Manchay Momma Aimee, Alexandra, Karlee. Introduction Child (‹5 years) underweight, stunting,...
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Transcript of Manchay Momma Aimee, Alexandra, Karlee. Introduction Child (‹5 years) underweight, stunting,...
Manchay Momma
Aimee, Alexandra, Karlee
Introduction
Child (‹5 years) underweight, stunting, wasting, overweight
Stunting levels highest
IntroductionChronic malnutrition in children under 5
IntroductionMalnutrition by region, children under 5
Introduction: Justification Malnutrition and stunting: decreased
nutritional status starting at 3 months & continuing to 2 years (37.4% normal at 1-2 years) Cusco Nutritional Status Study
Giving educational messages followed by exposure gave better message retention in caregivers and adoption of practice Trujillo successful nutrition education
Our Family Areli
1 year 7 mo Mayra
25 years old Live with close
family
Timeline Visit 1-
24- hour recall Observation
Visit 2- Intervention
Visit 3- Follow-up
Objectives Increase overall nutritional status Physical and cognitive growth and
development Affect on future
Pregnancy Career Life
Diagnosis of Practices, Perceptions, and Knowledge 24-hour recall
Wide variety Lots of animal products
Eggs, chicken, liver Solid Foods
Beans, lentils, rice, vegetables, fruits Milk
Formula- 5 times a day Frequency of meals and snacks
Diagnosis of Practices, Perceptions, and Knowledge Interview and Observations
Drinking lots of milk Likes to eat Independent- Grapes! Aware of hunger and satiety
Asks for food Limited hygiene
No hand washing Patient and Responsive Feeding
Mom was attentive
Analysis Objective
Solid food meal Consistency Infants and young children
are capable of showing evidence of adequate self regulation
Liquid carbohydrates generally produce less satiety than solid forms
Expectations: Continue normal and healthy growth
Intervention Methods
Materials Pictures, Table, Soup, Puree
Process Demonstration Talking with Mother
Facilitators Food is already made Child is hungry More nutrients
Barriers Extra work More food
Motivating Factors Sleeping through the night More nutrients, sustained healthy growth
Results Message Received
Well Wanted to Try
Recommendation Understood the
Message Repeated
message to us and husband
Results of Follow-Up Recommendation
Mother was able to make evening s-meal Was not difficult Understood benefits
Baby slept through the night Baby wanted food pictured in educational material
Continue YES!!
Tell the Neighbors Thicker consistency food makes the baby full and
provides more nutrients Feed with care, no shouting
Behavior Change Reflection
Successfull Mom was intellegent
and willing
Recommendations Improvements
Give card with date and time of next visit More dynamic/interactive materials
How it could be better Materials for our now educated mother to
give to neighbors Community education meeting to reach
more caregivers
Reflections PATIENCE! It won´t go right all the time Practicality of recommendations Understanding cultural aspects Awareness of body and spoken
language Active listening skills Sensitive to beliefs Relating to different populations
Bibliography WHO Graphs: http://
apps.who.int/nutrition/landscape/report.aspx?iso=PER&rid=161&template=nutrition&goButton=Go
INEI Graphs http://www.inei.gob.pe/ Wolff, M., & Perez, L. (1985). Nutritional status of children in the health district of
cusco, peru. American Journal of Clinical Nutrition, 42(3), 531-541. Accessed at: http://ajcn.nutrition.org.proxybz.lib.montana.edu/content/42/3/531.full.pdf html
Robert, R., Gittelsohn, J., Creed-Kanashiro, H., et al (2006). Process evaluation determines the pathway of success for a healt center-delivered, nutrition education intervention for infants in Trujillo, Peru. American Society of Nutrition, vol. 136, no. 3, p. 634-341. Accessed at: http://tinyurl.com/pp3fbbm
An Pan and Frank B. Hu (2011) Effects of carbohydrates on satiety: differences between liquid and solid food. Curr Op Clin Nutr Metabol Care 4: 385–90. Accessed at: http://link.springer.com.proxybz.lib.montana.edu/article/10.1007%2Fs11690-012-0302-4
Birch, L., Deysher, M. (1986). Caloric compensation and sensory specific satiety: evidence for self regulation of food intake by young children. Appetite, vol. 7, p. 323-331. Accessed at: http://tinyurl.com/p24hnsd
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