Care groups in Haiti received goats to raise and were trained in kitchen gardens by lead mothers. The care groups formed the basis for new village savings and loan groups. Lead mothers indicated a willingness to continue meetings and household visits after the project ended. Farmers who participated identified that they learned about health and nutrition from visits by lead mothers and said this was their favorite part of the project. Incorporating mother care groups into nutrition programs presents opportunities like delinking the groups from food rations, leveraging social motivations for participation, and using care groups as a foundation for other community groups.
2. • CG groups received a pair of
goats and trained on how to
raise them
• LMs were trained in kitchen
gardens and passed this
training on to their PLWs
• CGs as a basis for VSL group
formation
• LMs indicate a willingness to
continue to hold group
meetings and conduct hh
visits beyond the end of the
project
3. • Farmers group members in
all areas indicated that they
learned about health and
nutrition through Lead
Mother visits to their
households
• Farmers identified the
health and nutrition
information to be what they
liked best about the project
5. Incorporating MCGs into PM2A Programs
PM2A = BCC + Food Aid + Health Systems Strengthening
Challenges
• Ration conditionality
• NW participation once
children have reached 2
years of age
• Maintaining motivation
and participation of
LMs once rations have
ended
Opportunities
• Delinking CGs and rations
• Social motivators for
participation
• Incorporating husbands
and other community
change agents
• Using CGs as a foundation
for other groups (e.g.
gardening, VSLs)
Haiti MYAP 2008-2013
At midterm evaluation dropped our H&N nutrition partner and took on the implementation of that component
Switched from traditional mother support groups to MCGs
Focus on integration—particularly agriculture for PLW participating in MCGs. This did not include explicit integration of H&N messaging into farmers’ training
At end of project conducted focus groups with MCG participants and farmers group participants in 4 different communes (Belle-Anse, Grand-Gosier, Cote de Fer, Thiotte) within the SE department to examine (1) how/to what degree H&N participants received ag training/messaging and ag participants received H&N training and (2) what type of information was shared out the hh level where members of the same hh participated in both components
Goats—kids dispersed to other LMs in a loan cycle
Kitchen garden trainings 4-8 hrs a month, 3 times a year. Women indicated that this greatly improved their hh nutrition because they not only learned about good nutrition, but they grew crops to meet those requirements, and both they and the farmers’ groups learned about the ratio of eating ¼ of the crop, selling ½, and saving ¼ for seed. Women also noted that they felt that this ag training, and the increased production that they could now bring to market, helped to connect them to their larger community
Sustainability: this is not an integration issue, but it is worth mentioning that women indicated a willingness to continue their roles as volunteers once the project ended, and many of the reasons are similar to those which show up in larger scale studies of CS programs
They are leaders in the community and highly respected
It is their duty to ensure that women who become pregnant after the program ends still have access to this information
The group meetings provide a strong social environment for women who often feel isolated in their homes
Photo—farmers learning how to make a tippy tap
Surprising responses from farmers—while the project actively tried to integrate ag into the MCGs, it was not as explicit in integrating H&N into the farmers groups. Yet…
Farmers group members indicated they learned about: handwashing, washing food, how to eat a balanced diet, food groups, proper child care
Some farmers also mention agricultural information that they received, but all groups included maternal and child health on the list of what they liked best
Benefit: MCGs are a proven BCC strategy and can work with the other 2 components of PM2A for sustainable results. MCGs include modules on positive health seeking behaviors, but those will not be practiced if the health system can not meet people’s needs. AND MCGs include nutrition information, and food rations provide an opportunity to begin to practice positive nutrition behaviors immediately, before agricultural changes (due to trainings, improved access to inputs, etc) have had a chance to work.
Challenges:
Aging out: note issue with MCG manual annex where it notes that PLWs were DISCOURAGED from continuing to participate in Burundi once their children turned 2
Opportunities:
Delinking: RWANU allows women with children up to age 5 to participate in MCGs. From the beginning there are some women who get rations and some who do not
Social motivators: MCGs are a sustainable model, and that doesn’t change within a PM2A program. Women enjoy participating for many of the same reasons found in CS programs, and it is up to the project to reinforce those, rather than only highlighting the “IF you participate in MCGs, THEN you get rations” idea. Social motivators mentioned in Haiti discussion (respect, sense of duty, social interaction). Also findings from SL: Proven results, respect, approval of husband, opportunity for other groups (VSL, skills training)
Husbands: SL info, mention dr Ayan’s presentation
VSLs: SL findings, other organizations (mention FFH?)