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Promoting Nutrition
Through the Peace
Corps:Training Materials
for Staff andVolunteers
​Sonia Derenoncourt,Peace Corps Dir. of the Office for Overseas
Programming &Training Support
Agnès Guyon,Senior Child Health & Nutrition Advisor,JSI
​View from the Field:Discussion with Peace Corps staff
Question &Answer
Wrap up
Implementing the Essential
NutritionActions
APeace Corps-WAFSP-JSI -SPRING Collaboration.
Agnes Guyon, MD, MPH
Senior Child Health & Nutrition Advisor
John Snow, Inc.
28th April 2015
WAFSP- WestAfrica FoodSecurity & Nutrition Partnership
SPRING- Strengthening Partnership Results Innovations in Nutrition Globally
High-Impact Nutrition Interventions
Essential NutritionActions
• Life cycle approach
• Based on small do-able
actions
• Delivers the right services
& messages to the right
person at the right time
• Operational framework for
reducing “missed
opportunities” across
sectors
DELIVERY
Delay cord clamping,early &
exclusivebreastfeeding,
iron/folicacid,diet
PREGNANCY
Diet, iron/folicacid,de-
worming, anti-malarial,
iodized salt,calcium, vit A,
preparation for
breastfeeding
POSTNATAL AND
FAMILY PLANNING
Support to breastfeeding,diet,
iron/folicacid,FP-LAM
WELL CHILD AND GMP
Monitorgrowth,assess and
counsel on child feeding,
iodized salt
SICK CHILD
counsel on infant feeding,assess
and treat for anemia,check and
complete vit A, de-worming
IMMUNIZATION Support to
infant and youngchild feeding,
vit A, de-worming, assess and
treat infant’sanemia
NutritionSpecificWithintheHealthSector
Useexisting healthcontactsandcommunity platforms
Increasetheirperformance
Schools
Keep girls at school
Children & Adolescent
De-worming
Iron supplementation
Agriculture
Food diversification
Food security
Homestead Food Production
Nutrition sensitive crops
Essential Hygiene
Actions
Hand-washing
Clean water & sanitation
Publichealth education
Nutrition Sensitive Across Sectors
Useexisting contactstoextend nutrition coverage
Community Nutrition
CommunityWorkers
across sector
Micro-credit
Women’s farmers clubs
Income Generating
Projects
Mass media
TV
Radio
Local broadcasting
Pre-service
Education
Doctors, Nurses,
Midwives, Teachers,
agriculture
Enviroment
Clean environment,
indoor air pollution
Non-smoking
Health
Immunization (Measles)
Delay first pregnancyand
Birth Spacing
For all PC staff and Volunteers regardless of their
sectors
Provide a reference and an orientation on the
minimum nutrition and hygiene knowledge
For PC staff, PCV and Counterparts
Provide a practical training guide adapted to
community groups
For PC Staff, health and
nutrition PCV
Provide additional
information on nutrition
and hygiene, enhance
counseling and
negotiation
techniques, and
community groups
facilitation
Thank you
The Essential Nutrition Actions
PC interventions inWest Africa
Background
FTF/WAFSP gave
opportunity to support
nutrition activities in
West Africa
Staff and PCVs trained on ENA
 TOT organized,with
the technical support
of SPRING for 5
countries: Benin,
Senegal, Sierra Leone,
The Gambia & Guinea
 Training material
adapted
 Material translated
into 3 local languages
in the Gambia.
Access to material…
 More structure to
PCVs activities
 Clear messages
 Facilitate local
counterpart
training
 More commitment
of PCV for
Nutrition activities.
Commitment to Scale Up Nutrition
 WAFSP continues
supporting in-
country trainings on
ENA
 Peace Corps is
clearly committed to
support nutritional
education initiatives
(OPATS, PCD)
 Opportunities to
scale up intervention
THANKYOU
ENA Workshop
Ecuador - Feb 2015
1 Day Training
Participants:
 4 PCV’s, 4 Counterparts
 1 Staff Member
3 Sessions:
 Nutrition through life cycle
 Behavior Change
 Nutrition Counseling
Post -Adaptation
 Translation to Spanish/ Pictures context based
Practice Nutrition Counseling
(Role-Play)
Observer/
Counterpart
Counselor/
PCV
Mother/
Counterpart
ENA Webinar presentation
Benin
 ENA promotion one of the three key areas of our project framework
 During Pre Service Training (nutrition technical information + 3 negotiation
practices)
 During Nutrition Summit that aims to gather Volunteers in order to share
ENA promotion best practices, but also to reinforce their knowledge on the
subject
 During optional training open to non health volunteers
 PCVs use ENA materials at site to reinforce their work partners’ ability to
negotiate
How we use ENA materials
 The materials are very useful
 PCVs rely on the technical information in the ENA booklet to
answer nutrition questions communities members and co-
workers ask them. They feel more confident
 With the ENA materials, PCVs now have adequate tools to
support their nutritional education sessions, especially in
communities where there are few schooled people
 They can equip health workers with the materials to support
nutritional counseling
How has the materials changed the way
in which PCVs work with communities?
 The booklet of key ENA messages with illustrationsis
very practicaland useful. PCVs love it!
 The fact that negotiation steps are modeled as
GALIDRAA is very helpful during training. It is a good
tip to make trainees remember the steps
 The video modeling negotiation steps is also a very
strong materialwe use during training
Importance of ENA materials
 The materialsare very useful and there are stories of PCVs
having helped mothers improve feeding practicesfor their
children with impacton the child’snutritional status
 For a sustainable impact,we encourage PCVs to involve
their counterparts,especially to overcome language
barriers.
 Changing nutrition behaviors is not easy and needs
perseverance on the part of PCVs and their counterparts.
