Presentation for BCC workshop October 19, 2016 - Bangladesh BCC Working Group

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Presentation for BCC workshop October 19, 2016 - Bangladesh BCC Working Group
Presentation for BCC workshop

October 19, 2016
Presentation for BCC workshop October 19, 2016 - Bangladesh BCC Working Group
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

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Presentation for BCC workshop October 19, 2016 - Bangladesh BCC Working Group
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.

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Presentation for BCC workshop October 19, 2016 - Bangladesh BCC Working Group
Project area

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Presentation for BCC workshop October 19, 2016 - Bangladesh BCC Working Group
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)
Presentation for BCC workshop October 19, 2016 - Bangladesh BCC Working Group
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
Presentation for BCC workshop October 19, 2016 - Bangladesh BCC Working Group
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

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Presentation for BCC workshop October 19, 2016 - Bangladesh BCC Working Group
Three-pronged approach

                         Homestead   Smart
  Food Purchase          Gardening   Cooking

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Presentation for BCC workshop October 19, 2016 - Bangladesh BCC Working Group
Channels

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Presentation for BCC workshop October 19, 2016 - Bangladesh BCC Working Group
Materials and some core characteristics

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Making it easy: Look at the stars!

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Demonstrations and takeaway materials

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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%

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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

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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

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Benefit of SMART cooking

                                                        61%

                    30%                 31%

          Protect from diseases      Get vitamin   To get nutrition

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Theater
                                       What did you Learn from Drama
           80%
                        75%
           70%

           60%

           50%                                          47%
                                              43%                       41%
           40%

           30%
                                                                  24%
           20%
                                     14%
           10%

             0%

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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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