CPLAN is a children's nutrition program in Mozambique that teaches primary school children about nutrition and has them share what they learn with their families and communities. It is being piloted in 12 schools across 6 areas in Tsangano District. The program provides training to teachers and holds club meetings for children to learn about topics like balanced diets and growth monitoring. Initial results found the program is successfully being implemented in all schools and children are spreading nutrition messages. Future plans include expanding the program across Tete Province.

1. Children’s Participation in Learning & Action in Nutrition
CPLAN
Summary of the Programme to Date
June 2014

2. What is CPLAN?
CPLAN is a children’s rights-based approach* that develops
and strengthens primary-school-aged children´s knowledge,
skills and attitudes in nutrition and mobilises them to share
nutrition messages and practices with others in their family
and community.
UNCRC Article 6
Every child has the right to nutritious food
UNCRC Article 12
Every child must be free to say what they think in all matters affecting them
Background photo provided by CPLAN School Tsangano-Sede

3. CPLAN is funded by DANIDA…
…and technical assistance is provided by USAID
Donor Collaboration for CPLAN

4. CPLAN sits within the Tete Provincial Government
Education Programme…
…and is linked to the global ‘SUN’ movement…
Scaling Up Nutrition…a unique movement founded
on the principle that all people have a right to food
and good nutrition…

5. The SUN movement recognises…
• that chronic malnutrition – also
known as stunting - has
multiple causes…
• that it requires people and
programmes to work together
to put nutrition into all
development efforts, and
develop sustainable solutions
that work.

6. Some Global Nutrition facts…
• over 165 million children under 5 are stunted as a result of malnutrition
• 52 million children are too thin and require special treatment
• at the same time, 43 million children are overweight - some as a result of
poverty, when families are unable to afford a balanced, nutritious diet
• 2 billion people are deficient in key vitamins & minerals

7. Nutrition in Mozambique
• 44% of all children in Mozambique are
chronically malnourished.
• there is persistent high mortality of
infants and young children because of
malnutrition
• malnutrition reduces children’s
immunity and impairs physical and
cognitive development
• chronic under-nutrition between 0-2
years damages learning abilities
irreversibly

8. Tackling Malnutrition and ESAN II
The Government of
Mozambique has responded
to the high levels of
malnutrition in the country,
with a National Level Plan
called:
ESAN II
…the overall strategy for Food
& Nutrition security

9. ESAN II & PAMRDC
Photo by CPLAN
School, Njalanjila
Under ESAN II is the
PAMRDC
the multisectoral Plan for
Chronic Malnutrition
Reduction

10. Tete Province
Tete Province is one of
Mozambique’s 10 provinces and
the first province to develop a 5-
year multisectoral strategic plan
for chronic malnutrition reduction.

11. CPLAN & PAMRDC
CPLAN is one of the
strategies adopted by the
Tete province Education
Sector under the PAMRDC.
It was developed out of a
scoping study undertaken in
2011 to identify existing
resources and opportunities
in the system to build
children’s participation in
nutrition education.

12. CPLAN Design
Consulting with children at
Josina Machel Primary
school, Tete City, as part of
the CPLAN design process.

13. CPLAN Action Plan 2013
In November 2013, and as a
result of a participatory
planning process with the
Provincial SETSAN team and
government technicians
across all sectors, the CPLAN
Action Plan was born.

14. How CPLAN works
School Club at EP1
Mwanjete.
Photo by Mwanjete
1) Children from each grade at primary schools are elected to become
members of the School Club…

15. How CPLAN works
Photos by EPC
Tsangano-Sede (left)
and by EPC Chinvano
(right)
2) Teachers and community ‘mobilisers’ work with the children (every
other Saturday) on one nutrition topic…

16. The CPLAN topics are all linked to the
National Curriculum for Primary Schools
1. Balanced Diet
2. Micronutrients
3. Malnutrition
4. The Food We Eat
5. Preserving & Conserving Food
6. Cooking Food & Sharing Food Fairly
7. Feeding Babies 0-12 months
8. Growth Monitoring

17. School Club on Saturdays…
The School Club Members work on the
Nutrition topics with adults to guide them
using fun & active methods…
…and then share these activities with peers at
school
The existing School Club
Manual

18. Schools to Families & Communities
Photo by CPLAN School,
EP1 Mwanjete
All children from the school
share their learning and
activities with other children
and their families….

