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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