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.
Background of National Nutrition Program
Malnutrition in Nepal
Efforts to address under-nutrition
Objectives of National Nutrition Programme
Targets of National Nutrition Programme
Strategies of National Nutrition Programme
Padma kanya college- Home Science
In this slide, you can find the causes of Malnutrition in developing countries (Nepal) and recommended food patterns for malnourished.
National Food & Nutrition Policy: Balancing the Role of Research, Nutrition S...Corn Refiners Association
At Experimental Biology 2015, the Sponsored Satellite Program "National Food & Nutrition Policy: Balancing the Role of Research, Nutrition Science and Public Health" held in conjunction with the American Society for Nutrition's Scientific Session took place on April 1, 2015.
To watch the Dr. Lichtenstein video on slide 68 "Do Scripted Diets Work for Policy? What about Low-fat Diets?", please download the presentation first.
Background of National Nutrition Program
Malnutrition in Nepal
Efforts to address under-nutrition
Objectives of National Nutrition Programme
Targets of National Nutrition Programme
Strategies of National Nutrition Programme
Padma kanya college- Home Science
In this slide, you can find the causes of Malnutrition in developing countries (Nepal) and recommended food patterns for malnourished.
National Food & Nutrition Policy: Balancing the Role of Research, Nutrition S...Corn Refiners Association
At Experimental Biology 2015, the Sponsored Satellite Program "National Food & Nutrition Policy: Balancing the Role of Research, Nutrition Science and Public Health" held in conjunction with the American Society for Nutrition's Scientific Session took place on April 1, 2015.
To watch the Dr. Lichtenstein video on slide 68 "Do Scripted Diets Work for Policy? What about Low-fat Diets?", please download the presentation first.
A discourse the ideal feeding practices from pregnancy to infancy with a closer look into malnutrition, breastfeeding, complementary feeding and related interventions.
Epidemiology of Childhood Malnutrition in India and strategies of controlsourav goswami
This presentation includes the epidemiology of childhood malnutrition in India. the problems and challenges that are being faced in the improvement of the condition and the different strategies for its control.
Sexual and Reproductive Health and Rights of Women in Nepal (SRHR)WOREC Nepal
The purpose of this brief is to highlight the status of sexual and reproductive health rights of women in Nepal, discuss the gaps and challenges in the policies to address the ground realities of women with sexual and reproductive needs and to ensure their rights. As the brief includes the ‘voices’ of grassroot women and stakeholders, it is expected to demand accountability and changes in direction where it is urgently needed and suggest changes or strengthening as necessary at different levels, including the upcoming International Conference on Population and Development. (ICPD)+20.
Volunteer Services Program by Kamran Ishfaq, PhD Scholar in Sociology, University of Peshawar, Social Welfare Officer, The Children's Hospital & the Institute of Child Health Multan. Ph: 0300-7303808. email. hikami36@hotmail.com.
A discourse the ideal feeding practices from pregnancy to infancy with a closer look into malnutrition, breastfeeding, complementary feeding and related interventions.
Epidemiology of Childhood Malnutrition in India and strategies of controlsourav goswami
This presentation includes the epidemiology of childhood malnutrition in India. the problems and challenges that are being faced in the improvement of the condition and the different strategies for its control.
Sexual and Reproductive Health and Rights of Women in Nepal (SRHR)WOREC Nepal
The purpose of this brief is to highlight the status of sexual and reproductive health rights of women in Nepal, discuss the gaps and challenges in the policies to address the ground realities of women with sexual and reproductive needs and to ensure their rights. As the brief includes the ‘voices’ of grassroot women and stakeholders, it is expected to demand accountability and changes in direction where it is urgently needed and suggest changes or strengthening as necessary at different levels, including the upcoming International Conference on Population and Development. (ICPD)+20.
Volunteer Services Program by Kamran Ishfaq, PhD Scholar in Sociology, University of Peshawar, Social Welfare Officer, The Children's Hospital & the Institute of Child Health Multan. Ph: 0300-7303808. email. hikami36@hotmail.com.
Walk through on the volunteer lifecycle, program building process, volunteer opportunity examples, and challenges you may face when you create an alumni volunteer program.
Bonner Curriculum: Volunteer Recruitment for a Non-Profit Organization: Part...Bonner Foundation
This presentation is part of the Volunteer Recruitment for a Non-Profit Organization: Part 1 – Developing a Volunteer Assessment Plan training, available from the Bonner Foundation on bonnernetwork.pbworks.com.