19. Tsangano District
Tsangano District, Tete Province,
Mozambique
Tsangano District was
identified as the district to
create, pilot and assess the
programme.
Tsangano has an interesting
story.
38% of children under 5 are
chronically malnourished -
but there is plenty of food.
Most people are farmers.

20. There is plenty of food in Tsangano!

21. Children for Health is providing technical
support to the programme…
UK-based charity Children for Health
is providing technical expertise to co-
create CPLAN materials, training and
monitoring strategies alongside a
team of Provincial and District
education and health technicians.

22. 12 schools from 6 ‘Zipps’ in Tsangano are
leading the CPLAN programme
EP1 Afutsa
EPC Caponda
EP1 Catabua
EPC Chinvano
EP1 Chitambe
EP1 Folotia
EP1 Kassowa
EP1 Mwanjete
EP1 Njalanjila
EP1 Nsanka
EP1 Tchere
EPC Tsangano-Sede

23. CPLAN – Phase I – January 2014
CPLAN began with two parallel training workshops for 60 participants
at the secondary school in Tsangano town:
1. An orientation for the School Directors at the 12 schools in CPLAN
and in planning skills
2. A practitioner training for teachers and community mobilisers
running the School Clubs on Saturdays
We were also joined by the Presidents of the School Councils, the
governing body of the school.

24. CPLAN – Phase I – Training
The training included an
overview of the Nutrition
problems in Tete province and
Tsangano District linked to
nutrition and the links between
CPLAN and the National
Strategy.
The rest of the practical
training focused on children’s
participation in health and
nutrition.

25. CPLAN – Phase I – Training
The training was
active and fun!

26. CPLAN – Phase I – Training
For three afternoons, 120 children
in Grades 4-7 attended the
workshop.
The practitioners worked with the
children to practice activities they
had learned, adapted and planned
during the morning sessions.

27. CPLAN – Phase I – Training – Children as Carers
At the training, we asked children
about their care-giving roles. Most
of them look after babies and
young children.
As always the adults were surprised
what the children know and how
much responsibility they already
have for their own and other
children’s nutrition.

28. CPLAN – Phase I – Training
The work with the children was the
highlight of the training.
It was the time when practitioners
understood what the programme is
really about.

29. CPLAN – Phase I – Training
After the work with children we
reflected on what activities worked
well and what needs to be changed
to make the programme stronger…
…we discussed how the programme
would be implemented between
February and April 2014…

30. A short film about Phase 1 of CPLAN can be viewed by
clicking the link here.
https://www.youtube.com/watch?v=Z5t95uDl18M&feature=youtu.be

31. CPLAN – Phase 1 - Implementation
The school club is formed and the children come together as a team…
Photo from EP1 Tchere

32. CPLAN – Phase 1 - Implementation
Sharing ideas on local foods...
Photo by EP1 Chitambe
Working on a food diary for the week…
Photo by EP1 Afutsa

33. CPLAN – Phase 1 - Implementation
Between February and April 2014, the 12 School Clubs implemented
sessions on 4 topics. The schools had cameras to help them record
their progress.
Fun at EPC Chinvano with the
Balanced Diet Message
The President of the School Council,
EP1 Afutsa, works with the children
on their food diaries.

