Language: Nepali

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How to Use a Complementary Feeding Wheel during Counseling

The USAID-funded Suaahara ‘Good Nutrition’ Project’s Bhanchhin Aama (“Mother says”) campaign comprehensively integrates nutrition, sanitation, agriculture and health services promotion to improve health outcomes. The program focuses on families within the 1000 days from pregnancy till the child is two years old.

The Bhanchhin Aama Campaign developed a complementary feeding wheel for front line workers to use when discussing age specific complementary food during home visits to 1000 days mothers. This short video explains how to use the complementary feeding wheel.

Source: USAID

Date of Publication: March 25, 2019

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Key Behavior Poster

Suaahara was a five year (2011-2016) project funded by USAID aimed to improve the nutritional status of women and children in 41 districts of Nepal. The project focused on improving health and nutrition behaviors at the household level through promotion of Essential Nutrition and Hygiene Actions (EN/HA), particularly Maternal, Infant and Young Child Nutrition (MIYCN), and addressing other determinants of under-nutrition, such as availability of and access to food, hygiene, quality of health care, child spacing and socio-cultural factors including gender and marginalization.

Suaahara was implemented by a consortium of partner organizations led by Save the Children.

The SBCC strategy established an internal quality materials review and production system to ensure that all partners in the consortium had mutually reinforcing, quality materials developed, pretested, produced and disseminated to the end user.

In the year 2014, Suaahara developed this Key Behaviors Poster emphasizes on 7 key messages that Suaahara is promoting as below:

  1. Extra Meal for Pregnant and Lactating Women
  2. Complementary Food
  3. Hand washing with soap water before feeding a baby
  4. How to keep baby away from dirt and save from sickness
  5. Sick Child Feeding
  6. Birth spacing
  7. Give ORS with Zink Tablet when child has diarrhea

The poster was developed, produced and disseminated in Suaahara implementing districts through local NGO partners. The main objective to develop this poster to make District Team/LNGOs/Field Supervisors aware about the key behavior that Suaahara is promoting and all Suaahara Team will be able to say the key practices. The Posters were distributed through regular meetings in each implementing districts.

The poster was also massively distributed among the household belongs to 1000 days mothers, communities, health facilities to promote and spread key messages. At the same time it is also aimed to raise the awareness level among the target groups for their realization and implementation in their practical life.

Source: Johns Hopkins Bloomberg School of Public Health/ Center for Communication Programs

Date of Publication: March 25, 2019

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More Saath-Saath Project (Nepal) Resources

Love Garden Board Game

Saath-Saath Project (SSP), (2011-2016) funded by United States Agency for International Development (USAID) provided HIV prevention, care, support and treatment services along with family planning (FP) services, referral and gender-based violence (GBV) prevention and mitigation services through its outreach activities and expanded integrated health services (EIHS) sites. The project worked in partnership with Government of Nepal (GoN), Ministry of Health through National Centre for AIDS and STD Control, Family Health Division, Logistic Management Division, National Health Training Centre, and National Health Education Information and Communication Centre.

SSP’s goal was to reduce the transmission and impact of HIV and AIDS and improve reproductive health among selected key affected populations (KAPs).

The Love Garden (“Maya Ko Bagaicha”) Board Game was developed to encourage initiate discussion among FSWs and clients of FSWs who think that their regular partner is faithful and therefore do not see any risk in having sex without a condom. This game also is a discussion-starter about how HIV and STI can be transmitted by having multiple partners.

Source: FHI 360

Date of Publication: March 25, 2019

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Maternal, Infant and Young Child Nutrition (MIYCN) Training / Facilitation Guide

Suaahara was a five year (2011-2016) project funded by USAID aimed to improve the nutritional status of women and children in 41 districts of Nepal. The project focused on improving health and nutrition behaviors at the household level through promotion of Essential Nutrition and Hygiene Actions (EN/HA), particularly Maternal, Infant and Young Child Nutrition (MIYCN), and addressing other determinants of under-nutrition, such as availability of and access to food, hygiene, quality of health care, child spacing and socio-cultural factors including gender and marginalization.

Suaahara was implemented by a consortium of partner organizations led by Save the Children.

The SBCC strategy established an internal quality materials review and production system to ensure that all partners in the consortium had mutually reinforcing, quality materials developed, pretested, produced and disseminated to the end user.

