DEVELOPMENT OF INTERPERSONAL HEALTH COMMUNICATION MEDIA AND ITS APPLICATION FOR COUNSELING ON MATERNAL, INFANT AND YOUNG CHILD NUTRITION

1. DEVELOPMENT OF INTERPERSONAL
HEALTH COMMUNICATION MEDIA AND
ITS APPLICATION FOR COUNSELING ON
MATERNAL, INFANT AND YOUNG CHILD
NUTRITION
PSD report submitted to fulfill the partial requirements of Masters in Public
Health (MPH) Third semester (Applied Health Communication, PSD 624)
Prepared by
Mohammad Aslam Shaiekh
Sarmila Baral
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2. Outlines of presentation
• Introduction
• Objective
• Methodology
• Developed media
• Activities
• Counselling
• Program output
• Conclusion and recommendations
• Skills developed
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3. INTRODUCTION
Background
• Nutrition education and counselling is a widely
used strategy to improve the nutritional status of
women during pregnancy.
• The period between conception and the age of
two years that, with good health and nutrition i.e.
MIYCN practices can mitigate the risks of
malnutrition that hamper a child’s long-term
physical and cognitive development .
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4. Intro contd…..
• Infant and young child feeding practices have a
direct effect on the nutritional status of under
two children which ultimately impact child
survival.(WHO 2015).
• The optimal feeding practices are poor with
complementary feeding practices among 6 to
23 months of age.(Basnet D, 2016).
• Good nutrition and dietary behaviors in
childhood are important to achieve full growth
potential and appropriate body composition, to
promote health and well-being,
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5. Problem statement
• According to NDHS 2016, nutritional status of
under 5 children
Stunting- 36%
Wasting- 10%
Underweight-27%
Low birth weight-24%
Overall, 53% of children are suffered from some
degree of anemia, 26% mildly anemic and less
than 1% severely anemic
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6. Problem contd…
• Only 66% of infants get exclusive breastfeeding
in the first six months of life.
• Only 47 per cent children aged 6-23 months are
receiving diversified diets and 36 per cent of
them receive a minimum acceptable diet.
• Four in ten women age 15-49 in Nepal are
anemic.
• The proportion of women (BMI less than 18.5,
which indicates under nutrition) is 17% and the
prevalence of anemia among pregnant women is
46%.
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7. Rationale
• The first 1,000 days from the start of a woman’s
pregnancy to a child’s second birthday offer an
extraordinary window of opportunity for preventing
undernutrition and its consequences.
• About 80% of mental development occurs within 2
years of age We need to target our actions to this
critical period, using widely accepted and evidence-
based interventions, including support for
breastfeeding, appropriate complementary foods for
infants over six months, and micronutrient
supplementation for women and children to address
deficiencies.
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8. Rationale contd..
• These investments in nutrition – particularly in
the earliest years of life – can yield dramatic
results for children, their families, and
communities.
• Among various professional skills of Health
promotion and education/ Public health
professionals, different media designing,
developing, producing, using and evaluating is
one of the most important competency/ skill.
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9. Objective
General objective:
To develop interpersonal health communication
media and apply for counseling on Maternal,
Infant and young child feeding (MIYCF) practice
Specific objectives:
• To develop interpersonal health communication
Media on Maternal, infant and young child
nutrition
• To conduct counseling on Maternal, infant and
young child nutrition with help of developed
media
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10. METHODOLOGY
Project method
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11. • Project Area
The study was conducted on Pokhara-30 Khudi
targeting Pregnant and mothers of under 2 year
children. Total 10 mothers were counselled.
• Date: Counselling done in 1st and 2nd August
2019
• Ethical consideration:
Approval was taken from subject teacher and
coordinator to conduct the program.
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12. ACTIVITIES
• At first group division was done and the major
types of communication was aligned to each
group .
• As one of the method of interpersonal health
communication counseling was selected.
Situation analysis was done and maternal and
child nutrition as one of the leading issue of
Nepal was chosen.
• Through various literatures and the activities of
nutritional organizations flip chart was chosen
and counselling done.
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13. Contents of flipchart
• Importance of nutrition
• Maternal nutrition
• Role of husband and family members in maternal nutrition
• Importance of breastfeeding
• Correct Positions and attachment for breastfeeding
• Complementary feeding, Active feeding
• Nutritious food preparation method
• Care of sick children
• Essential hygiene action
• Growth monitoring
• Farm to plate
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14. Counselling script
Counselling was done on the basis of developed
media.