A common problem that exists within the civic engagement framework of most college campuses is that the same individuals accomplish a majority of the service work over time. This workshop is the first session of a three-part training that aims to give strategies and develop service leaders’ ability to recruit volunteers for local non-profit organizations. This first session focuses on developing a volunteer assessment plan for a particular service site, carefully analyzing the volunteer needs of the site and how individuals can fill those positions.
The 3 r's of a volunteer management systemLaValBrewer
The Three R's of a Volunteer Management System ~ Recruitment, Retention and Recognition
Volunteers help to keep community organizations sustainable and viable. But volunteer management can be challenging. It requires effective planning in terms of Recruitment, Retention and Recognition.
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.
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
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
Junk Food Consumption is a Nutrition Problem among Infants and Young Children: Evidence and Program Considerations for Low and Middle Income (LMIC) Countries (MCSP Presentation)
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
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.
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
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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!
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
2. The concept of PD Hearth
• Positive Deviance: It is a departure, a difference, or deviation
from the norm that results in a positive outcome. It is a
departure from the conventional wisdom,
• “Positive”? Looks for what is working, what people are doing
right. Utilizing what resources are available, not what is needed
and missing. It is asset-based, rather than needs based.
• A positive deviant is a poor member of the community who has
a well-nourished child while most of their neighbors do not.
• A Hearth? It is a home kitchen, community volunteers
volunteering their homes
• A Positive Deviance Inquiry (PDI) is a process of discovery that
occurs before a Hearth directly informing the content to be
shared during the Hearths.
3. Positive Deviance/Hearth - principle
The Million $ Question:
Why do well nourished children exist beside
malnourished children despite living in the same
conditions of poverty?
4. What is PD/Hearth programming
model?
• in every community there are certain individuals or groups (the
positive deviant) whose special practices or behaviors enable
them to find a better solution to a prevalent problem than their
neighbors who have access to the same resources.
• Presumes that the knowledge about ‘what works’ is available in
existing individuals or entities (Solutions from within!)
• The goal of PD Hearth is to treat, sustain and prevent
malnutrition
• Provides timely catch up growth for children showing growth
faltering
– Target: moderately malnourished children and children at risk
of malnutrition.
5. To reduce the
prevalence of
malnutrition
among children
under 5
Three (3)
Dimensional
Approach of
Positive
Deviance/Hearth
Three (3)
Dimensional
Approach of
Positive
Deviance/Hearth
Reduce
To build local
capacity to
sustain the
rehabilitation
of children
To prevent future
malnutrition
among all
children in the
communities
Process in PD
Implementation
:
Social
Mobilization
Information
Gathering
Behavior
Change
Build
Prevent
6. Stages in PD Hearth
• Implementation of the PD/HEARTH model progresses in five
stages:
• Determining feasibility
• Conducting the Positive Deviance Inquiry (Learning from the
positive deviants)
• Implementing the NERS(treating malnutrition)
• Follow up and monitoring (sustaining)
• Nutrition education (prevention)
8. 8
Step 1 – Determining feasibility andStep 1 – Determining feasibility and
normingnorming
• Malnutrition Prevalence in the
Community
• Availability of Affordable Local Foods
• Availability of complimentary services
• Geographic Proximity of Homes
• Existence of Food Aid
• Emergency nutritional situation
• Landless Populations or Squatter
Communities
Committed leaders, village chiefs
9. 9
Step 2 – Conducting a PDI (LearningStep 2 – Conducting a PDI (Learning
from the positive deviants)from the positive deviants)
What works???
• Feeding PracticesFeeding Practices
• -Caring & Hygiene Practices-Caring & Hygiene Practices
- Health Care PracticesHealth Care Practices
• (home management & health-seeking)(home management & health-seeking)
10. 10
PD Inquiry is an “Ends” as well as “Means”PD Inquiry is an “Ends” as well as “Means”
andand MUSTMUST be repeated in each Communitybe repeated in each Community
ToTo discoverdiscover successful,successful,
replicablereplicable PD behaviorsPD behaviorsMeansMeans
EndsEnds
To empower communityTo empower community
toto discoverdiscover andand “own”“own”
theirtheir own solution,own solution,
based on theirbased on their ownown
resourcesresources
11. Step 3. Nut. Education Rehabilitation
Sessions (NERS)
• Behavior ‘promotion and empowerment’
Learning by Doing
• Nutrition Rehabilitation + Education
over 12 days + home visits
• Promotion of behaviors and practices
related to Feeding, Caring, Hygiene
and Health Seeking
Food
Care
Health
12. Step 4: Follow up
Observe sustained application of PD behavior with Hearth child
and siblings (qualitative).
