Training Session 1 – Olney – How can decision-making indicators be improved in an integrated ag-nutrition program?

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Training Session 1: Decision-Making Indicators Deanna Olney: How can decision-making indicators be improved in an integrated ag-nutrition program?

Government & Nonprofit

How can decision-making
indicators be improved in the
context of an integrated
agriculture and nutrition
program?

Women’s Empowerment: Decision-making indicators
Component Questions included Response codes Range alpha T1, T2
Purchasing decisions Can you make the decision to purchase the following items? no=0; yes=1 0 to 8 0.89, 0.90
1. Small quantities of food, such as rice, vegetables, and bean
2. Larger quantities of food, such as bags of rice
3. Clothing for yourself
4. Medication for yourself
5. Toiletries such as soap and toothpaste
6. Medication for children?
7. Special foods for your children
8. Can you decide how to spend your money
Healthcare decisions Which household members decide most often about the following
issues?
Woman contributes: no=0; yes=1 0 to 2 0.57, 0.77
1. Consult a doctor or go to a clinic when you are pregnant
2. What to do when a child is sick
Family planning
decisions
Which household members decide most often about the following
issues?
Woman contributes: no=0; yes=1 0 to 2 0.66, 0.64
1. Use a contraceptive method
2. Have another child
IYCF decisions Which household members decide most often about the following
issues?
Woman contributes: no=0; yes=1 0 to 2 0.69, 0.57
1. If you breastfeed a child and when you wean
2. How to feed the child during the first year of his or her life

Impact of the E-HFP program on women’s
decision-making and social capital
Purchasing decisions
(0-8)
**
2
1.8
1.6
1.4
1.2
1
0.8
0.6
0.4
0.2
Healthcare decisions (0-2)
**
Impact estimate = 0.9 ** Impact estimate = 0.2 **
8
7
6
5
4
3
2
1
0
Baseline Endline
Control Intervention
0
Baseline Endline
Control Intervention
No impact on family planning decisions or infant and young child feeding decisions.
1Difference-in-difference (DID) impact estimates between control and intervention groups and controlled for age and adjusted for
clustering, and attrition.** p<0.05 for DID estimates.

4 study groups
25 old control villages + 5 new
villages
30 old villages of intervention
EHFP
(15 villages)
EHFP+WASH
(15 villages)
EHFP+WASH
(15 villages)
EHFP+WASH+LNS
(15 villages)
EHFP
Newly
introduced
Newly
introduced
Since 2010 in the
community
Since 2010 in the
community
BCC-ENA
Newly
introduced
Newly
introduced
Since 2010 in the
community
Since 2010 in the
community
BCC-WASH/
malaria
no WASH/malaria WASH/malaria WASH/malaria
SQ-LNS no no no LNS

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This document provides information about the Let's Move! Child Care initiative to promote healthy eating and physical activity habits among children. It discusses the basics of childhood obesity, your important role in prevention, and the 5 goals and best practices for nutrition, physical activity, screen time, beverages and infant feeding. It outlines how to participate by taking an online checklist quiz, creating an action plan, accessing free resources and tips, and becoming a recognized provider. The resources section lists curricula, videos, recipes, tip sheets, books and materials to encourage healthy habits for both children and their families.

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This document describes the Care Group model, a community-based strategy used in 27 organizations across 23 countries to improve health behaviors and reduce malnutrition and child deaths. It summarizes that Care Groups involve volunteer women selected by their peers to each serve 10-15 households. They meet every two weeks with a promoter to learn and demonstrate health messages, then visit households to promote the messages. An evaluation of the model in Mozambique found significant increases in key health indicators and an estimated 5,000 child lives saved at a cost of $403 per life saved. Several other Care Group projects also saw large reductions in child mortality rates. Support for scaling up the approach is provided through online resources.

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nutrition for overweight child.............

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