Care Groups Forward Interest Group Meeting May 5, 2016 1
Welcome! Co-Facilitators: Mary DeCoster and Cindy Pfitzenmaier Goodall Introductions: • Name, organization, position • What have you been working on related to Care Groups lately?
Agenda • Sibida and Augustus from IMC will present on Men Are Partners , SNAP program, Sierra Leone * • Bonnie Kittle, consultant, will lead an activity on promoting behavior change with fathers and husbands • Mary DeCoster will share about a soon to be available new tool: Care Groups Essentials: A Reference Guide for Practitioners • Updates and Announcements? * The SNAP program is a USAID-funded Multi-Year Assistance Food Security Program in Sierra Leone led by ACDI/VOCA with sub-recipients International Medical Corps and Opportunities Industrialization Center International.
MEN ARE PARTNERS (MAPs) IN SUSTAINABLE NUTRITION AND AGRICULTURE PROMOTION (SNAP) PROGRAM IN SIERRA LEONE Presented by: Sibida George, SO1 Team Leader Augustus Davies, MAPs Program Manager
SNAP Program Goal Reduce food insecurity and increase resiliency among vulnerable rural populations in target districts SO2 Enhance SO1 livelihoods for Reduce vulnerable chronic people malnutrition especially SO1/SO2 Integration among children women and under two years youth
SNAP Operational Areas SNAP operates in Bombali, Koinadugu, Kailahun, and Tonkolili Districts - (18 Chiefdoms)
MAPs OBJECTIVES • Complement the efforts of Lead Mother’s in the SBCC initiatives to scale up community health and nutrition efforts and improve on sexual reproductive health in their communities. • Formalize the role of men with a defined curriculum in the care group approach used in the SNAP program.
MAPs STRUCTURE DISTRICT LEAD FATHER NUMBER OF FATHER CARE GROUPS LEAD CARE FATHERS UNIT MEMBERS BOMBALI 22 110 1650 KAILAHUN 23 115 1725 KOINADUGU 45 225 3375 TONKOLILI 33 165 2475 TOTAL 123 615 9225
DS Father DS care unit
MAPs APPROACH Formal curriculum/Four modules 1. Early Initiation of BF within 1 hour after delivery and Exclusive breastfeeding 0-6 months. 2. Complementary Feeding. 3. Essential Hygiene actions 4. Family Planning
KEY BEHAVIORS (What men can do) • Husbands tell the clinic staff that he wants his baby to be put to the breast within an hour of delivery and that nothing else should be given to the infant. • Husbands ensure that their wives go to the clinic within the first three days after delivery, and within 6 – 8 weeks of delivery to get Vitamin A capsules.
Husband accompanying wife to PHU for delivery
Husband carrying baby as they go to a periodic market
KEY BEHAVIORS (What men can do) • Husband tell his family members that he wants his wife to take time off from chores so she can breast feed. • Fathers ensure food ingredients (rice powder/corn flour/fish powder/sesame powder, beans powder, fruits etc.) are available for complementary feeding of the baby. • Fathers help prepare complementary food and feed the baby.
Husband playing with baby as wife washes clothes
KEY BEHAVIORS (What men can do) • Fathers construct hand washing station and make sure it is always functional and should ensure hand washing every time. • Husbands use modern contraceptive methods to space birth for a minimum of three years period. • Husbands remind their wives to attend at least four ANC visits during pregnancy.
Husband carrying baby as wife washes her hands using tippy tap in the HH.
MAPs ACTIVITIES • Training of lead father care group sessions on modules (Biweekly) • Father care group sessions (once a month) • Joint Lead father and Lead mother sessions (Monthly) • Household visits ( Bi weekly)
Lead Father meeting with District Supervisor
Joint Lead Father and Lead Mother meeting
MAPs ACTIVITIES cont… • Community awareness raising : (mosques, churches, community radios, market days, traditional naming and wedding ceremonies). • Lead Father’s follow-up visit at the Primary Health Units • Family planning and counseling visits
MAPs M&E TOOL & PROCESSES • Lead father outreach data collection tool (pictorial and user friendly) • Lead Fathers collect data on a bi-weekly basis and submit to the District Supervisor at the end of the month. • LF DS District M&E National M&E
MAPs PROCESS INDICATORS Number of husbands: • accompanying their wives for delivery at the PHUs • Households visited with pregnant women. • accompanying their wives after delivery. • accompanying their wives to PHU for family planning counseling. • accompanying their wives for ANC. • observed doing household chores whilst the wife breastfeeds. • observed that are engaged in the preparation of complementary feeding and observed feeding child. • households with complete tippy-taps (tippy tap, water, soap etc)
LESSONS LEARNT • Men’s formal involvement in SNAP SBCC has contributed in expanding the targets and thus coverage of SNAP intervention. • Men are key stakeholders in the improvement of health and nutrition status of women and children and therefore must be included in the program design and implementation for increased impact. .
NEXT STEPS POST SNAP • Certification of all LFs for completion of modules and engaging in LFs activities • Handover list of LFs to the Directorate of Food and Nutrition /MOHs for inclusion in the national mother support group initiative. Trained LFs in these location will serve as volunteers in promoting health and nutrition efforts. MOHs working on the national policy for community volunteers.
THANK YOU FOR ALL! YOUR AT
New draft tool! Coming soon! Care Group Essentials: A Reference Guide for Practitioners • This guide is meant to serve as a companion to the Care Group Training Manual; • This guide may also be useful for program evaluators, as a means to assess the extent to which Care Groups were implemented in accordance with the evidence-based model; and their potential contribution to program outcomes. • About 20 pages long
Sample from the reference guide The Care Group Volunteer job description includes the following responsibilities: Meets with her neighbor women at least once per month to promote behavior change Visits each neighbor woman at home once per month (according to the need and the relevance of the behavior) to negotiate behavior change Monitors and reports vital events that have occurred in the community, such as births, deaths and severe illness Mobilizes neighbor women to participate in community activities that will benefit their families, such as immunization campaigns, food distribution or latrine construction Attends Care Group meetings facilitated by the Promoter and reports the number of neighbor women she reached Reports problems that cannot be solved at the household level to local leadership, and request support and collaboration from the Promoter Models the health, nutrition and sanitation behaviors she teaches neighbor women
Updates & Announcements CORE Group Spring Meeting in • Portland, May 16 pre-conference ½ day session -- Social and Behavior Change Approaches during the Transition from Relief to Development : Workshop , Bonnie Kittle We now have an actual listserv: • caregroupsforward@lists.foodsecu ritynetwork.org
THANK YOU! Thanks for your participation in Care Groups Forward! Please let us know if you have suggestions for future presentations for Care Groups Forward
The TOPS Program was made possible by the generous support of the American people through the United States Agency for International Development (USAID) Office of Food for Peace. The contents of this presentation do not necessarily reflect the views of USAID or the United States Government.
Recommend
More recommend
