Training of Trainers Workshop: Positive Deviance and Hearth

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Covering food and water Health seeking: Birth spacing Completed regular immunization Immediate health care ‚Visit to Hearths Participants were divided into two groups and attended two separate Hearth sessions. I. Day 4 – 11 December 2003: HEARTH Today’s Agenda PDI feedback ‚Designing Hearth sessions ƒParticipatory Health education – opportunities throughout the Hearth for education „Debriefing from Hearth …Hearth Panel Q & A †Home visits ‡Repeat Hearth as needed (monitoring) ˆReview/evaluation Opening game – What are you doing my dear? Participants stand in a circle. The first to start does one thing yet says they are doing something else. The person next to them have to do what they said they were doing but they should say they are doing something different when their neighbor asks “what are you doing my dear?” How to discuss PDI findings with community – example from Counterpart India Puppet show with older woman and married woman talking about the home visits and the findings and suggesting the collective practice of these findings in the Hearth. ‚ Step 5. Designing the Hearth • Choose the site • Plan the menu • Determine the schedule Planning Hearth Menus: Hearth menu criteria: • 500-800 calories • 18-28 grams of protein • micronutrients • PD food • Extra fat/oil • Animal products if culturally acceptable and available Meal planning exercise: Create a Hearth meal, which meets these criteria and is small enough for a child 2-3 years old. Hint: stomach capacity is about 350g. 32
Refer to Attachment H for a copy of the Indian Food Composition Tables and results of a Market Survey (actual CPI/India project data). How to calculate calories and protein: 10 grams of rice Calories: In Indian food composition table rice has 345calories per 100 grams: 345/100 * 10 = 34.5calories Protein: In Indian food composition table rice has 6.8 grams of protein per 100 grams: 6.8/100*10 = 0.68grams Group presentation of Menus: Group 1 Food items Grams Calories Protein (g) Price (rupees) Rice 20 69 1.36 0.32 Groundnut oil 10 90 - 0.50 Egg 50 86.5 7.38 0.75 Lentils 20 69.6 4.88 0.45 Peanuts 10 56.6 2.52 0.34 Tomato 50 17.5 0.75 0.75 Spinach 15 4.87 0.37 0.15 Carrot 20 12 0.22 0.40 Pumpkin 10 2.94 0.16 0.10 Banana 35 57.9 0.5 0.10 Peanuts 10 57 2.52 0.34 250g 468.11 20.16 4.33 Group 2: Snack: Paustik Laddu Food items Grams Calories Protein (g) Price (rupees) Groundnut 10 90 0.50 Jaggery 20 77.6 0.08 0.40 Bengal Gram 20 73.8 4.5 0.60 Wheat 20 69.6 2.4 0.20 Total 70 310 6.98 1.70 Meal: Postik khichiri Ingredients Cooked Household Kcals Protein (g) Iron Vitamin Cost A Rice 100 1k 103 2.04 0.21 - 0.48 Tur Dal 60 2tbsp 67 4.46 0.54 265 0.60 Spinach 50 2tbsp 6.5 0.5 0.23 1395 0.20 Ghee 15 3tsp 135 - - 375 0.75 Total 225 312 7 0.98 1796 2.03 Group 3: Mixed Khichuri Food G Calories Protein Iron Vit. C Vit. A Calcium Rice 50 172 3.4 0.3 - - 5 Lentil 20 70 5 0.8 - 10 15 33
Page 1 and 2: Training of Trainers Workshop on: P
Page 3 and 4: TABLE OF CONTENTS Foreword A. Intro
Page 5 and 6: A. Introduction: The Hearth Nutriti
Page 7 and 8: C. Workshop Goals and Objectives Ov
Page 9 and 10: 45m) H & J STEP 4: Conducting the P
Page 11 and 12: Speakers: 1. Ramesh Singh, Director
Page 13 and 14: ü Understand PD process ü Integra
Page 15 and 16: Manjushree, SPCO: Last 5 years doin
Page 17 and 18: 1993 Experimental use of PD approac
Page 19 and 20: ethnic Tharus, who are considered a
Page 21 and 22: Strengths ü Identifying change age
Page 23 and 24: *Hearth is not to be sustained. Mot
Page 25 and 26: # in poor households # in wealthier
Page 27 and 28: Tea break Warm-up: Observation game
Page 29 and 30: PDI General Information: PD • Lar
Page 31: • No father input in care giving
Page 35 and 36: At each step in the Hearth protocol
Page 37 and 38: … Hearth panel discussion (re pla
Page 39 and 40: Spectrum of Emphasis: Rehabilitatio
Page 41 and 42: „ Monitoring and Evaluation see p
Page 43 and 44: Innovations/bright ideas accumulate
Page 45 and 46: K. Epilogue: This workshop is just
Page 47 and 48: Attachment B: PD/Hearth TOT Worksho
Page 49 and 50: Sr. No. Description of Events 1. Ai
Page 51 and 52: Attachment D: Materials List Welcom
Page 53 and 54: Findings of PD/Hearth Studies and C
Page 55 and 56: Summary Report: High Impact PVO Chi
Page 57 and 58: Child Survival was able to make con
Page 59 and 60: Attachment E. List of Evening Discu
Page 61 and 62: Attachment G: Field Plan for Wednes
Page 63 and 64: Attachment H: Results of Market Sur
Page 65 and 66: Cucumbers 90 2.5 0.4 13 0.6 7 0 Pum
Page 67 and 68: Sr. NO. 1. 2. 3. 4. 5. 6. 7. 8. 9.
Page 69 and 70: Sr. NO. 24. 25. 26. 27. 28. 29. 30.
Page 71 and 72: Attachment K: Final Evaluation Resu
Page 73 and 74: • Shorter training (1) • Not lo
Page 75 and 76: Attachment L: PRESS RELEASE 4 th De
Page 77 and 78: Hearth trainers identify positive d

Training of Trainers Workshop: Positive Deviance and Hearth

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