This document proposes a community-based solution to reduce stunting and malnutrition in children in Amhara, Ethiopia over 5 years. It identifies key issues like maternal malnutrition, infant undernutrition, and lack of clean water. The solution has three main attack points: 1) building maternal homes to improve prenatal care and nutrition, 2) developing an infant staple food, and 3) installing WarkaWater devices for clean water. The budget outlines costs for the maternal homes, supplements, healthcare, labor, and water devices. It expects to decrease disease and increase health awareness by addressing the root causes of undernutrition.
International Journal of Humanities and Social Science Invention (IJHSSI) is an international journal intended for professionals and researchers in all fields of Humanities and Social Science. IJHSSI publishes research articles and reviews within the whole field Humanities and Social Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
International Journal of Humanities and Social Science Invention (IJHSSI) is an international journal intended for professionals and researchers in all fields of Humanities and Social Science. IJHSSI publishes research articles and reviews within the whole field Humanities and Social Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
The Millennium Development Goals (MDGs) are eight goals with measurable targets and clear deadlines for improving the lives of the world's poorest people. To meet these goals and eradicate poverty, leaders of 189 countries signed the historic millennium declaration at the United Nations Millennium Summit in 2000.
Dr. Andrew Pipe provided a keynote presentation to the Healthy Children Healthy Spaces Initiative in Ottawa in November, 2010. As the Medical Director of Prevention and Rehab at the University of Ottawa Heart Institute, Dr Pipe speaks to the critical need to shift our children away from sedentary screen based time to outdoor, active, unstructured play.
Child survival strategies- interventions that lead to a childhood mortality reduction in line with the SDG(in children under 5)
The proposed SDG target for child mortality aims to end, by 2030, preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 deaths per 1,000 live births and under-5 mortality to at least as low as 25 deaths per 1,000 live births.
the recent data on child mortality are well covered.
follow the GOBIFF for seurity of the future.
Under Five Child Mortality Experience from Bangladeshijtsrd
Under five mortality rates is a key indicator for several development policies, targets and programs. However, relevant source of data on causes of death are not available in developing countries, including Bangladesh. Because sometimes the information is hidden with the various causes of risk. The main purpose of this study is to find out some different cases of child mortality with the various causes. The paper reveals that several characteristics socioeconomic, demographic, health related disease and non disease are affecting child mortality. Juliet Reberio "Under Five Child Mortality: Experience from Bangladesh" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-4 , June 2021, URL: https://www.ijtsrd.compapers/ijtsrd42601.pdf Paper URL: https://www.ijtsrd.combiological-science/other/42601/under-five-child-mortality-experience-from-bangladesh/juliet-reberio
Global Conversations and Resources for Menstrual Hygiene Management in SchoolsJordan Teague
There are multiple emerging platforms for action, advocacy, and knowledge-sharing around MHM including global advocacy days such as Menstrual Hygiene Day, discussions regarding a MHM in Ten strategy to lay out priorities for the next 10 years, the WASH in Schools Partnership which includes MHM as a key priority, and the post-2015 Sustainable Development Goals conversation. Many organizations are developing guidance, tools, and other resources for those interested in effective ways to implement MHM in Schools. Sample resources include operational guidelines from Save the Children, virtual conferences held by UNICEF and Columbia University, and a recent study on MHM with school-based recommendations for action by UNICEF and Emory University.
As an introduction to the theme of the workshop, some key facts regarding global trends in nutrition in the developing world will be presented. The possible underlying causes will be briefly analyzed, including the role of technology, resource constraints, information and social norms. Finally, the benefits of rigorous evaluations to shed light on the relative importance of the above causes and help design effective interventions will be discussed.
The Millennium Development Goals (MDGs) are eight goals with measurable targets and clear deadlines for improving the lives of the world's poorest people. To meet these goals and eradicate poverty, leaders of 189 countries signed the historic millennium declaration at the United Nations Millennium Summit in 2000.
Dr. Andrew Pipe provided a keynote presentation to the Healthy Children Healthy Spaces Initiative in Ottawa in November, 2010. As the Medical Director of Prevention and Rehab at the University of Ottawa Heart Institute, Dr Pipe speaks to the critical need to shift our children away from sedentary screen based time to outdoor, active, unstructured play.
Child survival strategies- interventions that lead to a childhood mortality reduction in line with the SDG(in children under 5)
The proposed SDG target for child mortality aims to end, by 2030, preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 deaths per 1,000 live births and under-5 mortality to at least as low as 25 deaths per 1,000 live births.
the recent data on child mortality are well covered.
follow the GOBIFF for seurity of the future.
