Download - Homestead Food Production: A Multi-Sectoral Intervention to Address Malnutrition (Januari 2015)
HOMESTEAD FOOD PRODUCTION: A MULTI-SECTORAL INTERVENTION TO ADDRESS MALNUTRITION
20January,2015
Framework for actions to achieve optimum fetal and child nutrition and development*
*2014 Black Maternal and child undernutrition and overweight in low‐income and middle‐income countries
Interventionsorprogramsthataddresstheunderlyingdeterminantsoffetalandchildnutritionanddevelopment(food,care,health)andincorporatespecificnutritiongoalsandactions.
Nutrition‐sensitiveprogramscanserveasdeliveryplatformsfornutrition‐specificinterventions,potentiallyincreasingtheirscale,coverageandeffectiveness.
Nutrition‐sensitive Interventions and Programs*
*2013 Lancet
Conceptual framework of the relationship between household food production strategies and health and nutrition outcomes
Participation in household
food production interventions
Agricultural inputs
Gender‐sensitive agriculture training
Nutrition education
Increased production
of nutrient‐rich foods
Nutrient‐rich foods consumed
by household
Increased consumption of nutrient‐rich foods by women and children
Improved intake of
macro‐ and micro‐
nutrients by women and children
Improved maternal and child nutritional status
Nutrient‐rich foods sold
Increased household income
Increased spending on health
Increased spending
on nutritious foods
Improved utilization of vitamins
and minerals
Improved maternal and child health
outcomes
2012 Webb‐Girard: The effects of household food production strategies on the health and nutrition outcomes of women and young children.
Characteristics of HKI’s HFP program model
Utilizes existing community structures and systems to establish Demonstration Farms (DFs) who received agriculture support and nutrition education; Integrates home gardening with small animal husbandry, poultry/fowl production and fish farming; Promotes year round access of indigenous micronutrient‐rich crops and animal source foods, many of which are already being produced by households; and Improves on local farming practices to extent possible.
Program Model Cascade
HKI
Local NGOs
Gov’t
CommLeaders Others
Head
Members
Demonstration Farm
Intervention inputs:
• Input support: seeds, seedlings and saplings, poultry (local breeds) or/and support for poultry sheds, poultry vaccines, fish cultivars, horticultural inputs, animal fodder, and gardening tools like water cane and pipes
• Training in Essential Agriculture Techniques including animal husbandry at different levels – extension agents from NGOs, community health volunteers, village and subdistrictgovernment
• Training in Essential Nutrition Actions and behavior change at different levels – health staff from NGOs and government offices, health volunteers, and targeted women
• Establish of links for marketing & resource access• Important: Input support shouldn’t be 100% free of cost
Agriculture Training
Agriculture• Year‐roundvegetableandfruitproduction;
• Seed,seedlingandsaplingproduction;
• Integratedpestmanagement;• Organicfertilizerandpesticides;and• Smallscaleirrigation
Nutrition Training
Nutrition• TheImportanceofDietaryDiversity;• Undernutrition anditsCauses;• TheImportanceofMicronutrients;• HygienePractices;and• InfantandYoungChildFeedingPractices.
Animal Husbandry Training
• ChickenRearing;• ChickenCoopConstruction;• Chickenfeeding;• Chickenvaccination;and• Catfishrearing.
Nutrition Education
• Basedonformativeresearch;• Nutritiontrainingprovidedtohealthworkers,kaders,agricultureandanimalhusbandryextensionworkers,andreligiousleaders;
• UsesIECmaterialssuchasfoodcards,healthpracticegameboards,andarecipebook;
• Cookingdemonstrations;and• Nutritioneducationduringreligiousmeetings.
• Households continue with their garden activities once the program support has ended;
• Income earned from selling garden produce was even higher than during project participation;
• Consumption patterns were still more diverse in comparison with a control group; and
An independent evaluation showed that the HFP is sustainable*:
*Source: Bushamuka, V. N. et. al. FNB 2005
Target Phase1(2012) Phase2(2013‐2015)
Total
Households (HH) 1,601 2,400 4,001
DemonstrationFarms (DF)
80 120 200
Current exposuretime
21months(Feb13‐Dec 14)
10 months(Mar‐Dec14)
Planned exposuretime
31months(Feb13‐Sept 15)
18months(Mar14‐Sept15)
Villages 74
Sub‐districts 17
• Improve the food security and nutrition conditions among vulnerable households in Timor Tengah Selatan (TTS) district, East Tenggara Timur (NTT) Province in eastern Indonesia.
• Promote and facilitate improved household food security and nutrition through Homestead Food Production (HFP).
• Improve the capacity of households to produce year‐round micronutrient rich foods (fruits, vegetables, small animals (e.g. chickens, eggs) for their own consumption.
• Improve the nutritional practices and behaviours of those households.
HKI’s Project Goals
Source: 2012 Baseline survey, 3 rounds of LQAS survey
Change in Food Consumption Scores from baseline after 18 months of implementation
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Poor Borderline Acceptable
2012 (Dec)2013 (Sep)2014 (Jan)2014 (Jul)
Comparison between the Ministry of Agriculture’s Sustainable Food Reserve Garden Model (Kawasan Rumah Pangan Lestari/KRPL) and HKI’s Homestead
Food Production Model
Component Ministry of Agriculture
HKI
Improving food security through utilization ofthe home garden
Yes Yes
Increasing food diversity Yes YesDemonstration farms as a source of inputs
Yes Yes
Group approach Yes, with 20 HHsper village
Yes, with 20 HHsper DF
Training Yes YesFocus Income Generation Nutrition and
Income Generation
“Life has to be changed!”
“HKI [Helen Keller International], through its Homestead Food Production program in our village, has improved my family’s life because we now plant organic vegetables and raise poultry as well as catfish in our yard. Production of those vegetables, chicken and catfish is so good that I can sell some to the market and it has improved our economic condition while fulfilling the basic needs of my family…. I am sure the result of this activity will help me to provide enoughmoney to pay for my children’s school fees. I really hope that the government will continue supportingthis activity,”
• Vulnerable households can:• diversify their diet by increasing consumption of micronutrient‐rich foods, including poultry and fish
• generate income, also to be spent on foods • HFP has the potential to reduce micronutrient deficiencies;
• Considering its multiple benefits, HFP is an option to improve household food security, nutrition and livelihoods and contribute to achieving the MDGs.
In Summary
THANK YOU.“Alonewecandosolittle;togetherwecandosomuch.” ‐HelenKeller [email protected]