Suaahara developed this 6-day training or Facilitator’s Guidebook on Behavior Change Communication (BCC) to improve Maternal, Infant and Young Child Nutrition. It is also intended as a refresher and an aid in increasing the skill of female health community volunteers (FCHVs) through basic theory, micro level teaching and hands-on practice in a community-based Essential Nutrition and Hygiene Actions (ENA/EHA) Behaviour change Communication (BCC) approach. Inclued in the curriculum are sessions on nutrition, SBCC, breastfeeding, complementary feeding, sick child feeding, growht monitoring, nutrition during emergencies, and essential hygiene.

Source: Johns Hopkins Bloomberg School of Public Health/ Center for Communication Programs

Date of Publication: March 25, 2019

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MCHW Job Aid on ‘How to Manage Third Stage Labor” and “a Guideline”

The Nepal Family Health Program (NFHP-I) was a six-year (2002-2007) bilateral activity of United States Agency for International Development, Nepal (USAID/N) with the Government of Nepal. Its overall goal was to support the Government’s long-term goal of reducing fertility and under-five mortality within the context of the National Health Policy and Second Long-Term Health Plan 1997-2017.

Under the Safe Motherhood Program activity of NFHP, JHU/CCP team provided assistance to National Health Training Center (NHTC) in developing a MCHW job aide on ‘How to manage the third stage labor’ which was pilot tested in 26 districts through key stakeholders. Based on the finding, it was further revised, a guideline was also developed on how to use the job aide effectively and disseminated to the Refresher trained MCHWs to support their utilization of the job aid for active management of third stage labor. The job aid was integrated by National Health Training Center (NHTC) into the refresher training for MCHWs.

Source: Johns Hopkins Bloomberg School of Public Health/ Center for Communication Programs

Date of Publication: March 25, 2019

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Nepal IPCC Modules Comic Book

In order to increase the skills of health workers, and encourage them to apply the ABIBADAN-based counseling approach consistently and effectively. HC3 conducted a 3-day workshop to design supplementary IPCC modules using a scenario-based approach, that HWs can use in a self-learning environment to improve their counseling knowledge, skills and practice. Workshop participants developed the basic contents and scenarios for the supplementary-learning modules. With these supporting documents, HC3 developed and designed paper-based and mobile based application for family planning counseling.

The main five modules are as follows:

  1. Post-partum Family Planning with the objective for FP counselor to consider postpartum family planning a priority for clients starting at 45 days after delivery, demonstrate improved listening and questioning skills with postpartum client, refer EPI and ANC clients to Family Planning providers for counseling, and know what methods are appropriate for PPFP and when to give them.
  2. Client Choice with the objective for FP counselor to have knowledge of the basic steps to Family Planning counseling (ABHIBADAN and DMT), demonstrate improved listening skill with client, have an attitude that it is important to facilitate client choice for FP methods, increased knowledge and skills to facilitate client informed choice on FP method, and reduced provider bias based on parity
  3. Dealing with Side Effects with the objective for FP counselor to have knowledge of how to counsel for side effects before they get a method and if they are having a side effect, knowledge of how to manage side effects, demonstrate improved listening skill with client, and increase empathetic attitude towards clients dealing with side effects
  4. Clearing Misconceptions with the objective for FP counselor to deal the client for informed choice of Method, demonstrate improved clearing misconception skill with client, develop trustful relation with client, increased knowledge and skills to facilitate client informed choice on FP method, and reduced provider misconception on method specific.
  5. Migrants and Emergency Contraception with the objective for FP counselor to have knowledge of how to effectively counsel migrants about family planning, health worker will provide services based on the client’s needs, and increase sensitive attitude towards helping migrants.

Source: Johns Hopkins University Center for Communication Programs

Date of Publication: March 25, 2019

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Nilocon- A Low-Dose Oral Female Contraceptive Pill

Nilocon was launched as a low-dose oral female contraceptive pill in 1983, and was subsequently re-launched as Nilocon White in 1997. It is available in nearly all pharmacies and has been marketed as a premium brand.

Combined pills contain two synthetic hormones – estrogen and progesterone, and are available in low-dose formulas. The two brands of low-dose combined pills available in Nepal are marketed by Nepal CRS Company under the brand names Sunaulo Gulaf and Nilocon White.

