Qualitative Process Evaluation of an Agricultural Livelihood Project in Bangladesh: Multi-Sectoral Nutrition Programming Through Implementation Science

Objectives We conducted a process evaluation to examine the perceptions of program implementers, community leaders, and beneficiaries to assess the intervention's acceptability and to document how multisectoral agricultural livelihood interventions were implemented. Methods Interventions were implemented from March 2019 to March 2020 in 30 unions of three Bangladeshi districts. Delivered by community partners, interventions aimed to improve health and nutrition service utilization, social and behavior change regarding infant and young child feeding (IYCF), and homestead food production (through community farmers or private sector agro-input retailers) among poor mothers of under-two children. Leveraging the RE-AIM framework, we evaluated implementation through in-depth interviews with service providers (n = 13), focus group discussions with beneficiaries (8 sessions), and process documentation (12 events). Results Most service providers, community leaders, and beneficiaries expressed satisfaction with interventions and a desire to continue participation. Beneficiaries especially appreciated the health and nutrition education provided through different formats, including mothers' group meetings, voice messages, home visits, counseling at health facilities, and education on food production by community farmers or retailers. Additionally, beneficiaries described increased health knowledge and highly valued material benefits offered through vegetable seeds and poultry rearing inputs. Beneficiaries appreciated retailers' support to grow vegetables and raise chickens and awareness efforts on the importance of good nutrition and IYCF practices. However, findings suggested community farmers offered more interpersonal support than retailers. Service providers noted the importance of sustained community engagement. Conclusions Findings suggest that tested interventions combining food production with health and nutrition education are a viable, acceptable approach to promoting improved IYCF practices. Existing community-based organizations can reach vulnerable households with multisectoral nutrition approaches. Funding Sources United States Agency for International Development (USAID).

Stimulation Of Children Growth As A Result Of Tsunami Impact South Sunda Pandeglang Banten

The cause of malnutrition is not only caused by lack of food intake but also because of infection. Another factor that is estimated to influence nutritional status is parenting. This study aims to find out the effect of mother class programs and child preschool toward mother's knowledge, parenting, children's nutritional intake, and children nutritional status. The hypothesis of this study is the intervention of the mother class program and pre-school plays better than the intervention of the mother class only or toward the mother's knowledge and nutritional status of the child. The chosen sample was children aged 2-6 years the inclusion and exclusion criterias. This study uses a quasi-experimental design. The sample was divided into 3 groups, mother group class, pre-school and mother and child play class. The results showed 73.3% of female research subjects, an average age of 55.84 months, 13.3% diarrhea, 2.2% ARI, 66.7%, coughs, 86.7% colds/flu, and 55.6% of children were permissively care. At the end of the treatment an in body weight increase, height of the child, the greatest nutritional status occurred in pre- school. At the end of the treatment the intake of nutrients in energy, protein, the fast is greatest fast is pre school group for the greatest intake of carbohydrates in the maternal class group. Health and nutrition education needs to be carried out on an ongoing basis to maintain the spirit of the mother to carry out health care for children and other families. It is necessary to find a form of playing patterns that can make a child enthusiasm for learning.

Pembelajaran Bilingual English for Health Berbasis Bahasa Ibu Bagi Guru PAUD Kota Semarang

Implementation of Community Service is carried out in the form of training activities, workshops and field assistance which is divided into four stages in a systematic and continuous manner. In phase I, material will be delivered which includes: (1) Social and Emotional Health; (2) Nutrition and Fitness; (3) Safety, first Aid, and Injury Prevention; and (4) Disease Prevention and Control, (5) Techniques for preparing lesson plans on bilingual learning in health and nutrition education for early childhood that can be applied during the teaching and learning process for approximately 30 minutes, at least once a week. Phase II is training in preparing RPP about bullying. Phase III is Peer Teaching Practice and Phase IV is the Discussion and Self-reflection stage. The main aim of this Community Service is that PAUD teachers and staff can implement and implement bilingual learning programs in health and nutrition education in their respective schools so that PAUD teachers and staff can provide healthy living choices while also teaching children to make healthy life choices for them. . The methods used in the implementation of this program include training, lectures, questions and answers, and discussions, teaching practices and worksheets that are the output of participants from this training.