Under Five Child Mortality Experience from Bangladeshijtsrd
Under five mortality rates is a key indicator for several development policies, targets and programs. However, relevant source of data on causes of death are not available in developing countries, including Bangladesh. Because sometimes the information is hidden with the various causes of risk. The main purpose of this study is to find out some different cases of child mortality with the various causes. The paper reveals that several characteristics socioeconomic, demographic, health related disease and non disease are affecting child mortality. Juliet Reberio "Under Five Child Mortality: Experience from Bangladesh" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-4 , June 2021, URL: https://www.ijtsrd.compapers/ijtsrd42601.pdf Paper URL: https://www.ijtsrd.combiological-science/other/42601/under-five-child-mortality-experience-from-bangladesh/juliet-reberio
Global Conversations and Resources for Menstrual Hygiene Management in SchoolsJordan Teague
There are multiple emerging platforms for action, advocacy, and knowledge-sharing around MHM including global advocacy days such as Menstrual Hygiene Day, discussions regarding a MHM in Ten strategy to lay out priorities for the next 10 years, the WASH in Schools Partnership which includes MHM as a key priority, and the post-2015 Sustainable Development Goals conversation. Many organizations are developing guidance, tools, and other resources for those interested in effective ways to implement MHM in Schools. Sample resources include operational guidelines from Save the Children, virtual conferences held by UNICEF and Columbia University, and a recent study on MHM with school-based recommendations for action by UNICEF and Emory University.
As an introduction to the theme of the workshop, some key facts regarding global trends in nutrition in the developing world will be presented. The possible underlying causes will be briefly analyzed, including the role of technology, resource constraints, information and social norms. Finally, the benefits of rigorous evaluations to shed light on the relative importance of the above causes and help design effective interventions will be discussed.
Achieving optimal nutrition - the critical role of food systems and dietsAlain Vidal
Conference given by Jessica Fanzo at University Paris-Saclay / AgroParisTech on 11 January 2018 as part of Master CLUES (week on Natural resources, food security and poverty alleviation)
Severe Acute Malnutrition (SAM) and Nutrition Rehabilitation Centre (NRC)- Dr...Yogesh Arora
A presentation on severe acute malnutrition and nutritional rehabilitation center. Various preventive, promotive, and curative aspects of SAM are discussed in this presentation.
Livestock-Climate Change CRSP Annual Meeting 2011: Integrating Human Nutritio...Colorado State University
Tips for integrating human nutrition into research on the interaction between livestock/agricultural production and climate change; overview of the Global Livestock CRSP's ENAM project in Ghana. Presentation given by G. Marquis (McGill University) at the Livestock-Climate Change CRSP Annual Meeting, Golden, CO, April 26-27, 2011.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
3. Cultural Considerations
• Coptic Orthodox Christianity
• Limits on NGOs
o Charities and Societies Proclamation1
• Sustainability Challenges
o Agriculture & Topography
o Transportation
o Community Based Solutions
31. (The International Center for Not-for-Profit Law, 2016)
4. Attack Point 1: Maternal Malnutrition
• 46% of Ethiopian women
receive four antenatal visits1
• ≥ 23% of women have no
antenatal care at all1
• 25% of Ethiopian mothers are
malnourished2
Figure 1: Percentage of Women Who Had at
Least One ANC Visit and Received at Least One I
FA Tablet by Region, Ethiopia, 2011
Source: USAID, Spring Nutrition, 2014
4
1. (Maternity Worldwide, n.d.) 2. (Unicef, 2016b)
5. Attack Point 1: Maternal Malnutrition
Solution: Build Maternal Homes
• Build welcoming shelters for antenatal, birthing, and
postnatal care
• Staff with:
• 1 Obstetrician
• 1 Psychologist
• 1 Dietician
• 20 healthcare workers
• Provide rehabilitation for high risk women and prim
ary care for all women
Maternal homes in Cuba decreased
infant mortality from 91 per 1000 births in
1950 to 6.4 per 1000 in 19991
51. (Renz, H., 2002)
6. Attack Point 1: Maternal Malnutrition
Solution: Build Maternal Homes