Source: Nepal CRS Company

Date of Publication: March 25, 2019

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Nutrition Counseling Poster

Suaahara was a five year (2011-2016) project funded by USAID aimed to improve the nutritional status of women and children in 41 districts of Nepal. The project focused on improving health and nutrition behaviors at the household level through promotion of Essential Nutrition and Hygiene Actions (EN/HA), particularly Maternal, Infant and Young Child Nutrition (MIYCN), and addressing other determinants of under-nutrition, such as availability of and access to food, hygiene, quality of health care, child spacing and socio-cultural factors including gender and marginalization.

Suaahara was implemented by a consortium of partner organizations led by Save the Children.

The SBCC strategy established an internal quality materials review and production system to ensure that all partners in the consortium had mutually reinforcing, quality materials developed, pretested, produced and disseminated to the end user.

The poster on counselling services on nutrition, hygiene, breastfeeding and care of child from the health service centers was developed and massively disseminated in all the health service centers, local NGOs, district offices and public places. This was also called a motivational poster as it was targeted for health facilities and to motivate health service providers to make them accountable in disseminating messages on nutrition for the health of women and children.

The idea of developing this wall poster for health service centers originated from field visits and meeting with service centers and service providers. It was found that counselling on nutrition was not a priority of health service providers. These motivational nutrition counseling posters were developed as a wall hanging with illustrations and are being developed to display in a public space of health service centers.

Source: Johns Hopkins Bloomberg School of Public Health/ Center for Communication Programs

Date of Publication: March 25, 2019

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Pictorial Book – Nutrition messages

Suaahara was a five year (2011-2016) project funded by USAID aimed to improve the nutritional status of women and children in 41 districts of Nepal. The project focused on improving health and nutrition behaviors at the household level through promotion of Essential Nutrition and Hygiene Actions (EN/HA), particularly Maternal, Infant and Young Child Nutrition (MIYCN), and addressing other determinants of under-nutrition, such as availability of and access to food, hygiene, quality of health care, child spacing and socio-cultural factors including gender and marginalization.

Suaahara was implemented by a consortium of partner organizations led by Save the Children.

The SBCC strategy established an internal quality materials review and production system to ensure that all partners in the consortium had mutually reinforcing, quality materials developed, pretested, produced and disseminated to the end user.

Suaahara developed this Pictorial Book reflecting nutrition messages indicated in the 6-days Maternal, Infant and Young Child Nutrition (MIYCN) training or Facilitator’s Guidebook on Behavior Change Communication (BCC) to improve Maternal, Infant and Young Child Nutrition. FCHVs through basic theory, micro level teaching and hands-on practice by training participants, this pictorial book was used as an supplementary and support material to apply the knowledge and skills to help mothers/caregivers optimally feed their infants and young children, and to care for their own nutritional needs.

Source: Johns Hopkins Bloomberg School of Public Health/ Center for Communication Programs

Date of Publication: March 25, 2019

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Radio Design Document Phase-III

After completion of Phase-II radio program, Phase-III radio design document workshop was organized in November 2014, and Phase-III design document serves as the roadmap for a workshop wherein writers, producers, implementers, monitors and evaluators clarified the objectives and messages for every episode of a 39-episode radio program focusing on nutrition, sanitation and agriculture issues.

The workshop was organized in the initiation of National Health Education, Information and Communication Center and attended by Design Team of around 60 representatives. Attendees included Social Mobilization and Communication Officers, PNGO Field Coordinators, Field Supervisors, Social Mobilizers, Audience Representatives –1000 days mothers, mother-in-law representatives, father-in-law representatives, FCHV representatives from Nuwakot, Rasuwa, Sankhuwasabha, Bhojpur, Gorkha, Myagdi, Baglung, Syangja, Lamjung, Rupandehi, Nawalparasi, Darchula, Bajhang, Dadeldhura, Achham and Baitadi districts. Other participants included representatives from the Suaahara Program members from WASH, AG, Nutrition, Health Services Promotion and GESI, members of production houses, professional script writers, and a government representative from Child Health Division, Family Health Division, Department of Water Supply & Sewerage/Environmental Sanitation and Disaster Management Section, Department of Agricultural, Department of Livestock Services, Ministry of Federal Affairs and Local Developments and external development partners.

During the workshop, it was decided that the radio programs would be developed in three languages to match the local contexts across the project districts.

Source: Johns Hopkins Bloomberg School of Public Health/ Center for Communication Programs

Date of Publication: March 25, 2019

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