Measure for sustained weight gain at 2 mos, at 6 mos, 12 months,
etc.;
Follow the cohort over time to assure that the graduates stay
onthe Road to Health and do not falter
13. Nutrition Education
Home visits are conducted to the
Hearth participants at least once
every two weeks to support the
new behaviors at home.
Create community support
systems (Nutrition care groups)
Support food production
Continue home visits and
outreaches as usual
14. INTEGRATED POSITIVE DEVIANCE/HEARTH MODEL
Key Entry PointsKey Entry Points
Improved water, sanitation, gender
&other interventions addressing the
underlying causes of malnutrition
Improved access and
availability of
nutritious foods
Increased family
economy especially for
food and health care
Families with
currently
malnourished
children
Target Groups
16. Stakeholders
• Stakeholders are the individuals, groups
and institutions that stand to GAIN or
LOSE from project activities
– Key actors for change (central role)
– support actors for change
– Final Beneficiaries
– Influential players (cultural, religious
leaders)
– Information holders
17. Important considerations in identifying
stakeholders
• Power and status
• Degree of
organization
• Control of resources
• Decision-making
process
• Power relations
• Importance to the
success of the project
I’ll call
urgent
health
committee
meeting
tomorrow!
What do you want to
do about this high
level of malnutrition?
What do you want to
do about this high
level of malnutrition?
19. Combination of technical, critical thinking
&community mobilization skills
• A Nutrition Advisor (NO level or regional level):
– PD Hearth approach: anthropometry, PD Inquiry, Energy calculation, Adult
education
– Follow up, monitoring & evaluation
• Project staff (nut / health facilitator / coord) in ADP:
– Anthropometry, Training, Referral of malnutrition, Training & working with
volunteers and health staff
• Community volunteers: as the backbone
20. PROCESS - How to Develop Competencies
to implement PD/H
National Office – identifies
malnutrition (>30% children in the ADP
community)
NO contacts the Regional Office
(Regional Nutrition Coordinators/Advisors)
Nutrition Center of Expertise
(Nutrition Technical Advisor –
Diane Baik)
Interim
process
SO
21. Costs of Hearth Sessions
The direct costs include:
The average cost of the
meals per child for the 12
days is approximately 1 USD
The indirect costs include:
the estimation of time
spent by the mothers,
community health
agents, cooking
equipments etc.
The total cost of Hearth is not substantial
Range $1.85 to $12.00 per recovered child
Cost per child with neighborhood level
Nutrition education/rehabilitation is
less than half of cost per
hospitalization for malnutrition
22. Advantages of using the PD Model!
• Quick solutions addressing moderate malnutrition
• Affordable
– Vietnam (USD2 per child)
– Mongolia (USD8 per child)
– Uganda (USD 1.2 PER child)
• Participatory
– Community participation
• Sustainable
– Communities gaining skills (cooking, feeding, hygiene caring)
• Indigenous (solutions from within!)
• Based on behavior change
23. PDH Inversions
• Trainee vs.Trainer (in a PDI the community becomes the trainer
of ours)
• Best practices vs. working practices
• Needs based vs. assets based (glass half empty/half full)
• KAP vs. PAK
• Hearth-based vs. Center-based
• Poverty leads to malnutrition vs. Malnutrition leads to poverty
• Acting into new thinking vs.Thinking into new acting
• Food Aid vs. food contributions from community
• PDI vs. nutritional survey (KPC style) Listening vs. Speaking
Solutions from the inside vs. solutions from the outside
• Outside experts knowledge vs. PD mothers knowledge
Social mobilization: community members are usually eager to take part, responding with excitement and enthusiasm. Reporting motivation through learning what is going RIGHT in the community, that they already have the solution to childhood nutrition on hand. In contrast to some programming, which seems to emphasize what has been going WRONG.
Information gathering: In-depth inquiries, studying community norms and community vetting to identify positive, transferable behaviors. (We’re talking about nutrition programming now, but obviously, this methodology is useful in many different types of programming.)
Behavior change: creating the context in which behavior change can occur, which in nutrition programming, leads to Hearth. Behavior change communication is a key component of the Positive Deviance/Hearth Approach to community based nutrition programming.
Activity: Insuring that we all understand the concept : Everyone needs coffee in the morning. But someone in here doesn’t need it. Who is it, and how have they avoided addiction.
Are there any other examples of positive deviance in our lives?