Presentation for BCC workshop October 19, 2016 - Bangladesh BCC Working Group
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Background Working in Bangladesh since 1978, Helen Keller International (HKI) has successfully designed, implemented, monitored and evaluated more than 40 community-based health and nutrition Since 1990, Helen Keller International (HKI) has provided technical assistance to both government partners and a large number of local NGOs across Bangladesh, building capacity in areas such as small-scale agriculture, vitamin A supplementation, nutrition education, and nutrition and food security surveillance, as well as generating evidence in these technical areas Develop SBCC strategy to make and maintain a behavior change Example: Nobo Jibon, ANF4W 2
Affordable Nutritious Foods For Women (ANF4W) Project goal and component • Overall Goal “to increase the local supply and demand of affordable nutritious foods presently lacking in markets around the world.” • Component 2: Explore innovative approaches to improve the nutrition of women of reproductive age through nutrient sensitive agricultural practices and micronutrient-enhanced agricultural inputs in Bangladesh. 3
Target Group •50-250 dec. own arable land for field crops • Farm experience(priority rice farmer •Willing to join the program and participate fully in training activities and meetings •Have space for a homestead garden and female household member interested in developing a garden •Both husband & wife are participated from same family. •2000 women participants and 2000 men participants from same family-both husband and wife (Extension and Pilot phase)
Activity Establishing home Coordination and Training garden linkages Nutrition awareness campaign Establishing Provision of inputs • Targeted 50,000 demonstration plots peoples Develop of training Provision of voucher manuals
Methods and tools of communications delivery •Interpersonal Communication –Courtyard sessions •Food value/healthy plate card game •Smart cooking demonstration •Counseling –Village Theater –Field visits –Homestead visits •Mass Media/Distributed Materials –Billboards –Food plate poster –Crop calendar and food group booklet –Smart cooking stickers 7
Making it easy: Look at the stars! 19 Pag Footer
Demonstrations and takeaway materials 19 Pag Footer
Results from home garden monitoring
Amount produced of different varieties by household in past 2 months 90 76.4 80 vegetable production (in kg) 70 60 50 38.5 40 30 15.3 20 11.5 10 0 Dark green Orange and red Legumes Others leafy flesh roots and vegetables tubers
Vegetables from own production - % consumed vs sold 80 70 60 50 Percentage 40 30 20 10 0 Pilot -2015 Pilot-2016 Extension-2016 consume sold
Income from home garden in past 2 months before interview 1400 1177 1200 Mean income (in Taka) 1000 898 800 761 600 400 200 0 Pilot-2015 Pilot -2016 Extension-2016
Intra-household decision making on income 50 45 Percentage of households 40 35 30 25 20 15 10 5 0 Self (Group Husband Wife & Husband & Other member) husband wife Pilot-2015 Pilot -2016 Extension -2016
Results from home garden monitoring
Women Dietary Diversity Score Mean dietary diversity score (WDDS - 9 food group) 6 5 4 3 5.6 4.6 2 3.6 3.6 1 0 Baseline Midline . Baseline Midline Control . Treatment
Changes in food groups consumed Change in the proportion of women who ate a food of the listed type 70% 58% 60% 49% 50% 45% 40% 30% 27% 26% 19% 20% 21% 20% 17% 13% 11% 6% 9% 10% -1% 0% -10% 0% -10% Legume* Dairy Organ Eggs* Flesh DGLV* Vitamin A Other fruits -20% and vegetables Control Treatment
Nutrition campaign
Food card game Learning from food card game 90% 82% 80% Need to consume from four 70% groups 60% Have to eat local and seasonal fruits once a day 50% 40% 37% What are nutritious foods 30% 27% Grow and buy more star marked 20% foods because they are more 12% nutritous 10% 0% 19 October 2016 Page 22 Footer
Cont. How do you get star foods 100% 93% 90% 80% 70% 60% 50% 42% 40% 30% 22% 20% 10% 0% From market Neighbour Get it from our homegarden 19 October 2016 Page 23 Footer
Learning through SMART cooking demonstrations 80% 72% 70% 62% 63% 61% 59% 60% 50% 40% 30% 20% 10% 0% Wash hands, Wash vegetables Cut vegetables in Cook food in Keep the lid on cooking utensils before cutting large pieces to medium heat to retain with soap to retain nutrition nutrtion protect from diseases 19 October 2016 Page 24 Footer
Benefit of SMART cooking 61% 30% 31% Protect from diseases Get vitamin To get nutrition 19 October 2016 Page 25 Footer
Theater What did you Learn from Drama 80% 75% 70% 60% 50% 47% 43% 41% 40% 30% 24% 20% 14% 10% 0% 19 October 2016 Page 26 Footer
ACHIVEMENT Nutrition awareness campaign Community theater show at pilot phase –conducted 66 shows in 66 spots, reached 45230 people including female, male, adolescent and children. Conducted 240 SMART cooking session and reached 4148 non- beneficiaries(female) at pilot area Played food card games (find your best meal) with 220 session and reached 9057 non beneficiaries-female Placed 20 Billboards at community clinic, bazar and middle of the village with 3 specific messages
Quote: •“Now we are eating vegetables two times a day, and there are some left over to sell,” says Hafiza. I am saving the money I make to buy a rickshaw van.” •“Not only did we learn about SMART cooking, but we are also being smart now in our daily lives.” – Nomita •“Now at least one meal having together. My Husband were present in the session of nutrition that give us a positive result.
use of nutrition campaign materials 29
Cont.
CONT.
THANK YOU. “Although the world is full of suffering, it is also full of overcoming it.” -Helen Keller
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