Asmamaw Eshete
REGIONAL WORKSHOP
SPIR II Learning Event
Co-organized by IFPRI, USAID, CARE, ORDA, and World Vision
MAY 16, 2023 - 9:00AM TO MAY 17, 2023 - 5:00PM EAT
Presentation given at the USAID SQALE Symposium, Bridging the Quality Gap - Strengthening Quality Improvement in Community Health Services, by Prisca Muange on behalf of USAID Assist. http://usaidsqale.reachoutconsortium.org/
A gender transformative approach (GTA) actively examines, questions, and changes rigid gender norms and imbalances of power. By transforming harmful, inequitable gender norms and values into positive ones
Prevalence of malnutrition among under five children of RukaminiNagar, BelgaumSawan Kumar
synopsis of prevalence of malnutrition among under five years children in Rukmini Nagar, Belgaum
Reaserche:- Mr. Sawan Kumar Yadav
Guide:- Dr. Mubashir Angolkar,
Coordinator and Assistant Professor
Department of Public Health,
J.N. Medical college, Belgaum, Karnataka, India
Adolescent sexual and reproductive health (ASRH) in Nepal Public Health
1) The document outlines Nepal's Adolescent Sexual and Reproductive Health (ASRH) strategy, which aims to promote the health of adolescents aged 10-19.
2) Key achievements include expanding ASRH services to 75 of 77 districts, establishing 6 ASRH clinical training sites, and training over 1,700 health workers.
3) Challenges include high rates of early marriage, low contraceptive use among adolescents, and a need for more trained staff and resources for the ASRH program.
The session presents gender analysis tools that can be used during project design, implementation and evaluation. The gender analysis tools will help to make the development intervention gender sensitive, so that the benefits of project reach both women and men.
It is an outcome of state of art systematic review of literature. It provides insights about the cause, consequences and future concerns of violence against women in India
The document discusses various concepts related to gender, including:
- The difference between gender and sex, with gender referring to social relations and roles that can change over time.
- Types of gender discrimination and how women often have less access and control over important resources.
- The different gender roles expected of men and women in societies and the "triple role" many women play.
- The distinction between practical and strategic gender needs and how strategic needs challenge existing power structures.
- The shift from focusing only on women (WID) to addressing unequal gender relations between men and women (GAD).
- Key aspects of gender mainstreaming like making gender concerns integral to all policies, programs, and institutions.
Use of Family Planning and Maternal and Child Health Services by Adolescents ...MEASURE Evaluation
Use of family planning and maternal and child health services has generally increased over time among adolescent girls and young women in 5 sub-Saharan African countries, though progress has been inconsistent. While the rate of increase has been similar to older women, predictors of use differ between younger and older women. For adolescents, factors like knowledge of family planning methods and visits from healthcare workers were more influential, whereas distance to facilities was less of a barrier. The study highlights the need to address biases among healthcare providers and increase community outreach to improve reproductive healthcare for adolescents and young women.
Presentation given at the USAID SQALE Symposium, Bridging the Quality Gap - Strengthening Quality Improvement in Community Health Services, by Prisca Muange on behalf of USAID Assist. http://usaidsqale.reachoutconsortium.org/
A gender transformative approach (GTA) actively examines, questions, and changes rigid gender norms and imbalances of power. By transforming harmful, inequitable gender norms and values into positive ones
Prevalence of malnutrition among under five children of RukaminiNagar, BelgaumSawan Kumar
synopsis of prevalence of malnutrition among under five years children in Rukmini Nagar, Belgaum
Reaserche:- Mr. Sawan Kumar Yadav
Guide:- Dr. Mubashir Angolkar,
Coordinator and Assistant Professor
Department of Public Health,
J.N. Medical college, Belgaum, Karnataka, India
Adolescent sexual and reproductive health (ASRH) in Nepal Public Health
1) The document outlines Nepal's Adolescent Sexual and Reproductive Health (ASRH) strategy, which aims to promote the health of adolescents aged 10-19.
2) Key achievements include expanding ASRH services to 75 of 77 districts, establishing 6 ASRH clinical training sites, and training over 1,700 health workers.
3) Challenges include high rates of early marriage, low contraceptive use among adolescents, and a need for more trained staff and resources for the ASRH program.
The session presents gender analysis tools that can be used during project design, implementation and evaluation. The gender analysis tools will help to make the development intervention gender sensitive, so that the benefits of project reach both women and men.
It is an outcome of state of art systematic review of literature. It provides insights about the cause, consequences and future concerns of violence against women in India
The document discusses various concepts related to gender, including:
- The difference between gender and sex, with gender referring to social relations and roles that can change over time.
- Types of gender discrimination and how women often have less access and control over important resources.
- The different gender roles expected of men and women in societies and the "triple role" many women play.
- The distinction between practical and strategic gender needs and how strategic needs challenge existing power structures.
- The shift from focusing only on women (WID) to addressing unequal gender relations between men and women (GAD).
- Key aspects of gender mainstreaming like making gender concerns integral to all policies, programs, and institutions.
Use of Family Planning and Maternal and Child Health Services by Adolescents ...MEASURE Evaluation
Use of family planning and maternal and child health services has generally increased over time among adolescent girls and young women in 5 sub-Saharan African countries, though progress has been inconsistent. While the rate of increase has been similar to older women, predictors of use differ between younger and older women. For adolescents, factors like knowledge of family planning methods and visits from healthcare workers were more influential, whereas distance to facilities was less of a barrier. The study highlights the need to address biases among healthcare providers and increase community outreach to improve reproductive healthcare for adolescents and young women.