34. CPLAN – Phase 1 - Implementation
The School Director introduces the school
club members to ZaZa and ZuZu’s cousins!
Photo by EPC Tsangano-Sede
School Club members from EP1 Njalanjila
show their Balanced Diet Poster

35. CPLAN – Phase 2 – Workshop – May 2014
During the May ‘School Pause’, we conducted a one-week workshop for
reflection and training for 48 participants:
• the 36 practitioners who were trained in January
plus
• the Pedagogical Directors from each of the 12 schools
As CPLAN is to become an
sustainable and integrated part of
the local curriculum in schools, the
Pedagogical Directors will play a
key role at the next phase to help
design this.

36. CPLAN – Phase 2 – Workshop – May 2014
We wanted participants to control the agenda so we used a flexible
timetable approach – moving elements of the workshop as the needs
arose. We made extra space for participants questions about Nutrition.
Examples of the
daily agenda which
we moved about all
the time to fit the
needs of
participants.

37. CPLAN – Phase 2 – Workshop – May 2014
At this training we:
…briefed the Pedagogical Directors in the basic ideas and methodology…
The Pedagogical
Directors meeting
with and reflecting
on the programme
and the workshop
with the Tsangano
District Director of
Education.

38. CPLAN – Phase 2 – Workshop – May 2014
At this training we:
…reflected on the progress to date with peers…

39. CPLAN – Phase 2 – Workshop – May 2014
At this training we:
…discussed, wrote up and then summarised school reports on progress
since January…

40. CPLAN – Phase 2 – Workshop – May 2014
At this training we:
…shared photos and discussed challenges with the photography (focus,
landscape, portrait, composition, using the guidelines and manuals)…

41. CPLAN – Phase 2 – Workshop – May 2014
At this training we:
…addressed and helped each other overcome challenges that have
arisen…

42. CPLAN – Phase 2 – Workshop – May 2014
At this training we:
…found solutions together so the barrier tape can be cut!...

43. CPLAN – Phase 2 – Workshop – May 2014
At this training we:
…collected ideas that will inform the revision and finalisation of CPLAN
materials for mobilisers and trainers…
Clare Hanbury, Director, Children
for Health with two teachers
from EP1 Afutsa and the external
community mobiliser. EP1 Afutsa
was the top performing school in
the provision of ideas for the
revision of the CPLAN Resource
Manual.

44. CPLAN – Phase 2 – Workshop – May 2014
At this training we:
…visited a CPLAN School and community to talk to parents and
community leaders…

45. CPLAN – Phase 2 – Workshop – May 2014
At this training we:
…used the expertise of our medical doctors and nutritionist facilitators -
to ensure participants felt confident about the nutrition content…

46. CPLAN – Phase 2 – Workshop – May 2014
At this training we:
…prepared and observed participants working with children on selected
activities…
An active method to conduct knowledge quizzes
where children vote for the answer they think is
correct by running and lining up behind the sign,
‘yes’, ‘no’ or ‘don’t know’
Clare Hanbury, Children for Health -
observing the development of a role play
on breastfeeding

47. CPLAN – Phase 2 – Workshop – May 2014
At this training we:
….prepared and observed participants working with children on selected
activities…
10 year old boys in a role play discussing
issues around breastfeeding (left) and
practicing the use of the Shakir strip a
diagnostic tool for detecting wasting in the
under 5’s (above)

48. CPLAN – Phase 2 – Workshop – May 2014
At this training we:
…consolidated monitoring approaches, support from the District and
strategies for Phase 2…
Problem-solving with colleagues (below) at
EP1 Afutsa Their School Director had been
transferred shortly after the January Training.
Colleagues (left) from the District Education Office
explaining their role as Monitors in Phase 2

49. CPLAN – Phase 2 – Workshop – May 2014
At this training we:
…collected photos from each School Club…

50. CPLAN – Phase 2 – Workshop – May 2014
At this training we:
…planned for a nutrition-themed week in July in each school…
Preparing to propose ideas for
nutrition week and nutrition day.
Using Post It notes to collect ideas for
nutrition activities ACROSS the curriculum
during a nutrition themed week in July.

51. CPLAN – Phase 2 – Workshop – May 2014
At this training we:
…planned for a Nutrition Celebration Day in Tsangano in August...

