1. USAID’s Improving Nutrition through Community based Approaches (INCA) Activity. Report for 25th Bangladesh BCC Working Group Meeting Date: 10 September 2018
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
To improve the nutritional status of women and children in selected undernourished and rural areas of Bhola, Lakshmipur and Noakhali districts.
INCA Objectives
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. Targeted beneficiaries
1000’ day Households
Pregnant Women
Lactating Mother, and
Children under 2 years
Husband/father/ in-laws
Adolescents girls
Members of Community Nutrition Support Group of Community Clinic
Health and Nutrition Service Providers of Community based Health Facilities
Local Service Providers (LSP):
SBA, Village Doctor, Agriculture & Livestock Service Providers, Teachers, Village leaders etc.

6. Key interventions: Infant and young child feeding (IYCF)
Maternal nutrition
Adolescent nutrition
Promotion of handwashing
Strengthening community based health facility
Community nutrition support group (CNSG)
Women information center (WIC)

7. Counselling on IYCF with PW& LM 167,862 HH and community level
SBCC activities
# of active.
Total
part.
venue
Input
Output
Modality-partnershipcoordina.
Counselling on IYCF with PW& LM
167,862
HH and community level
Individual and family counselling
Informed MIYCN
Self
Session with mothers groups
13,234
185,276 Do
Courtyard
Session
Session with fathers groups
4,331
43,310
Session with mother-in-laws group
4,845
58,140
Session with adolescents girls group
2,554
20,432
Informed nutrition personal hygiene

8. SBCC activities # of active. Total part. venue Input Output Modality
Food plate distribution to PM
11,627
Household level
Food Plate received by Pregnant mothers
Informed balanced food and food diversity and practicing
Shared with partners
Nutrition Calendar distribution
13,903 Do
Calendar
Aware maternal nutrition DO
Billboard established, installation 40
Strategic location at Community level
Bill board
Mass awareness on IYCF
Involved local administration
National Nutrition Week celebration
1,525
25,637
Community, sub-district, district and national level
Events
Mass awareness on basic nutrition
Jointly celebrated

9. Distribution of SBCC materials

10. Use of SBCC materials at community level

11. Some photographs of SBCC activities

12. Results
Increased willingness to know about nutrition among the mothers and other household members.
Increased knowledge and practices of nutrition related behavior among pregnant and lactating mothers.
Engagement of husband and mother in laws of pregnant mother has been increased in care of pregnant mother
Increased demand for nutrition services at community based health facility.
Govt. Front line health workers oriented on nutrition and started counselling on maternal and infant child nutrition using SBCC materials.
CNSG Work Plan help to identify problems on health and nutrition of the community.

13. Lesson Learned
Nutrition calendar for pregnant women has engaged pregnant women and family members to track, monitor and assist in positive nutritional practices at the household level.
Mobile video demonstration during counseling is an effective method for increasing awareness regarding nutrition and food.
Food bowl is a unique counseling and demonstration tool for complementary feeding among CNPs, CHCPs, FWVs and other community based health and nutrition service providers.
Community Nutrition Support Groups (CNSG) have been formed a space at Community Clinics to discuss matters concerning nutrition services as well as influencing CG, CSG and local health and nutrition authorities to ensure nutrition services at the community level.

14. Question, please. Thank You Thank You
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