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Healthy Village: An Approach for localizing SDGs and combat child malnutrition
- 1. Healthy Village : Multi-sectoral approach to Combat Child Malnutrition Riad Imam Mahmud Country Director Max Foundation, Bangladesh and Nepal Kazal Ahidul Islam Senior Program Manager (Head of programs) Max Foundation, Bangladesh and Nepal
- 2. CONTEXT 36.2% Stunting among <5 age children 14.40% Wasting among <5 age children 32.4% Underweight among <5 age children 1.6% Overweight among <5 age children Global Nutrition Report 2019
- 3. CAUSES OF STUNTING: WHO CONCEPTUAL FRAMEWORK
- 4. HEALTHY VILLAGE Access & Used WASH, SRHR & Nutrition services >75% >90 % Healthy Village Access & Used WASH, SRHR & Nutrition services 1. Short term : village upgraded as graduated Village 2. Medium term: village upgraded as Healthy Village 3. Long term : village upgraded as Healthy Village Plus 1. Beginner : <75% HH/population have access and use services 2. Graduated :>75%-<90% HH/population have access and use services 3. Healthy : >90 % HH/population have access and use services
- 5. OPPORTUNITY TO LOCALIZE SDGs THROUGH HV
- 6. PATWAY TOWARDS HEALTHY VILLAGE+
- 7. Local government Entrepreneurs How communities/households engage • Parents monitor child growth in courtyard sessions with peer learning to change risky behaviours • Community and household investments in latrines, handwashing devices, and other products • Communities become Max Healthy Villages through changing WASH, nutrition and motherhood practices How local government engages • Local government declares the Max Healthy Village • Union provides financial support for the ultra-poor for sanitation and licenses to entrepreneurs • Union share knowledge in Horizontal learning program (union-to-union) • Active participation in govt. approved WASH , Health & Nutrition committee Community & Households Healthy Village How private sector engages • Sanitation entrepreneurs sell products (latrines, handwashing devices) to the community • Sales agents create demand and receive a commission on sales • Microfinance Institutions support the entrepreneurs and customers with loans • Groups of sanitation entrepreneurs negotiate with suppliers and government The key Healthy Village stakeholders
- 8. 100,000 children U5 with stunting reduced 466,000 people living in 600 Healthy Villages 1.3 million beneficiaries in rural, south coastal Bangladesh Intermediate outcomes Ultimate outcomes 1,300,000 people in 1,674 villages signed on to the Max Healthy Village process for improving WASH, nutrition and safe motherhood practices 441,000 people with access to improved sanitation (new, renovated, emptied latrines) 240,000 people with access to a hand washing device near a latrine or dining place Beneficiaries 370 entrepreneurs or sales agents; we will also track their annual turnover 5,020 registered mentors trained to guide the Healthy Village graduation process 780 local Government representatives trained 2490 teachers trained (25% female) 21,200 school brigades (students) trained Intermediaries
- 11. ROLLING OUT HV Level Institution Function National Coordination Committee, chaired by DG/Director, Training and Consultancy, NILG NILG Coordination, monitoring, communication, notify, scale up DC/DDLG DC office Monitoring, mentoring, notify to UZ Upzila Chairman/UNO Upazila Office Monitoring, notify to UP, Healthy Village declaration UP Chairman UP Office Monitoring, mentoring, notify to CSG, budget allocation from own fund CSG President Village level Implementation Pilot UPs and Upazilas Name of Pilot Districts Number of Upazilas Number of UPs How HVCP will be roll out? Patuakhali district 5 25 District approach Barguna district 1 3 UZ approach Khulna district 3 17 District approach Satkhira district 4 13 District approach Jashore district 3 4 UP approach
- 12. EVALUATING HEALTHY VILLAGE Participatory HV Monitoring (PHVM)
- 14. CY1 CY2 CY3 CY4 CY5 CSG UP(UDCC) PNGO UZDCC DDCCMFB Regional Office MFB Country Office National HVCC MF NL and Other Donors 14 HV Data Flow
- 15. Verification flow – HV Data CSG Aggregated Data Draw sample Input Accuracy of CC Or MELO verified data <95%, Data rejected. Data Approved Total Aggregated Data Call Center Sample Max-PbR Manager verification Call Center Verification Draw sample MELO Accuracy of CC and MELO verified data >95% MELO Sample 15
- 16. Healthy Village Approach Developed and Piloted The Max Healthy Village concept was developed and piloted by 1. Riad Imam Mahmud ,MPA IER, MPH Epidemiology, BSc Engineering (AET), Country Director, MF Bangladesh & Nepal; 2. Kazal Ahidul Islam, MSS in MCJ, MPH Nutrition, Senior Program Manager, MF Bangladesh & Nepal 3. Md. Irfan, MBA, BSc Engineering (CEE), Program Manager, MF Bangladesh Irfan Md. (2015) 4. With active support of Joke Le Poole(Director Max Foundation), Mr. Mark John Ellery, Mr. Santanu Lahiri and Max Foundation NL & Bangladesh team 5. Developed & piloted in 2015, Field level Pilot activities managed by Babul Sheikh Influenced by Influenced by the WASH based idea of Healthy Village developed by Guy Howard et al. 2002 , the concept utilised Robert Chamber’s PRA (1994) and Reasoned-Action Approach (RAA) of behavioral change communication theory of Martin Fishbein and Icek Ajzen (1975).