Food Security & Nutrition Network Social & Behavioral Change Task Force Meeting #2 February 18, 2011

Change and Performance on CS Indicators There is no dataset with performance on MYAP indicators of all Food Security orgs (pending). There is no dataset with performance on MYAP indicators of all Food Security orgs (pending). In the meantime, can examine RapidCATCH indicator performance by all child survival projects. In the meantime, can examine RapidCATCH indicator performance by all child survival projects. Many R.C. indicators are behavioral, others are involve care seeking (so BC required), one is an impact indicator, and two are knowledge indicators. Many R.C. indicators are behavioral, others are involve care seeking (so BC required), one is an impact indicator, and two are knowledge indicators. Compared performance index on RapidCATCH indicators of 58 projects ending between 2003 and 2009, and nine projects (most from the same period, but one from 2010) using Care Groups. Compared performance index on RapidCATCH indicators of 58 projects ending between 2003 and 2009, and nine projects (most from the same period, but one from 2010) using Care Groups. A Care Group is a group of volunteer, community-based health educators who regularly meet together with NGO project staff for training and supervision. A Care Group is a group of volunteer, community-based health educators who regularly meet together with NGO project staff for training and supervision. Each of these volunteers then go out at least monthly to do health promotion with a small cohort of mothers of young children. Different from typical “mothers groups” in that each volunteer is responsible for regularly visiting of her neighbors, sharing what she has learned and facilitating behavior change at the household level. Each of these volunteers then go out at least monthly to do health promotion with a small cohort of mothers of young children. Different from typical “mothers groups” in that each volunteer is responsible for regularly visiting of her neighbors, sharing what she has learned and facilitating behavior change at the household level.

RapidCATCH Indicators 1. Underwt: % of children 0-23m who are underweight. (WAZ<-2) 2. Birth Spacing: % of children 0-23m who were born at least 24m after the previous surviving child. 3. Skilled Birth Attendance: % of mothers of children 0-23m whose births were attended by skilled prersonnel. 4. TT2: % of mothers of children 0-23m who received second dose of tetanus toxoide prior to birth of their young child. 5. EBF: % of children 0-5m who were exclusively breastfed in last 24 hours. 6. Comp. Feeding: 6. Comp. Feeding: Percentage of children age 6-9m who received breast milk and complementary foods during the last 24 hours 7. Full Vaccination: 7. Full Vaccination: % of children age 12-23m who are fully vaccinated before the first birthday Measles: Percentage of children age 12-23m who received a measles vaccine ITN: % of children 0-23m who slept under an ITN (in malaria risk areas) the previous night Danger signs (knowledge): % of mothers of children 0-23m who know at least two signs of childhood illness that indicate the need for treatment IncFluids/Feeding: % of sick children age 0-23m who received increased fluids and continued feeding during an illness in the past two weeks AIDS knowledge: % of mothers with children 0-23m who cite at least two known ways of reducing the risk of HIV infection HWWS: % of mothers with children 0-23m who report that they wash their hands with soap/ash [4 correct times]

All CSHGP Projects: Indicator Gap Closure Gap closure range ~25 – 45% … projects achieve % of what is possible. (Avg. = 37%)

Indicator Gap Closure: Care Group Projects vs. CSHGP Average Gap closure range for Care Group projects: ~35 – 70% (Avg = 57%)

Indicator Gap Closure: Care Group Projects vs. CSHGP Average vs. Best Performing Underwt Projects