Can PCVs change nutrition behaviors
by using these ENA resources?
Thank you
41
ThankYou
​Acknowledgements:
SECTION HEADER
​For more information,contact Agnès Guyon
​agnes_guyon@jsi.com

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Promoting nutrition through the Peace Corps and JSI

  • 1. Promoting Nutrition Through the Peace Corps:Training Materials for Staff andVolunteers ​Sonia Derenoncourt,Peace Corps Dir. of the Office for Overseas Programming &Training Support Agnès Guyon,Senior Child Health & Nutrition Advisor,JSI ​View from the Field:Discussion with Peace Corps staff Question &Answer Wrap up
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  • 16. Implementing the Essential NutritionActions APeace Corps-WAFSP-JSI -SPRING Collaboration. Agnes Guyon, MD, MPH Senior Child Health & Nutrition Advisor John Snow, Inc. 28th April 2015 WAFSP- WestAfrica FoodSecurity & Nutrition Partnership SPRING- Strengthening Partnership Results Innovations in Nutrition Globally
  • 18. Essential NutritionActions • Life cycle approach • Based on small do-able actions • Delivers the right services & messages to the right person at the right time • Operational framework for reducing “missed opportunities” across sectors
  • 19. DELIVERY Delay cord clamping,early & exclusivebreastfeeding, iron/folicacid,diet PREGNANCY Diet, iron/folicacid,de- worming, anti-malarial, iodized salt,calcium, vit A, preparation for breastfeeding POSTNATAL AND FAMILY PLANNING Support to breastfeeding,diet, iron/folicacid,FP-LAM WELL CHILD AND GMP Monitorgrowth,assess and counsel on child feeding, iodized salt SICK CHILD counsel on infant feeding,assess and treat for anemia,check and complete vit A, de-worming IMMUNIZATION Support to infant and youngchild feeding, vit A, de-worming, assess and treat infant’sanemia NutritionSpecificWithintheHealthSector Useexisting healthcontactsandcommunity platforms Increasetheirperformance
  • 20. Schools Keep girls at school Children & Adolescent De-worming Iron supplementation Agriculture Food diversification Food security Homestead Food Production Nutrition sensitive crops Essential Hygiene Actions Hand-washing Clean water & sanitation Publichealth education Nutrition Sensitive Across Sectors Useexisting contactstoextend nutrition coverage Community Nutrition CommunityWorkers across sector Micro-credit Women’s farmers clubs Income Generating Projects Mass media TV Radio Local broadcasting Pre-service Education Doctors, Nurses, Midwives, Teachers, agriculture Enviroment Clean environment, indoor air pollution Non-smoking Health Immunization (Measles) Delay first pregnancyand Birth Spacing
  • 21. For all PC staff and Volunteers regardless of their sectors Provide a reference and an orientation on the minimum nutrition and hygiene knowledge
  • 22. For PC staff, PCV and Counterparts Provide a practical training guide adapted to community groups
  • 23. For PC Staff, health and nutrition PCV Provide additional information on nutrition and hygiene, enhance counseling and negotiation techniques, and community groups facilitation
  • 25. The Essential Nutrition Actions PC interventions inWest Africa
  • 26. Background FTF/WAFSP gave opportunity to support nutrition activities in West Africa
  • 27. Staff and PCVs trained on ENA  TOT organized,with the technical support of SPRING for 5 countries: Benin, Senegal, Sierra Leone, The Gambia & Guinea  Training material adapted  Material translated into 3 local languages in the Gambia.
  • 28. Access to material…  More structure to PCVs activities  Clear messages  Facilitate local counterpart training  More commitment of PCV for Nutrition activities.
  • 29. Commitment to Scale Up Nutrition  WAFSP continues supporting in- country trainings on ENA  Peace Corps is clearly committed to support nutritional education initiatives (OPATS, PCD)  Opportunities to scale up intervention
  • 32. 1 Day Training Participants:  4 PCV’s, 4 Counterparts  1 Staff Member 3 Sessions:  Nutrition through life cycle  Behavior Change  Nutrition Counseling
  • 33. Post -Adaptation  Translation to Spanish/ Pictures context based
  • 36.  ENA promotion one of the three key areas of our project framework  During Pre Service Training (nutrition technical information + 3 negotiation practices)  During Nutrition Summit that aims to gather Volunteers in order to share ENA promotion best practices, but also to reinforce their knowledge on the subject  During optional training open to non health volunteers  PCVs use ENA materials at site to reinforce their work partners’ ability to negotiate How we use ENA materials
  • 37.  The materials are very useful  PCVs rely on the technical information in the ENA booklet to answer nutrition questions communities members and co- workers ask them. They feel more confident  With the ENA materials, PCVs now have adequate tools to support their nutritional education sessions, especially in communities where there are few schooled people  They can equip health workers with the materials to support nutritional counseling How has the materials changed the way in which PCVs work with communities?
  • 38.  The booklet of key ENA messages with illustrationsis very practicaland useful. PCVs love it!  The fact that negotiation steps are modeled as GALIDRAA is very helpful during training. It is a good tip to make trainees remember the steps  The video modeling negotiation steps is also a very strong materialwe use during training Importance of ENA materials
  • 39.  The materialsare very useful and there are stories of PCVs having helped mothers improve feeding practicesfor their children with impacton the child’snutritional status  For a sustainable impact,we encourage PCVs to involve their counterparts,especially to overcome language barriers.  Changing nutrition behaviors is not easy and needs perseverance on the part of PCVs and their counterparts. Can PCVs change nutrition behaviors by using these ENA resources?
  • 41. 41 ThankYou ​Acknowledgements: SECTION HEADER ​For more information,contact Agnès Guyon ​agnes_guyon@jsi.com