-hungry child to eat, Approves
5.7
Feeding Freq., Approves DRC
Comp. Feeding, Disapproves Sierra L. 2.0
Comp. Feeding, Approves Sierra L. 4.5
Same/More food during Diarrhea, Approves
DRC 3.3 2.7
ITN usage, Approves 3.8 3.7 3.7 1.5
ITN usage, Approves 2.8 4.3
ITN usage, Disapproves 2.3 1.8 2
HWWS, Disapproves Sierra L. 5.9
Health Seeking, Approves Sierra L.
Antenatal Care, Approves 4.5
PATHs SURE start Programme - IndiaUsed multiple channels and methods of
communication to engage;
• Mothers
• Household members
• Health care workers
• Community leaders to improve maternal and neo-natal outcomes in over 5,500 rural villages and 700 urban slums.
Effect of mothers’ groups: participants practice
healthier behaviors in antenatal period
Page 8
MSG participants provided better newborn care
Page 9
IYCN Project’s Community Nutrition Package: training and participant materials
Package of Materials
Peer educators
Men’s groups
Grandmother groups
Mother support groups
Community leaders
Strengthening health talks
Integrating nutrition into
community theater activities.
Monitoring and evaluation forms
Counseling supervision checklist and guidelines.
Exit interview questionnaire and guidelines.
Referral tracking form and register.
Examples of experience with tools
Training psycho-social support counselors (PSSC) on HIV and infant feeding.
Training manual and participant guide on infant feeding and HIV used.
Reporting tools for ongoing monitoring activities.
Photo: Evelyn Hockstein/PATH
Engaging grandmothers and men to Improve maternal diets and child feeding practices
Public health evaluation
Formative assessment
Baseline study
Community based intervention
Endline survey
Training , Facilitation and Monitoring tools for use with dialogue groups
• Training grandmothers dialogue group mentors
• Trained mentors use dialogue group mentors guide to facilitate monthly dialogue sessions.
• Monitoring tools – Monitor group meetings
Grandmothers – Training and group discussion
IYCF and Gender: a training manual for male group leaders
Training and participants guides for training male group leaders.
• Guides modified to train fathers dialogue group mentors
Men – Mentors training and Dialogue group
Community theater for improved nutrition: a guide for program managers and theater groups
Photo: Kali EricksonPhoto: Julie Baker/PATH
Using this collection of tools
Available on www.iycn.org
Thank you for your attention!
• Do you have any questions before we begin some discussions in small groups?