Barriers to Adoption of Family Planning among Women in Eastern Democratic Rep...MEASURE Evaluation
This study assessed barriers to family planning among women in Butembo, Eastern Democratic Republic of Congo. The researchers surveyed 572 women and found high knowledge of family planning methods but low usage of modern contraceptives. Only 36% used modern methods such as male condoms, pills, injectables, and implants while 64% relied on traditional methods like calendar-based family planning and withdrawal. Major barriers included lack of knowledge, fear of side effects, religious views, and husband opposition. The researchers recommend improving access to family planning in health facilities, advocating for modern methods, training health workers, and promoting family planning to women at health encounters.
Maternal, Newborn and Child Health: A Global PerspectiveMichelle Avelino
Presentation of Jacqueline F. Kitong, M.D., MPH, technical officer for Maternal and Child Health and Nutrition, World Health Organization at the PhilHealth Maternal, Newborn and Child Health Summit
Community based monitoring as an accountability tool and related trends of ch...IPHIndia
Community based monitoring of health services in rural Maharashtra involves regular information collection in villages to track public health services. Village committees provide feedback to higher committees at the primary health center, block, district, and state levels. The process aims to develop community ownership over health services. Key monitoring processes include using booklets, health calendars, interviews, and medicine stock checks. Report cards are filled and displayed. Objective impacts found include stopping illegal charges, improved immunization coverage, and increased health center utilization. Overall, community based monitoring has contributed to significant improvements in rural health services.
This document discusses reproductive health and safe motherhood. It defines reproductive health and outlines its key components, including family planning, antenatal care, obstetric care, postnatal care, post-abortion care, and STD/HIV control. These components form the six pillars of safe motherhood. The document also examines major reproductive health problems like maternal and gynecological morbidities. It discusses Nepal's national reproductive health strategies and approaches to addressing RH problems through an integrated health package delivered at various levels of intervention. Finally, it introduces the concept of safe motherhood and the three delays model of barriers to accessing maternal healthcare.
The document summarizes Nepal's family planning program. The main objectives are to improve health outcomes for mothers and children by increasing access to quality family planning services, especially for rural and marginalized groups. Key activities include providing various contraceptive methods through both institutions and mobile clinics. While contraceptive use and access have increased over time, challenges remain such as high unmet need and an overreliance on emergency contraception and abortion. Recommendations focus on strengthening access to long-acting reversible contraceptives and services for adolescents.
This document outlines the components and purpose of conducting a situation analysis. It discusses the key elements of a situation analysis including epidemiological, socioeconomic, demographic, available community interventions, health resources, and attitudes/beliefs analyses. A situation analysis collects and assesses information to provide an adequate basis for health planning. It identifies problems, target populations, and why problems exist. The main purpose is to understand where an area or population is currently to inform future planning, monitoring, and evaluation. A practical exercise is assigned to write a two-page situation analysis on a public health problem.
Session for State Resource Centres for Women to understand and identify entry points for doing Gender Budgeting in the changed fiscal scenario in India
This document provides an overview of gender concepts including gender, gender roles, gender equality, and approaches to promoting gender equality. It defines gender as the socially determined roles, responsibilities, behaviors, and characteristics assigned to women and men in a given culture. Gender roles often result in women having less access and control over resources than men. The document discusses challenges in promoting gender equality and different approaches such as Women in Development and Gender and Development. It emphasizes that gender mainstreaming is the process of assessing how policies and programs impact women and men to achieve equal benefits and opportunities.
The document is a training guide for community-based management of acute malnutrition (CMAM). It discusses the principles and core components of CMAM, including community outreach, outpatient care for children without medical complications, inpatient care for children with complications, and programs for moderate acute malnutrition. The key principles of CMAM are maximizing access and coverage through decentralization, ensuring timely treatment, providing appropriate medical and nutrition care based on needs, and offering care for as long as needed."
The National Nutrition Policy of Nepal from 2004 aims to improve nutrition nationwide by reducing malnutrition rates. The key objectives are reducing protein-energy malnutrition, anemia, iodine deficiency, vitamin A deficiency, and intestinal worm infestation among children and women. The policy outlines strategies like community participation, advocacy, research, and multi-sector coordination to achieve its overall goal of ensuring nutritional well-being for all Nepalis. While programs have scaled up infant and young child feeding, coverage of interventions remains low and nutrition surveys need to be conducted more routinely. Strengthening food security and fully implementing breastfeeding recommendations could help address remaining weaknesses in Nepal's efforts to improve public health through nutrition.
The document outlines Nepal's Safe Motherhood Programme which aims to reduce maternal and neonatal morbidity and mortality through various strategies and activities. The major strategies include promoting birth preparedness, expanding 24-hour birthing facilities, and emergency obstetric care services. Key activities involve community-level maternal and newborn interventions, expanding service delivery sites, emergency referral funds, and programs to provide free delivery services and newborn supplies. The goals are to address delays in seeking and receiving care and improve access to institutional deliveries and emergency obstetric services.
