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

2. 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

3. 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

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

5. 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

6. 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.

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

8. 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

9. 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

10. 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

11. 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

12. 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

13. 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

14. 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

15. Feature of the newly developed SBCC materials:

16. Feature of the newly developed SBCC materials:

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

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

19. 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

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

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

22. 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

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

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

25. 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

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

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

28. Question, please.
Thank You