ENSURE Care Group Model

Transcription

1 ENSURE Care Group Model

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3 Goal Objectives ENSURE Goal & Objectives Food security of communities and households in Manicaland & Masvingo Provinces improved by 2018 Nutrition among WCBA & children under 5 years improved Household income increased Resilience to food insecurity of communities improved Gender 3

4 Prevalence of Stunting Very high /critical Acceptable level CU5 Stunting (%) Buhera Chimanimani Chipinge Bikita Chivi Zaka National Figure Current Nat. Source - National Nutrition Survey

5 Nutrition Objective and Activities Nutrition among women of reproductive age and children under 5 years improved Improve Dietary Intake among women of reproductive age and children 6 23 months Reduce diseases (diarrhoea) BSFP for PLW and Children 6 23 months. Each beneficiary gets 3kg CSB and 900g cooking oil Promote good maternal and IYCF behaviours Promote good WASH behaviours 5

6 ENSURE Care Group Model The Structure District ENSURE Staff and MOHCC Supervisors of CG Activities at Ward level - non project staff Promoters at village level non project staff Health Facility Staff - Nurse/EHT VHW Care Groups (CGL) Male Advocates Each CGL 10 HH (PW & mothers <24 months) Men s Fora (10 15 men)

7 ENSURE Behaviours

8 Care Group Approach Vehicle for behaviour Change Promotion Care Groups consist of up to 10 community volunteers Care Group Leaders Each CGLs support about 10 women in her neighborhood (Care Group Clients - CGCs) to resolve barriers and adopt behaviours being promoted CG activities mainly involve monthly meetings & home visits Monthly schedule with H&N behaviour and gender topic HH handbook to help discuss current practices, barriers and small doable action and record commitments Men s fora, male engagement component of ENSURE Adult men are drawn from HH participating in Care Groups

9 Dialogue Counselling Process - Group Meetings & Home Visit CGL TRAINING MEETING CGC Meeting HOME VISIT OBJECTIVES OBJECTIVES GREETING GAME OR SONG GAME OR SONG CHECKING IN ATTENDANCE AND ATTENDANCE AND ASK OTHERS TO JOIN TROUBLESHOOTING TROUBLESHOOTING STORYTELLING STORYTELLING STORYTELLING ASK ABOUT CURRENT PRACTICES ASK ABOUT CURRENT PRACTICES ASK ABOUT CURRENT PRACTICES DISCUSS BARRIERS AND ENABLERS DISCUSS BARRIERS AND ENABLERS DISCUSS BARRIERS AND ENABLERS NEGOTIATE BEHAVIORS NEGOTIATE BEHAVIORS NEGOTIATE BEHAVIORS SECURE A COMMITMENT as CGL ACTIVITY PRACTICE COACHING OF THE DCP SECURE A COMMITMENT (PERSONAL OR AS CGL) SECURE A COMMITMENT - as CGC ACTIVITY SHARE INDIVIDUAL COMMITMENT SECURE COMMITMENTS (MOTHER AND FAMILY) GIVE TECHNICAL INFORMATION IF AND WHEN NEEDED THANK FAMILY & OFFER PRAISE, REMIND THEM WHEN YOU WILL COME BACK

10 Indicator Outcome Monitoring Survey Results % beneficiary on Exclusive breast feed for the first 6 months % beneficiary children 6 23 months with minimum meal frequency Achievem ent 61% 50 FY 15 Target 49% 40%. % of beneficiary children 6 23 months fed from 4 food gps daily %of beneficiary mothers reporting receiving at least 3 of 5 targeted support 24% 45% %. 10

11 Indicator Outcome Monitoring Survey Results %of beneficiary women in union who make decisions over consumption of nutritious foods % of beneficiary HH with a hand washing facility with a cleansing agent and water at/by the latrine % beneficiary HH Storing drinking water in safe containers Achievement FY15 Target % Use an improved sanitation facility 55 40% % beneficiary women consuming ironrich foods 77% 40%. 11

12 % received support Gender Mainstreaming SO1 Figure: Proportion of Women Receiving Support for Key Activities 80.0% 70.0% 60.0% 67.5% 72.0% 63.1% 64.6% 50.0% 40.0% 30.0% 20.0% 10.0% 12.7% 0.0% Fetching firewood Fetching water Antenatal Care Activity Supported (ANC) Weeding in the crop fields Activities in vegetable gardens

13 Care Group Enhancers Barrier Analysis Complementary feeding recipes Foster strong linkages with other SO

14 CG Enhancers - Comp Feeding Recipes The energy & nutrient needs of children 6 23 months The energy and nutrient provided by BM The energy & nutrient gap to be filled by CF Recommended meal frequency Stomach size Seasonality of foods Nutrient and energy dense local foods Cultural acceptable taste, colour & texture Home measurements Shelf life testing of processed foods

15 Linkages with Other ENSURE Sections that Facilitate Adoption of Bahaviours A&L - Production of nutritious foods through producer groups and nutrition gardens A&L - Value chains legumes, small grains, goats and indigenous chickens A&L - educating farmers HH food stock retention A&L VSL proceeds to buy food and used proceeds to construct latrines A&L promotes labour saving technologies thus improving the health and nutrition of women and reducing time poverty

16 Linkages with Other ENSURE Sections that Facilitate Adoption of Bahaviours DRR helps in the identification of nutrition sensitive assets DRR - Food storage and preservation to ensure HH food availability throughout the year DRR promotes production of fruit trees contributing to improve intake of micronutrient

17 ENSURE Asante Sana