This document discusses quality assurance in healthcare. It defines quality from different perspectives including the provider, manager, and client. It outlines 10 key steps in the quality assurance process: 1) Planning, 2) Developing guidelines and standards, 3) Communicating standards, 4) Monitoring quality, 5) Identifying problems, 6) Defining problems, 7) Choosing a team, 8) Analyzing problems, 9) Developing solutions, and 10) Implementing and evaluating improvements. It also discusses indicators for monitoring quality assurance like infection prevention, referral systems, and client satisfaction. Overall, the document provides an overview of the concepts, approaches, and factors involved in ensuring quality in healthcare.
The Maternal Death Surveillance and Response (MDSR) is a system of identification, notification, and review of maternal deaths followed by actions to prevent future deaths.
The document discusses gender analysis and its importance and tools for the Gender and Development Planning and Budgeting process. It defines gender analysis as a process to identify the status, roles, responsibilities, access to resources, benefits and opportunities of women and men. It notes that gender analysis is important for identifying gender issues, causes, and relevant programs for the Gender and Development Planning and Budget. Key tools of gender analysis discussed are the Gender-Responsive Problem-Solution Finding Analysis Matrix and guidelines for assessing gender mainstreaming.
The document discusses several gender analysis frameworks that can be used to assess how policies, programs, and projects differentially impact men and women. It describes frameworks like the Harvard Analytical Framework, Moser's triple roles framework, and Longwe's Women's Empowerment Framework. Each framework asks different questions to analyze factors like who does what work, who has access to and control over resources, and how interventions may affect gender roles, status, and responsibilities.
Behavior Change Communication (BCC) is an interactive process using communication channels to encourage positive behaviors. It defines the behaviors to influence, uses frameworks to understand stages of change, and develops strategies using multiple channels. Effective messages are clear, benefit-focused, and repeated to reach people emotionally and rationally. Examples show using BCC to increase school enrollment by discouraging child labor and promote family planning by addressing discrimination. Challenges in Pakistani society include religious, cultural, international, and interest group influences.
This document provides guidance on how to conduct a community assessment, which is required for global grant projects beginning July 1st. It discusses the benefits of assessments, such as increasing understanding of community needs and assets. Various assessment tools are described, including community meetings, surveys, interviews, focus groups, asset inventories, and community mapping. Tips are provided for effectively utilizing each tool. The document concludes by discussing how to select project ideas that are aligned with assessment findings and area of focus goals.
A Gender Transformative Approach: Why what and how?CGIAR
This presentation was given by Cynthia McDougall (WorldFish Center), as part of the Annual Scientific Conference hosted by the University of Canberra and co-sponsored by the University of Canberra, the Australian Centre for International Agricultural Research (ACIAR) and CGIAR Collaborative Platform for Gender Research. The event took place on April 2-4, 2019 in Canberra, Australia.
Read more: https://www.canberra.edu.au/research/faculty-research-centres/aisc/seeds-of-change and https://gender.cgiar.org/annual-conference-2019/
The document discusses integrating nutrition interventions into Ethiopia's Productive Safety Net Program (PSNP4). Key points include:
- Targeting criteria prioritizes households with pregnant women and female-headed households, but data on young children is often missing.
- Health extension workers are overburdened and unable to fully coordinate behavioral change communication sessions and link beneficiaries to social services.
- There is a lack of documentation and tracking of beneficiaries transitioning between programs, including referrals to treatment and adherence to health services that are part of "soft conditionalities" for receiving transfers. Overall implementation challenges exist in monitoring and follow through of the nutrition components.
Effective public health communication oldamitakashyap1
Effective public health communication is essential for informing and influencing individuals and communities about important health issues. The document discusses various aspects of public health communication including defining it, the need for effective communication, principles of effective communication, challenges, and approaches like social marketing. It provides details on formative research conducted to develop a nutrition strategy in Rajasthan which included understanding audiences, behaviors, barriers and enablers. The strategy developed communication objectives and a plan for different audiences using various channels and materials. Monitoring indicators were also identified to track outcomes. Such a thorough, evidence-based approach can enable replicable and sustainable public health communication programs.
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.
Barriers to Adoption of Family Planning among Women in Eastern Democratic Rep...MEASURE Evaluation
This study assessed barriers to family planning among women in Butembo, Eastern Democratic Republic of Congo. The researchers surveyed 572 women and found high knowledge of family planning methods but low usage of modern contraceptives. Only 36% used modern methods such as male condoms, pills, injectables, and implants while 64% relied on traditional methods like calendar-based family planning and withdrawal. Major barriers included lack of knowledge, fear of side effects, religious views, and husband opposition. The researchers recommend improving access to family planning in health facilities, advocating for modern methods, training health workers, and promoting family planning to women at health encounters.
Maternal, Newborn and Child Health: A Global PerspectiveMichelle Avelino
Presentation of Jacqueline F. Kitong, M.D., MPH, technical officer for Maternal and Child Health and Nutrition, World Health Organization at the PhilHealth Maternal, Newborn and Child Health Summit
Community based monitoring as an accountability tool and related trends of ch...IPHIndia
Community based monitoring of health services in rural Maharashtra involves regular information collection in villages to track public health services. Village committees provide feedback to higher committees at the primary health center, block, district, and state levels. The process aims to develop community ownership over health services. Key monitoring processes include using booklets, health calendars, interviews, and medicine stock checks. Report cards are filled and displayed. Objective impacts found include stopping illegal charges, improved immunization coverage, and increased health center utilization. Overall, community based monitoring has contributed to significant improvements in rural health services.
