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
2Affordable 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.
3Target 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
manualsMethods 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
7Making 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 tubersVegetables from own production - % consumed vs sold
80
70
60
50
Percentage
40
30
20
10
0
Pilot -2015 Pilot-2016 Extension-2016
consume soldIncome 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-2016Intra-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 -2016Results 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 . TreatmentChanges 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 TreatmentNutrition 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 FooterCont.
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 FooterLearning 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 FooterBenefit of SMART cooking
61%
30% 31%
Protect from diseases Get vitamin To get nutrition
19 October 2016 Page 25 FooterTheater
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 FooterACHIVEMENT 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
29Cont.
CONT.
THANK YOU. “Although the world is full of suffering, it is also full of overcoming it.” -Helen Keller
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