52. CPLAN – Phase 2 – Workshop – May 2014
At this training we:
…and distributed more basic stationary & materials to help the School
Clubs with Phase 2.

53. CPLAN – Phase 2 – Workshop – May 2014
Results from the reflections:
 the programme is going well although it is only 3 months ‘old’!
 every school is implementing the programme!
 every school has a school club and children are attending the club
regularly!
 children from every school are learning nutrition messages and some
children are spreading them in the school and out to the families and
communities!

54. CPLAN – Phase 2 – Workshop – May 2014
Results from the reflections:
 the CPLAN materials are too lengthy and each session needs to be
simplified.
 teachers need to find a time and a location for the club meetings that
best suit the needs of the members.
 teachers need to build a good rapport with community organisations
and explain better the purpose of the programme to families.
 families of school members can be encouraged to provided food and
utensils for the club to use to demonstrate new ways to cook and
combine food and to provide school club members with refreshment
at the sessions.

55. CPLAN – Phase 2 – Workshop – May 2014
Words from the practitioners:
“School children have expanded the messages, and 10 parents have thanked us
for the children’s learning about using individual dishes and hand washing.”
“Children have paint the foods and made a rainbow plate and played with ZaZa
and ZuZu’s cousins!”
“The children learned that every meal should not miss a bit of vegetables, fruit,
water and dishes should be individual.”
“The program has brought changes in my life and my family.”
“In communities children have changed the behaviour - families use individual
plates.”
“They families are trying do have a balanced diet.”

56. CPLAN – Phase 2 – Workshop – May 2014
Unexpected outcomes:
An unexpected outcome came in
the form of the interest and
enthusiasm of a local teacher
who also runs the Tsangano
Community Radio Station.
Lourenco joined the workshop and helped throughout with mobile
phones, photography and during the work with children identified
potential child journalists to help make and present a weekly radio
broadcast on nutrition. This is already underway!
The Community Radio reaches over 200,000 people in Tsangano.

57. CPLAN – Phase 2 – Debriefing & Planning
In Tete with colleagues
from DPS and from
MASC
In Maputo with
colleagues from
the Embassy

58. CPLAN – Next Steps: May- October 2014
 To develop a ‘Basic’ CPLAN Curriculum that can be rolled out in every district
in Tete Province between June - December 2014
 To develop the CPLAN Basic Training Programme
 To finalize CPLAN interventions in Education PAMRDC Program for 2015
 To revise the CPLAN Resource Manual and Training Guide (full programme)
 To conduct provincial field monitoring in June
 To prepare for the Nutrition Week in July and Nutrition Day in August
 To ensure district level monitoring is proceeding and using SMS to support this

59. CPLAN – Plans: November 2014 - May 2015
 To conduct Action Research using the PLA approach (Participatory Learning in
Action) (November)
 To conduct a TOT and set up a Tete City CPLAN demonstration school (January
2015)
 To conduct a two part training to scale the programme in Tsangano and Magoe
(January & May)
 To make a film of the programme (May)
 To set up a mobile monitoring and nudge messaging system

60. CPLAN – Programme Objectives 2014
 Specific Objective 1: To train a cohort of people who have the knowledge,
skills, attitudes and confidence to mobilize all children in the schools to
participate in effective learning and action in nutrition activities at school and
in the community.
 Specific Objective 2: To train a cohort of master trainers who have the
knowledge, skills, attitudes and confidence to train School Directors, teachers
and school health activists to achieve Specific Objective 1.
 Specific Objective 3: To strengthen the engagement of representatives of
children/adolescents in the school council to work together with other
members in self-assessment, development, implementation and monitoring of
nutrition education activities.
 Specific Objective 4: To strengthen local curriculum with knowledge, messages,
practices and other content developed with children.
 Specific Objective 5: To ensure close monitoring and supervision of the
programme implementation.

61. Children’s Participation in Learning & Action in Nutrition
CPLAN
June 2014