This document discusses reproductive health and safe motherhood. It defines reproductive health and outlines its key components, including family planning, antenatal care, obstetric care, postnatal care, post-abortion care, and STD/HIV control. These components form the six pillars of safe motherhood. The document also examines major reproductive health problems like maternal and gynecological morbidities. It discusses Nepal's national reproductive health strategies and approaches to addressing RH problems through an integrated health package delivered at various levels of intervention. Finally, it introduces the concept of safe motherhood and the three delays model of barriers to accessing maternal healthcare.
The document summarizes Nepal's family planning program. The main objectives are to improve health outcomes for mothers and children by increasing access to quality family planning services, especially for rural and marginalized groups. Key activities include providing various contraceptive methods through both institutions and mobile clinics. While contraceptive use and access have increased over time, challenges remain such as high unmet need and an overreliance on emergency contraception and abortion. Recommendations focus on strengthening access to long-acting reversible contraceptives and services for adolescents.
This document outlines the components and purpose of conducting a situation analysis. It discusses the key elements of a situation analysis including epidemiological, socioeconomic, demographic, available community interventions, health resources, and attitudes/beliefs analyses. A situation analysis collects and assesses information to provide an adequate basis for health planning. It identifies problems, target populations, and why problems exist. The main purpose is to understand where an area or population is currently to inform future planning, monitoring, and evaluation. A practical exercise is assigned to write a two-page situation analysis on a public health problem.
Session for State Resource Centres for Women to understand and identify entry points for doing Gender Budgeting in the changed fiscal scenario in India
This document provides an overview of gender concepts including gender, gender roles, gender equality, and approaches to promoting gender equality. It defines gender as the socially determined roles, responsibilities, behaviors, and characteristics assigned to women and men in a given culture. Gender roles often result in women having less access and control over resources than men. The document discusses challenges in promoting gender equality and different approaches such as Women in Development and Gender and Development. It emphasizes that gender mainstreaming is the process of assessing how policies and programs impact women and men to achieve equal benefits and opportunities.
The document is a training guide for community-based management of acute malnutrition (CMAM). It discusses the principles and core components of CMAM, including community outreach, outpatient care for children without medical complications, inpatient care for children with complications, and programs for moderate acute malnutrition. The key principles of CMAM are maximizing access and coverage through decentralization, ensuring timely treatment, providing appropriate medical and nutrition care based on needs, and offering care for as long as needed."
The National Nutrition Policy of Nepal from 2004 aims to improve nutrition nationwide by reducing malnutrition rates. The key objectives are reducing protein-energy malnutrition, anemia, iodine deficiency, vitamin A deficiency, and intestinal worm infestation among children and women. The policy outlines strategies like community participation, advocacy, research, and multi-sector coordination to achieve its overall goal of ensuring nutritional well-being for all Nepalis. While programs have scaled up infant and young child feeding, coverage of interventions remains low and nutrition surveys need to be conducted more routinely. Strengthening food security and fully implementing breastfeeding recommendations could help address remaining weaknesses in Nepal's efforts to improve public health through nutrition.
The document outlines Nepal's Safe Motherhood Programme which aims to reduce maternal and neonatal morbidity and mortality through various strategies and activities. The major strategies include promoting birth preparedness, expanding 24-hour birthing facilities, and emergency obstetric care services. Key activities involve community-level maternal and newborn interventions, expanding service delivery sites, emergency referral funds, and programs to provide free delivery services and newborn supplies. The goals are to address delays in seeking and receiving care and improve access to institutional deliveries and emergency obstetric services.
This document discusses quality assurance in healthcare. It defines quality from different perspectives including the provider, manager, and client. It outlines 10 key steps in the quality assurance process: 1) Planning, 2) Developing guidelines and standards, 3) Communicating standards, 4) Monitoring quality, 5) Identifying problems, 6) Defining problems, 7) Choosing a team, 8) Analyzing problems, 9) Developing solutions, and 10) Implementing and evaluating improvements. It also discusses indicators for monitoring quality assurance like infection prevention, referral systems, and client satisfaction. Overall, the document provides an overview of the concepts, approaches, and factors involved in ensuring quality in healthcare.
The Maternal Death Surveillance and Response (MDSR) is a system of identification, notification, and review of maternal deaths followed by actions to prevent future deaths.
The document discusses gender analysis and its importance and tools for the Gender and Development Planning and Budgeting process. It defines gender analysis as a process to identify the status, roles, responsibilities, access to resources, benefits and opportunities of women and men. It notes that gender analysis is important for identifying gender issues, causes, and relevant programs for the Gender and Development Planning and Budget. Key tools of gender analysis discussed are the Gender-Responsive Problem-Solution Finding Analysis Matrix and guidelines for assessing gender mainstreaming.
The document discusses several gender analysis frameworks that can be used to assess how policies, programs, and projects differentially impact men and women. It describes frameworks like the Harvard Analytical Framework, Moser's triple roles framework, and Longwe's Women's Empowerment Framework. Each framework asks different questions to analyze factors like who does what work, who has access to and control over resources, and how interventions may affect gender roles, status, and responsibilities.
