Alive Thrive World Vision Operational Research on Timed and.ppt

* * * * * * * Alive ThriveWorld Vision Operations Research project on Timed and Targeted CounselingTOPS East Africa Knowledge Sharing Meeting Mesfin Beyero June 12, 2012 Addis Ababa Presentation outline: Program overview Core intervention Progress to-date Mid-term evaluation and lesson’s learnt Monitoring mechanisms The way forward Program overview Alive Thrive, launched with a grant from the Bill Melinda Gates Foundation, is an initiative to improve infant and young child feeding in Bangladesh, Ethiopia, and Viet Nam, reduce stunting and inform policies and programs around the world. Alive Thrive is managed by FHI 360 with consortium members including: BRAC, GMMB, International Food Policy Research Institute (IFPRI), Save the Children, University of California – Davis, and World Vision. Woreda (District) Kebele (sub-district) village HEW supervisors/PHCU HEWs Peer mothers Mothers, fathers, other caregivers household training super Timed and Targeted Counseling Program overview…cont’d 10 Counseling sessions Home visits training super Why Stunting! Reduced physical stature (short) Reduced cognitive development Delays in starting school (7 months) Losses of schooling (0.7 grades) Reductions in lifetime earnings Overall reduced economic productivity, wages, income Smaller babies, inter-generational transmission of malnutrition and poverty The core intervention: The core intervention for the community-based program is the ‘Timed and Targeted Counseling’ (TTC) approach. Peer Mothers are the primary counselors. The core intervention …cont’d: Why Peer Mothers (PMs)? IYCF counseling at the household level is very weak because Health Extension Workers (HEWs) are busy with the 16 packages of the health extension program, and other engagements, The PMs work to improve IYCF counseling at the household level focusing on the mother and other influential family members. The core intervention…cont’d: Events Opport