USAID’s Improving Nutrition through Community based Approaches (INCA) Activity. Caritas Bangladesh

Basic information: Project title: Supported by: USAID’s Improving Nutrition through Community based Approaches (INCA) Activity Supported by: United States Agency for International Development (USAID) Implementing Organization: Lead organization: Caritas Bangladesh Partner organization: United Purpose (UP) Project duration: 3 years, from May 15, 2017 to May 14, 2020

Basic information cont.… INCA Goal The goal of the USAID’S INCA is to improve the nutritional status of women and children in selected undernourished and rural areas of Bhola, Lakshmipur and Noakhali districts. INCA Objectives The activity’s objective is to improve nutritional practices during the first thousand days of life. The objective will be achieved through two intermediate results in select Feed the Future rural areas: Improved knowledge of communities on proper nutritional requirements during the first thousand days of life Increased access to and use of health and nutrition services at community based health facilities

Working area: District Sub-district (Upazila) Bhola All sub-district Laxshipur 2, Ramgati & Kamalnagar Noakhali 2, Subarnachar & Hatiya

Result Framework Goal: Improved nutritional status of women and children in targeted vulnerable areas   Objective: Improved nutritional practices during the first thousand days of life   IR 1: Improved knowledge of communities on proper nutritional requirements during the first thousand days of life IR 2: Increased access to and use of health and nutrition services at targeted health facilities Sub IR 2.1: Increased coordination between community nutrition promoters and targeted health facilities Sub IR 1.1: Increased access to nutrition knowledge at community level Sub IR 2.2: Increased awareness of community about availability of health services at community level Sub IR 1.2: Increased dissemination of quality nutrition information from targeted health facilities Sub IR 1.3: Increased support to families through community nutrition support groups Sub IR 2.3: Increased capacity of health service providers and facilities in the community Cross-cutting issues Improved food security for the rural poor and reduced gender inequity

Targeted population ‘1000’ day Households Pregnant Women Lactating Mother, and Under 2 years Children Husband/father/laws Adolescent girls Community Nutrition Support Groups Service providers of Community based Health Facilities Local Service Providers (LSP): SBA, Village Doctors, Agriculture & Livestock Service Providers, Teachers, Social leaders, and Religious leaders etc.

Targeted Community Health Facilities Community Clinics : 309 UH&FWC : 87 Smiling Sun Clinics : 5

USAID’s INCA Partnership and Collaboration Community Based Health Care (CBHC), DGHS, MOHFW Institute of Public Health & Nutrition (IPHN), DGHS, MOHFW National Nutrition Services (NNS), DGHS, MOHFW MCRAH, MCH Service, DGFP, MOHFW USAID’s all partners in Bangladesh Alive & Thrive Health & Nutrition Services provider (GoB & NGOs) Signed MOU with NNS, IPHN and CBHC and taken approval from DGFP

Expected Improved nutrition practices Food and Food behavior Care practices Health Improved dietary practices during pregnancy Proper rest and care during pregnancy Regular and at least 4 antenatal visits during pregnancy Early initiation of breastfeeding, colostrum feeding and no pre-lacteal feeding Capacity building of health service providers in the Community Immunizations and micronutrient supplementation during pregnancy Exclusive Breast Feeding Proper care of infant and young children Birth at a health facility and/or conducted by skilled personnel Timely introduction of complementary food Hand washing Immunizations and required micronutrient supplementations for children Age specific minimum adequate diet according to WHO standards Safe food preparation and storage Timely treatment of diseases and de-worming Family Planning services and utilization

Key intervention: Infant and Young Child Feeding (IYCF) Maternal nutrition Adolescent nutrition Hygiene Homestead gardening, poultry rearing and aquaculture promotion, Cooking Demonstration Strengthening Community based Health Facility Promote Facility based Health and Nutrition Services Referral

Key Activities: 1000 days HH registration Individual Counseling Community level/Household level Community based health facility level 1000 days HH registration Individual Counseling Group Counseling Courtyard session Promoting low cost hand washing Referral to Health Facility Promoting homestead gardening, poultry rearing, aquaculture Orient frontline worker of community based health facility Assisting to register pregnant mother to the health facility Assisting to conduct group counseling to mothers on IYCF and maternal nutrition Assisting to conduct GMP to Children Assist to data entry, record keeping and documentation Collect service delivery data from Health Facility by Project staffs

Key Activities (cont….): Community Support Group General Activity Formation of Community Nutrition Support Group (CNSG) Orient Community Nutrition Support group on Nutrition CNSG member to facilitate courtyard session Referral by CNSG member Follow up facility based nutrition service by CNSG Conduct Community based Nutrition day with the help of CNSG member and Health facility staff Jointly observe World Heath Day and Global Breastfeeding Week organized by GoB. Assist GoB Health Facility during EPI, NID, VAC and De-worming Campaign. Participate at local health Coordination meeting organized at community, Upazila and district level. Participate at CSG Meeting 1. SBCC materials and manuals develop, adopt and print 2.Real time monitoring through mobile based Apps, and Dashboard 3. Joint monitoring by CB & DGHS (NNS/IPHN, and CBHC, local health authorities) 4. Collaboration, networking

Adopted SBCC Materials and manuals Adopted following manuals and SBCC materials from GoB: Community based Nutrition Worker Training Manual Upazila and Union level Training Manual on IYCF Flip-chart Job Aid Food plate

Developed SBCC Materials Developed following SBCC materials which are under process of approval from IEC technical committee, MoHFW. Nutrition Calendar for pregnant women Ludu game for Adolescent girls Food Bowl for Children Bill-board

Feature of the newly developed SBCC materials:

Feature of the newly developed SBCC materials:

Some photographs of the project activity: Project inception workshop meeting at national level

Some photographs of the project activity cont. Project inception workshop at district level

MoU Signing Ceremony between NNS, IPHN and USAID’s INCA, Caritas Some photographs of the project activity cont. MoU Signing Ceremony between NNS, IPHN and USAID’s INCA, Caritas

Basic Training on Nutrition Some photographs of the project activity cont. Basic Training on Nutrition ToT on Nutrition

Some photographs of the project activity cont. Finalization workshop on draft SBCC materials developed by USAID’s INCA

TOT on CNSG, supported and facilitated by: NNS,IPHN Some photographs of the project activity cont. TOT on CNSG, supported and facilitated by: NNS,IPHN

GoB front line health staff training on nutrition Some photographs of the project activity cont. GoB front line health staff training on nutrition

CNSG orientation on nutrition Some photographs of the project activity cont. CNSG orientation on nutrition

SBCC sessions using SBCC materials at the community level Some photographs of the project activity cont. SBCC sessions using SBCC materials at the community level

Some photographs of the project activity cont. Individual counseling with pregnant women Screening using MAUC tape

Some photographs of the project activity monitoring cont. Monitoring by NNS, IPHN Monitoring by OPHNE team, USAID

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