Behavior Change Communication (BCC) is an interactive process using communication channels to encourage positive behaviors. It defines the behaviors to influence, uses frameworks to understand stages of change, and develops strategies using multiple channels. Effective messages are clear, benefit-focused, and repeated to reach people emotionally and rationally. Examples show using BCC to increase school enrollment by discouraging child labor and promote family planning by addressing discrimination. Challenges in Pakistani society include religious, cultural, international, and interest group influences.
This document provides guidance on how to conduct a community assessment, which is required for global grant projects beginning July 1st. It discusses the benefits of assessments, such as increasing understanding of community needs and assets. Various assessment tools are described, including community meetings, surveys, interviews, focus groups, asset inventories, and community mapping. Tips are provided for effectively utilizing each tool. The document concludes by discussing how to select project ideas that are aligned with assessment findings and area of focus goals.
A Gender Transformative Approach: Why what and how?CGIAR
This presentation was given by Cynthia McDougall (WorldFish Center), as part of the Annual Scientific Conference hosted by the University of Canberra and co-sponsored by the University of Canberra, the Australian Centre for International Agricultural Research (ACIAR) and CGIAR Collaborative Platform for Gender Research. The event took place on April 2-4, 2019 in Canberra, Australia.
Read more: https://www.canberra.edu.au/research/faculty-research-centres/aisc/seeds-of-change and https://gender.cgiar.org/annual-conference-2019/
The document discusses integrating nutrition interventions into Ethiopia's Productive Safety Net Program (PSNP4). Key points include:
- Targeting criteria prioritizes households with pregnant women and female-headed households, but data on young children is often missing.
- Health extension workers are overburdened and unable to fully coordinate behavioral change communication sessions and link beneficiaries to social services.
- There is a lack of documentation and tracking of beneficiaries transitioning between programs, including referrals to treatment and adherence to health services that are part of "soft conditionalities" for receiving transfers. Overall implementation challenges exist in monitoring and follow through of the nutrition components.
Effective public health communication oldamitakashyap1
Effective public health communication is essential for informing and influencing individuals and communities about important health issues. The document discusses various aspects of public health communication including defining it, the need for effective communication, principles of effective communication, challenges, and approaches like social marketing. It provides details on formative research conducted to develop a nutrition strategy in Rajasthan which included understanding audiences, behaviors, barriers and enablers. The strategy developed communication objectives and a plan for different audiences using various channels and materials. Monitoring indicators were also identified to track outcomes. Such a thorough, evidence-based approach can enable replicable and sustainable public health communication programs.
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.
1) The document discusses a study conducted in Rajasthan, India that examined the dietary patterns and nutrient intake of pregnant and lactating women.
2) It found very high nutrient gaps, especially in fat, calcium, zinc, vitamins A and C. The women's diets did not significantly change during pregnancy due to food taboos and beliefs.
3) Based on the findings, the study developed evidence-based food-based recommendations using locally available foods to help address the nutrient gaps identified. However, affording a nutritionally adequate diet may still be challenging for many households.
The document discusses the Positive Deviance Hearth Nutrition Model. It begins by defining positive deviance as behaviors that depart from norms in a positive way. The model looks for solutions within communities rather than what is missing. A Positive Deviance Inquiry identifies behaviors of positively deviant community members that enable better nutrition. Hearth sessions then promote these behaviors over 12 days to rehabilitate malnourished children while empowering communities. The multi-step process emphasizes identifying indigenous solutions, community participation, affordability, and sustainability.
This document summarizes the benefits of breastfeeding for public health. It discusses how breastfeeding improves infant and maternal health outcomes, provides economic benefits, and is environmentally friendly. It also reviews barriers to breastfeeding and policies to support breastfeeding, such as at worksites, in healthcare settings, and through legislation. The document presents breastfeeding rates in the US and goals to increase rates.
Presentation_Kumar - Breaking Barriers to Improve Health and NutritionCORE Group
This document discusses integrating nutrition and health services for infants and young children. It notes that nutrition-related factors contribute to 45% of deaths in children under 5 years and malnourished children die at higher rates from common illnesses. While policies exist to provide nutrition counseling and interventions during sick child visits, there are still gaps in implementation due to issues like weak health systems, fragmented monitoring and evaluation, and health workforce challenges. The document acknowledges efforts by various organizations and experts to address these barriers and better operationalize delivering nutrition services within the overall health system.
Insights from formative research from Bihar and Uttar Pradesh on maternal die...POSHAN
This presentation was made by Dr. Sebanti Ghosh (Alive & Thrive) in the session on 'Implementation research on delivery of interventions during pre-pregnancy through lactation' at the POSHAN Conference "Delivering for Nutrition in India Learnings from Implementation Research", November 9–10, 2016.
For more information about the conference visit our website: www.poshan.ifpri.info
The document discusses strategies to address global malnutrition through both nutrition-specific and nutrition-sensitive interventions. It emphasizes that implementation requires broad stakeholder involvement across multiple sectors. WFP's role includes meeting micronutrient needs through food assistance and enabling programs. However, bottlenecks like reaching at-risk adolescent girls and providing support to pregnant/lactating women remain. Overcoming these challenges requires partnerships across UN agencies, governments, and other organizations.
Dr. Pamela Mukaire of the Resources for Improving Birth Outcomes at Liberty University discusses a project in rural Uganda to use the FHI 360 Community-based Management of Acute Malnutrition approach to improve the health of families.