Counseling by adopting GALIDRAA approach
• G-Greet
• A- Ask
• L- Listen
• I- Identify
• D- Discuss
• R- Recommend
• A- Agree
• A- Appointment
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31. Health Education Program
Implementation: Counselling
• Interpersonal health communication program on
Maternal, Infant and young child nutrition was
done among pregnant and mothers of under 2
year children in Khudi.
• Counselling was done through home visit and
was followed by GALIDRAA approach. We
greeted our respondents before starting the
interview and introduced ourselves to them
mentioning the purpose of our study
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32. • After seeking their permission, asked about
general background like month of pregnancy,
month of child, dietary pattern etc then we tried
to assess their knowledge and identify
behavioral factors related to nutrition.
• We listened calmly to their responses and tried
to identify the gap between practice and
necessity/requirement.
• Then discussed about importance of nutrition for
pregnant, lactating and children’s breastfeeding
(importance, attachment and positions), family’s
role for supporting maternal nutrition, family
planning, complementary feeding according to
age.
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33. Counselling cont…
• Similarly interaction made on how to make
nutritious foods at home, essential hygiene
action etc.
• Two way interactive session was held with help
of using developed flip chart on MIYCN. Similarly
information was provide on next visit for
immunizing their child.
• At last we thanked them for their valuable time
and information, and also expressed best
wishes for healthy mother and healthy baby.
Total 10 mothers were counselled on two days.
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34. Program Output
• Total 10 mothers were counselled on MIYCN
practices.
• Mothers were well informed about importance of
nutrition for both children and mother.
• Family members seemed happy to knowing their
roles and committed to do
• Mothers showed the appropriate breastfeeding
positions and attachment
• Mothers were able to explain the children’s
complementary food behaviors according to age.
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35. Output contd…
• Mothers were motivated and committed to make
nutritious foods at home like porridge, super
flour etc.
• Mothers were able to describe essential hygiene
actions
• Mother and care giver were able to explain
importance of growth monitoring.
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36. Program Evaluation
• At the end of the counselling session, questions
were asked to mothers to assure their knowledge
enhancement. Correct answer and explanation
were praised. Some mother took photos of
flipchart to study again later.
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37. CONCLUSION
• PSD is good for skill development. Many
professional as well as non-professionals skills
were developed like literature searching
strategies, development of detail framework of
program, designing, developing, producing, using
and judging of health communication material/
media and also provided counselling using
developed media. The language and pictures
used in flipchart was understandable
.Counselling provided on MIYCN was taken
beneficial by clients to improve and maintain
nutritional status of both the mother and
children.
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38. Recommendations
• Community based nutrition programs should be
strengthened
• Regular organization of mother’s group meeting
in presence of health worker
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39. Details of skills development
• Group work skill was developed.
• Coordination skill was developed while
coordinating with local community people.
• Ability to select the appropriate messages and
media for appropriate group.
• Ability to develop, design the material i.e
flipchart
• Developed counselling skills about MIYCN
following GALLIDRA approach
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40. REFERENCES
• DoHS. Nepal Demographic Health Survey, Ministry of Health and Population,
Kathmandu, 2016.
• Bhandari, T.R., 2013. Nutritional Status of Under Five Year Children and Factors
Associated in Kapilvastu District, Nepal. J. Nutr. Health Food Sci. 1.
https://doi.org/10.15226/jnhfs.2013.00106
• Dewey, K.G., 2016. Reducing stunting by improving maternal, infant and young child
nutrition in regions such as South Asia: evidence, challenges and opportunities.
Matern. Child. Nutr. 12, 27–38. https://doi.org/10.1111/mcn.12282
• Gautam, K.P., Adhikari, M., Khatri, R.B., Devkota, M.D., 2016. Determinants of infant and
young child feeding practices in Rupandehi, Nepal. BMC Res. Notes 9, 135.
https://doi.org/10.1186/s13104-016-1956-z
• Singh,A.,Klemm, R, Mundy, G., Pandey Rana, P., Pun, B., & Cunningham, K. (2018).
Improving maternal, infant and young child nutrition in Nepal via peer mobilization.
Public Health Nutrition, 21(4),796-806.doi:10.1017/1368980017002993
• NPC, & CBS. (2013). Nepal thematic report on food security and nutrition 2013.
Kathmandu, Nepal: National Planning Commission (NPC) and Central Bureau of
Statistics (CBS).
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41. Photos
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44. THANK YOU
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