• 1 maternal home each yea
r for three years
Services Offered:
• Community and camaraderie
• Four antenatal visits for 900 w
omen
• Maintenance of high risk cases
• Overnight stays availability
• Cluster clinics on breastfeeding edu
cation
• Health screenings
• Safe place for labor & delivery
• Family assistance for admitted mo
thers
Source: www.ethiodemographyandhealth.org
6
7. Attack Point 1: Maternal Malnutrition
Goal: Provide complete kcal coverage for
~25% of clients who are malnourished1
• All pregnant women will receive prenatal
vitamins to correct deficiency in Vitamin A,
Iodine, Folate, Calcium, and Iron.2
• 25% of all clientele (675) will receive an
assortment of local food staples to provide the
additional kcals in each trimester 3
71. (UNICEF, 2016b) 2. (Core Group, 2004) 3. (US National Library of Medicine, 2017)
8. Attack Point 1: Maternal Malnutrition
Barrier to healthcare access: burden of distance for women in rural areas
Solution: Transportation
• Partner with the Maternity Worldwide PC
OP to utilize e-ranger motorcycles in em
ergent situations
• Purchase a van to bring rural clients to
Maternal Homes
Source: www.maternityworldwide.org
8
9. Essential Solution: WarkaWater
• Fog water chemistry meets World
Health Organization drinking water
standards
• Fixing water crisis is incredibly
valuable:
o Every $1 invested in water and
sanitation = economic return
between $3 and $34
• Decision to invest in 30 WarkaWaters
Source: www.warkawater.org 9
10. Essential Solution: WarkaWater
By providing clean water, we expect the
following:
• Create infant food
• Grow crops and increase agriculture
production
• Improve sanitation and hygiene
• Decrease disease, including childhood
illnesses
• Increase availability of clean drinking water
within a reasonable travel distance
• Free time for other productive activitiesSource: www.warkawater.org
10
11. Attack Point 2: Infant Undernutrition
• WHO recommendation: exclusive
breastfeeding for first 6 months of
life
• Evidence based food
accommodation
o “Ready-to-Use Therapeutic Foods”1
o Combats severe acute malnutrition in
children from 6-9 months
111 (UNICEF, 2013)
12. Attack Point 2: Infant Undernutrition
“Over 50% of children are not appropriately introduced to a mixture of breast milk and solid foods
during the transition phase of six to nine months (USAID, 2016)”
0-6 months:
exclusively b
reastfed
Increase percentage of i
nfants breastfed in first
hour of life
6-12 months:
complementary f
eedings, gradually int
roduce new foods
Solution: Amhara
staple
infant food
12
13. Attack Point 2: Infant Undernutrition
By 12 Months By 24 Months
Kilocalories/day 900 1000
Fat as % of total kcal 30-40 30-35
Milk/Dairy, cups 2 2
Lean meat/beans, oz 1.5 2
Fruit, cups 1 1
Grains, oz 2 3
Nutrition Recommendations: 12-24 months, American Academy of Pediatrics
13
14. Ingredient Amount kcal Nutrition
Equivalency
Yam 100g 369 1 cup fruit/
vegetable
Teff 57g 57 2 oz grain
Chickpeas 43g 69 1.5 oz beans
Attack Point 2: Infant Undernutrition
Infant Staple Food: At 12 months
(+ 450kcal of breast milk)
14
0
20
40
60
80
100
120
6 12 24
%Dailykcal
Month
Distribution of Calories for Children,
6-24 Months
%kcal from
Breast milk
%kcal from
staple food
15. Attack Point 2: Infant Undernutrition
Food Amount kcal Nutrition
Breast milk 80 mL 225 Dairy, fat
Vegetable oil 14g 124 fat
Yam 136g 502 1 cup fruit/vegetable
Teff 85g 85 2 oz grains
Chickpeas 57g 93 3 oz beans
Infant Staple Food: 12 - 24 months
15
16. Long Term Adaptations
• Patriarch consultation
o Abune Mathias
• Focus groups
o Monitoring and evaluation
• Invest excess funds for
expansion
16
17. Expectations
• Decrease in disease secondary to dehydration and
malnutrition
o Anemia, diarrhea, respiratory infections, water-borne diseases
• Increase in health awareness
• Reduction of economic loss
• Decrease in low birth weight infants and stunted children
under the age of 2
17
20. Works Cited
20
Core Group (2004). Maternal Nutrition During Pregnancy and Lactation. Retrieved from http://www.coregroup.org/storage/documents/Workingpaper
s/MaternalNutritionDietaryGuide_AED.pdf
International Center for Not-for-Profit Law, 2016. Civic Freedom Monitor: Ethiopia. Collected by ICNL NGO Law Monitor. Retrieved from http://ww
w.icnl.org/research/monitor/ethiopia.html
Ethiopia: Primary Care Outreach Project (PCOP). (n.d.). Retrieved February 23, 2017, from Ethiopia: Primary Care Outreach Project (PCOP). (n.d.).