Effective public health communication 5th aprilamitakashyap1
Effective public health communication is needed to promote awareness of health issues, educate about available services, change behaviors to improve health, address emergencies, and build community capacity. It should be relevant, accurate, culturally competent, accessible, and action-oriented. Types of public health communication include health education, advocacy, risk communication, and crisis communication. Social marketing uses commercial techniques to promote social causes like improving nutrition. Developing effective public health communication requires understanding the community through formative research, developing multilevel strategies, pre-testing materials, and monitoring outcomes. An example from Rajasthan developed a state-specific strategy to address undernutrition through behavior change communication targeting pregnant women, husbands, mothers-in-law and health workers
This document proposes an intervention to improve health and inclusivity for children with physical disabilities aged 6-17 in Zaatari refugee camp, Jordan. The intervention will utilize a community-based rehabilitation approach and social ecological model over 5 years. It involves preliminary research, immediate aid funds, recruiting and training community health workers, and programs in WASH, nutrition, medicine, and inclusive education. Process, outcome, and impact indicators will measure handwashing knowledge, stigma reduction, disease rates, nutrition levels, and school enrollment. The goal is to increase health and social inclusion for children with disabilities in a sustainable way through community empowerment.
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.
There are several research gaps in food and nutrition security across Africa according to the document. Key gaps include a substantial duplication of research effort, research not being adequately linked to local priorities, and research being driven more by external parties rather than the local policy and research community. Additionally, there is limited evidence on nutrition issues like women's and adolescent's nutrition, dietary behaviors, and how to effectively scale up proven nutrition-sensitive interventions. Addressing these gaps will require better coordination of research efforts, a focus on understanding differences at subnational levels, and leadership to manage cross-sectoral food and nutrition security research within countries.
Service providers who receive high nutrition risk referrals, particularly Registered Dietitians, need to be knowledgeable about general and clinical pediatric nutrition as well as counselling skills for working with families and children.
This is the second of five self-directed training modules available in PowerPoint presentations that have been developed and evaluated to respond to this need
Local Determinants of Malnutrition: An Expanded Positive Deviance Studyjehill3
Local Determinants of Malnutrition: An Expanded Positive Deviance Study
Julie Hettinger, Food for the Hungry
Nutrition Working Group Showcase
CORE Group Spring Meeting, April 29, 2010
The document outlines several key nutrition issues facing the region such as high rates of malnutrition, food insecurity, and inadequate nutrition awareness. It also discusses the various organizations that are responding to these issues through programs focused on health, food security, and nutrition education. Finally, it examines the challenges faced in coordinating these efforts and how the district is working to strengthen nutrition governance and prioritize interventions through its Nutrition Action Plan.
Gender in the CGIAR Research Program on Agriculture for Nutrition and Health ...CGIAR
This poster was presented by Hazel Malapit (PIM), as part of the Gender Research Coordinators' meeting (4 December 2017), related to Annual Scientific Conference hosted by the CGIAR Collaborative Platform for Gender Research. The event took place on 5-6 December 2017 in Amsterdam, the Netherlands, where the Platform is hosted (by KIT Royal Tropical Institute).
Read more: http://gender.cgiar.org/gender_events/annual-scientific-conference-capacity-development-workshop-cgiar-collaborative-platform-gender-research/
Similar to Determinants of Maternal Nutrition in PSNP Woredas, Ethiopia (20)
These set of slides were presented at the BEP Seminar "Targeting in Development Projects: Approaches, challenges, and lessons learned" held last Oct. 2, 2023 in Cairo, Egypt
Caitlin Welsh
POLICY SEMINAR
Food System Repercussions of the Russia-Ukraine War
2023 Borlaug Dialogue Breakout session
Co-organized by IFPRI and CGIAR
OCT 26, 2023 - 1:10 TO 2:10PM EDT
Joseph Glauber
POLICY SEMINAR
Food System Repercussions of the Russia-Ukraine War
2023 Borlaug Dialogue Breakout session
Co-organized by IFPRI and CGIAR
OCT 26, 2023 - 1:10 TO 2:10PM EDT
Antonina Broyaka
POLICY SEMINAR
Food System Repercussions of the Russia-Ukraine War
2023 Borlaug Dialogue Breakout session
Co-organized by IFPRI and CGIAR
OCT 26, 2023 - 1:10 TO 2:10PM EDT
Bofana, Jose. 2023. Mapping cropland extent over a complex landscape: An assessment of the best approaches across the Zambezi River basin. PowerPoint presentation given during the Project Inception Workshop, VIP Grand Hotel, Maputo, Mozambique, April 20, 2023
Mananze, Sosdito. 2023. Examples of remote sensing application in agriculture monitoring. PowerPoint presentation given during the Project Inception Workshop, VIP Grand Hotel, Maputo, Mozambique, April 20, 2023
This document discusses using satellite data and crop modeling to forecast crop yields in Mozambique. It summarizes previous studies conducted in the US, Argentina, and Brazil to test a remote sensing crop growth and simulation model (RS-CGSM) for predicting corn and soybean yields. For Mozambique, additional data is needed on crop cultivars, management practices, planting and harvest seasons. It also describes using earth observation data and machine learning models to forecast crop yields and conditions across many countries as part of the GEOGLAM program, though this is currently only implemented in South Africa for Africa. Finally, it mentions a production efficiency model for estimating yield from satellite estimates of gross primary production.
