Training Schedule DAY ONE 8:30–9:30 Why Are We Here? 1 9:30–10:30 Adolescent Girls and Women’s Nutrition during Pregnancy, and the Importance of Micronutrients 2 10:30–12:30 Breastfeeding Practices from Up To Six Months 3 Lunch 12:30–13:30 13:30- 14:00 Using Pictures to Discuss Practices 4 13:30–15:30 Negotiation with Mothers, Fathers, Grandmothers, or Other Caregivers: Women’s Nutrition and Breastfeeding Practices 5 15:30–16:45 Complementary Feeding Practices, and Feeding a Sick Child (Part 1) 6 DAY TWO 8:30–10:00 Complementary Feeding Practices, and Feeding a Sick Child (Part 2) 6 10:30–11:00 Essential Hygiene Actions 7 11:00-12:45 Screening for Malnutrition and Referring a Child Who Is Malnourished 8 Lunch 12:45–13:45 13:45–16:00 Negotiation with Mothers, Fathers, Grandmothers, or Other Caregivers: Complementary Feeding and the Sick Child 9 16:00–16:45 Gender Roles 10 DAY THREE 8:30–11:30 Field Practice 11 11:30–12:15 Homestead Food Production and Nutrition 12 12:15–13:15 13:15–15:15 Community Support Groups 13 15:15-16:45 Implementation and Action Plans 14 TIME
Note For Facilitator #3: Implementing the ENA and EHA to Prevent Undernutrition Adolescent Schools Community-wide events Adolescent nutrition Micronutrient supplementation and treatment WASH Woman Discussion groups Community Support Groups Care groups Family planning Woman’s nutrition Micronutrient supplementation and treatment WASH
Pregnant Woman Antenatal and postnatal care Family planning Community support Groups Care Groups One meal per day Micronutrient supplements/treatment (or protein-energy supplements for undernourished mothers) Discuss the following: Importance of skin-to-skin with newborn Good positioning and attachment Early initiation of breastfeeding (give colostrum) Exclusive breastfeeding from birth up to 6 months (avoid other liquids and food, even water) Breastfeeding on demand – up to 12 times day and night WASH Newborn Delivery Place baby skin-to-skin with mother Good positioning and attachment Early initiation of breastfeeding (give colostrum, avoid water and other liquids) Lactating mother Postnatal care Family planning Community support Groups Care Groups Two extra meals per day Micronutrient supplements/treatment Vitamin A supplementation (from birth to 6 weeks according to national protocol) WASH Session 2: Adolescent Girls and Women’s Nutrition During Pregnancy, and the Importance of Micronutrients Learning Objectives At the end of the session, participants will be able to: Describe the malnutrition life cycle. Explain key practices and messages relating to woman’s nutrition. Negotiate with women to improve key practices for their nutrition. Describe the importance of iron–folic acid supplementation for women and adolescents, deworming, and using iodized salt.
Did the counsellor GREET the mother/caregiver ASK and LISTEN to mother/caregiver Ask mother or caregiver: age Checking child’s growth curve (if GMP exists in area) Checking recent child illness Breastfeeding (with mother): Assess the current breastfeeding practice Check for breastfeeding difficulties Observe a breastfeed Fluids: Assess fluid’ intake Foods: Assess ‘other food’ intake Active Feeding: Ask about whether the child receives assistance when eating Hygiene: on hygiene related to feeding Did the counsellor? IDENTIFY any feeding difficulty Prioritize difficulties (if there is more than one) Record prioritized difficulty: _____________________________________ Discuss, Recommend Did the counsellor?
Divide participants into pairs. Ask participants to practice negotiation sessions (four to six mothers per team). Divide the tasks for each team as follows: One participant negotiates with a mother while other participants observe, using the negotiation observation checklist (see Document #55, Observation Checklist for Support Groups, above). Then participants provide feedback. Reverse roles until each team has negotiated with four to six mothers. When all the teams have had a chance to practice negotiation skills, review feedback in plenary. In plenary, have each team present the strong points and points to be improved. Summarize key points and reinforce important ones. Activity 3: Experience Sharing (45 minutes) Divide participants into three groups. Have each group describe its community work. Discuss the strong points, problems encountered, and solutions undertaken to solve those problems. For each unsolved problem, ask group members to suggest potential appropriate solutions. The goal is for group members to see how to improve their way of working, choose which activities to maintain, and decide on optimal next steps. Closing Present and summarize group thoughts and highlights. Set a date for the next meeting. Session 14: Implementation and Action Learning Objectives At the end of the session, participants will be able to: Review the various activities where the community workers can work to improve the health of women and children; also consider the places and occasions where they can do this.