Retrieved February 23, 2017, from http://www.maternityworldwide.org/what-we-do/primary-care-outreach-project-pcop/
Renz, H. (Spring, 2002). Cuban Maternity Homes. Retrieved from: https://www.midwiferytoday.com/articles/cuban.asp
UNICEF. Position Paper: Ready-to-Use Therapeutic Food for Children with Severe Acute Malnutrition. 2013. Retrieved September 30, 2016 from
http://www.unicef.org/media/files/Position_Paper_Ready-to-use_therapeutic_food_for_children_with_severe_acute_malnutrition__June_2013.pdf
UNICEF (2016b, Dec.) Undernutrition contributes to nearly half of deaths in children under 5 and is widespread in Asia and Africa. Retrieved from https://da
ta.unicef.org/topic/nutrition/malnutrition
US National Library of Medicine. (October 2016) Eating Right During Pregnancy. Retrieved from https://medlineplus.gov/ency/patientinstructions/
000584.htm
Based on previous research and analysis of the situation at hand, this is the problematic cycle that we have diagnosed to Amhara. We are aware of the current works of the National Nutrition Programme, the Maternity Worldwide Primary Care Outreach Project, and the Global Alliance for Improved Nutrition. These hardworking NGOs have broken a lot of ground for scaling up nutrition in this area, and we will be honing in on pregnant women and children in their first 1000 days to directly combat stunting and malnutrition in this pivotal developmental period..
Fix citation
Cite the type of region
It is more effective to be community based than treating acute malnutrition in
Mention here that the first 270 days in utero are vital to health of baby and also the mother through this laborious process of birth. We want to ensure that women are able to support a health pregnancy as well as be
According to The world Health organization, a minimum of 4 antenatal visits is recommended for a pregnant woman. We know that, according to the maternity worldwide primary care outreach project on 46% of women receive this.
Statistic of no antental care at all is higher in rural areas, and likely Amhara.
A system has been implemented in Cuba over the last 50 years
Emphasize that this is a primary care place UNLESS the mother is not doing well
HOW HAVE WE SENSITISED THIS TO ETHIOPIA
We want to use this, and implement it with cultural senstively
High risk includes HIV+, pre-ecclampsia, tuberculosis, gestational diabetes, ETC
*Employing local healthcare workers and physicians at an acceptable and competitive rate, we want locals to work in these clinics for cultural sensitivity, do not want to introduce americans here for language and cultural barriers = increased amount of women interested in the clinics
Haley call them maternal homes
State why we are building one each year
Explain services offered are to specificically address the low rates of women receiving antental care and the fact that studies show women are desiring more health resources in ethiopia
Explain the purpose of overnight clinics
Cluster clinics
Maternal malnutrition during pregnancy might result in a low birthweight infant, congenital anomalies, delayed cognitive and
physical development of a child, stunted offspring, and increased child mortality (UNICEF,
2016b). To avoid malnutrition and adverse birth outcomes, pregnant women are advised to
nutritionally supplement vitamin A, iodine, folate, calcium, and iron (Core Group, 2004).
Supplementation will decrease the likelihood of anemia, increase energy and decrease infections
1800kcal first trimester, 2200 second, 2400 third trimester, then the excess 500 kcal a day for women who are breastfeeding.
Safety safety safety!
PCOP: primary care outreach project
Mention the transition between attack points 1 and 2
THEY ARE GOING TO ASK HOW THIS WORKS
https://thewaterproject.org/why-water/poverty
http://www.smithsonianmag.com/innovation/this-tower-pulls-drinking-water-out-of-thin-air-180950399/
Costs $1000 plus $500 setup. Has already been launched in Haiti and other countries. Can use to mix with protein and supplements to form paste that is RUTF on the spot.
(possible rival?)
FogQuest has been approached by the Mt. Zuquala Monastery (Ethiopian Orthodox Church) to provide a fog-water supply for the monastery. It is located on the rim an extinct volcano south of Addis Ababa. There are about 700 monks and nuns living at the monastery and many additional farmers living nearby. We have a potential sponsor for the project in Germany but need to first demonstrate that there is adequate fog water in the dry season at the monastery. To this end, we have sent mesh from Chile to Ethiopia to allow for the construction the small Standard Fog Collectors (SFCs) that we use in the evaluation process. Mesfin Shenkut, a FogQuest member in Addis Ababa and consultant on water projects, will assist the NGO supporting the monastery with the SFC measurements
RUTF based , people have done this to correct nutrition, but initiatives died because of funding and requires sending food, but this is sustainable and commnity project.
ADD CITATION
At 6 months, infants need energy and nutrients exceed what is provided by breast milk,
Citations; why we believe this
At this point, we can use seed/vegetable oil to ween off of breast milk in the event that it has become more difficult , etc.
Discuss how to make this: water as emulsifier until 12 months, when seed oils or vegetable oils can replace lipids in breast milk gradually
And scale appropriately
How will we monitor and evaluate our project?
Since we know that stunting takes away _____% of stuff
What impact will this implementation have at the individual, family, community, and
national level?