International Food Policy Research Institute (IFPRI). 2023. Statistics from Space: Next-Generation Agricultural Production Information for Enhanced Monitoring of Food Security in Mozambique. PowerPoint presentation given during the Project Kickoff Meeting (virtual), January 12, 2023
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Determinants of Maternal Nutrition in PSNP Woredas, Ethiopia
1. SPIR II RFSA | 2023 Learning Event
Determinants of Maternal Nutrition in
PSNP Woredas, Ethiopia
Asmamaw Eshete, Nutritionist
IHS Global Consultancy, small grant project
2. Outline
Major Covered areas in the study presentation
Background
Study scope, PLW nutrition, research
questions, gaps to feel.
Methods
Qualitative and Quantitative methods
applied.
In-depth interview findings
Five thematic areas and key findings
The IMNS Model
The PLW nutrition interventions model
developed from the study.
Objective
The four objectives of the research.
Desk review findings
Key desk review findings and framework
developed.
Recommendations
Key recommendations provided under each
thematic areas.
The IMNS Framework
The vicious cycle of causes of maternal
nutrition and intervention approach
01.
03.
05.
07.
02.
04.
06.
08.
3. Research
questions
PLW
Nutrition
Background
• Improving women’s diets, access to nutrition services, and care practices
before and during pregnancy and while breastfeeding is critical to prevent
malnutrition-particularly in the first 1000 days
• In Ethiopia, maternal dietary practices are influenced by economic, social, and
cultural barriers.
• What specific factors determine PLW nutrition?
• How are those factors sourced, transmitted, and retained?
• What makes PLW deviant from those factors living in food-secured and non-
secured HHs?
• The current research findings have not robustly shown how barriers from the
demand, supply, and community sides are inter-related
• How barriers/information is being sourced, disseminated, and retained to determine
maternal dietary practices is not well understood
• Deviant maternal nutrition practices not yet identified
Gaps to fill
4. Objectives
OBJECTIVE 01
Exploring potential barriers to pregnant and lactating
women's nutrition in SPIR II/PSNP5 intervention areas.
OBJECTIVE 02
Exploring the sources, mechanisms, and approaches to transfer and
retain community-level knowledge, information, and habits related to
maternal nutrition.
OBJECTIE 03
Exploring deviant maternal practices in food insecure and
secure PLW households for further policy recommendation
and study
OBJECTIVE 04
Understanding the gender-related barriers to PLW’s nutrition
5. Methods
• SLOT
• Existing barrier
• Conceptual framework
developed
Document and
literature
review
• 7 FGD (RLs, CL, GM/M-in-L)
• 40 KII (PLW, HSPs, PM)
• 32 HH Observations (PLW’s HH)
Qualitative data
collected
• Major barriers and causes
identified in 5-themes
• MN conceptual model generated
Analysis and
reporting
Coordination
• Consultancy team
• SPIR II, HEWs, WrHO
Operational definitions
• PD-PLW = FI-HH + MUAC >23cm
• ND-PLW = FS-HH + MUAC <23cm
Analysis
• Altas ti. qualitative software
• SPSS
• Coding, categorization,
thematic analysis.
6. SLOT Analysis
Results
Strength Limitation
• Maternal nutrition is well considered in
policies, strategies and guidelines;
• Strategies to address gender issues;
• Generated lessons from last PSNP4;
• PSNP5 prioritize PLWs and caretakers with
malnourished children as Temporary Direct
Support (TDS) clients.
• Exemption of PLW from fasting by Ethiopian
Orthodox Tewahedo Church
• Nutrition governance system;
• Budget gap on Food and Nutrition Strategy
(FNS)
• E-DHS missed to do PLW nutritional status;
• Exclusion of chronic food insecure
households in PSNP5;
• Community-based health insurance (CBHI)
not adequately responsive to services at
health facilities
Opportunities Threats
• Availability of economic and financial access
initiatives;
• Coverage of media & telecom
• Gov’t priorities to food security and large-
scale agricultural investment
• Climate change
• Insecurity and displacement
• Drought and pandemics
• High food price
8. THEME 1
Barriers to PLW's dietary practices vary across their
socioeconomic, religious, and cultural backgrounds
Poor PLW nutrition counseling at HFs
Analysis and
reporting
Fasting
Common food taboos.
“Expectant mothers are supposed to refrain
from good foods that make the fetus grow
bigger in her womb including bananas,
mango, sugarcanes, and orange” Lactating
mother, P6
Seasonal pattern, availability and economic
accessibility.
“Lentils and chickpeas are said to cause
stomachache for children as they get their
food from their mother through
breastmilk.” ND-L Mother, Amhara region
9. THEME 2
Transgenerational sources and transfer of community-level
information and habits that affect maternal feeding practices
Food taboos are initiated from mothers’ experiences and are perceived as
preventive measures for the mother and the baby.
Analysis and
reporting
WHO sourced
How conveyed
How retained
Family members, social gatherings, meetings,
and discussing with PLWs during clinic visits, etc.
Traditional healers, community women/elders (e.g.,
grandmothers and mothers-in-law)
Developing scenarios from bad birth outcomes.
10. THEME 3
Peculiar nutrition behaviors help positive deviant PLWs in food-
insecure households
Analysis and
reporting
Have multiple sources of information
Have a supportive household culture and feeding habits
Consume more locally available, and cheaper nutritious food items
Tend to be less influenced by food taboos
Understand the nutritional effects of fasting and have a flexible attitude toward fasting
practices (time)
Better practice and use of preventative medical services (ANC, PNC, EPI)
Aspire to participate in diversified small business/IGA
11. THEME 4
Inter-related factors that contribute to negatively deviated PLW in
food-secure households
Analysis and
reporting
A negative experience with the health services received from the health facilities
Negative deviant mothers have poor feeding routines, not flexible in fasting practices
(fasting duration)
Limited understanding of types of food and frequencies of feeding for PLW
Less visited by agriculture and HEWs at the household level
12. THEME 5
Gender norms are both supporting and discouraging PLW’s nutrition
Analysis and
reporting
Less focus on and attention given to the period of pregnancy than lactation
Husband’s role is mostly supportive
Household decision-making power rests with husbands
Women empowerment initiatives not strong enough to mitigate gender-related
issues relevant to maternal nutrition
13. Observation findings
Health service and ITN use: ANC follow-up card and ITN (bed net) were missing in all
observed households
Human and animal living rooms: Most PLWs reside in separated room from animals
(69 %). Only 59% had animal-rearing practices
Backyard gardening: Most households have no backyard (75%), and only 13% have fruit
trees
Sanitation: only 59% has latrines in their compound, and 47% had soap in the HH
Water source: Only 34% of households has a water source in their compound
Access to market: Most PLWs (91%) had close market access;
Analysis and
reporting
14. The interconnectedness of barriers to m aternal nutrition
Taboo
Incom e
Gender &
cultural
norm s
Fasting
Nutrition
Know how
Service use
Food taboosare generated by elders,
transfer through the generation, and are
the common barrier to maternal
nutrition.
Food Taboos
Poor health service readiness,
provision, and missed opportunitiesfor
maternal nutrition service at health
facilities.
Quality of health service and
utilization
Inadequate maternal
nutrition knowledge and
capability to prepare and
use a balanced diet.
Gender and cultural Norm s
Maternal feeding ishighly affected by
fasting due to lessflexibility of
religiousleadersand the devotion of
the followers
Fasting
Gender and cultural norms
negatively favor maternal
nutrition practices
Lack of awareness &
nutrition know- how
Low income, accessto
nutrition and support
system
Socio- econom ic problem s
Analysis and
reporting
FRAMEWORK SYNTHESIS
15. Analysis and
reporting
FRAMEWORK SYNTHESIS…
Integrated Maternal Nutrition Service m odel
Maternal nutrition promotion needsto
focuson lifestyle approaches, a balanced
diet, adequate rest, and exercise.
Maternal lifestyle prom otion
Major causesof locally important food taboos, fasting,
and cultural and gender normsneed to be addressed.
Missed opportunitiesfor maternal nutrition counseling,
and malnutrition preventative measuresat health
facilitiesneed to be strengthened
Malnutrition prevention and treatm ent
Women’s nutrition education, improved
household income, and gender norms
significantly contribute to the maternal
nutrition
Maternal em powerm ent
Food taboos, fasting, gender
and cultural barrier, health
service quality, and use
Malnutrition
prevention &
treatm ent
Nutrition education,
income, gender
Maternal
em powerm ent
A balanced diet,
adequate rest,
exercise
Maternal Lifestyle
prom otion
Integrated
Maternal nutrition
Service
16. Conclusion
• Barriers: structural and policy, socio-economic, social, and cultural norms and maternal feeding
practices still pose challenges to maternal nutrition
• Mechanisms to source, transmit, and retain barriers: related to previous experiences of
elders, traditional scenario development cultures for birth outcomes and adoption of barriers by
traditional healers
• Deviant PLW: entertaining equal opportunity and risks of the setups for existing barriers and
food taboos are not at the same level in nutritional behavior and status
• Implementation challenges: though policies, strategies, programs, and guidelines are
endorsed to give due attention to maternal nutrition, its implementation gaps are limited to
addressing maternal nutrition on the supply side
17. Recommendations
• Use of strategic documents: Support to disseminate the newly launched Ethiopia Food Based
Dietary Guideline (FBDG) to reach mothers especially those following strict religious practices
• Use of the deviant mothers: Support positive deviant mothers to be influential champions in
their communities
• Improve access: Decentralize the nutrition-specific and sensitive interventions to the nearest point
of community contact
• Break misinformation: Shift traditional scenario development trend on birth outcomes to
scientific and tailored to the community information source, dissemination and retention mechanism
• Participatory research: Design and conduct further participatory research on Positive Deviant
practices
18. Limitations
• Facility level barrier: Institutional readiness to maternal nutrition not assessed in all relevant
sectors
• Men community leaders: Men community leaders not targeted for FGD
• Scope of the study: Deviant behavior of PLW made in PSNP5 Woredas only
• Exclusion error: Inclusion and exclusion errors cannot be avoided while determining HHs
19. Contact
Contact as at HIS GLOBAL CONSULTANCY
Address
IHS Global Consultancy
Netsanet Fetene (MD,MPH, Ph.D.).
CEO, IHS Global Consultancy
E-Mail: netsanetfetene@gmail.com
Phone:+251910137506