4.34 Three of the six local authorities were working with community or voluntaryorganisations, such as community food initiatives, healthy living centres or child <strong>and</strong>family centres, to improve the nutrition of children under the age of five.Community <strong>and</strong> Voluntary Sector Activities4.35 There were 12 respondents from the community <strong>and</strong> voluntary sector so,again, these results should be treated with caution <strong>and</strong> do not provide arepresentative description of the community <strong>and</strong> voluntary sector activity to improvematernal <strong>and</strong> infant nutrition.4.36 Half of the 12 respondents were involved in work to promote the nutrition ofpregnant women, through a number of initiatives including fresh fruit <strong>and</strong> vegetableschemes, shopping courses, healthy eating cooking courses <strong>and</strong> health educationcourses – including referrals of substance misusing pregnant women. The key focusof this work included provision of in<strong>for</strong>mation <strong>and</strong> advice to mothers in deprivedcommunities about healthy weaning foods, cooking skills, <strong>and</strong> potential impacts ofsubstance misuse on the unborn baby. The work was carried out with a range ofpartners including integrated children’s services, health visitors, communitydietitians, oral health promoters, community midwives, health improvementmanagers <strong>and</strong> GP’s.4.37 Three of the community <strong>and</strong> voluntary organisations surveyed weresupporting breastfeeding initiatives. This work included supporting <strong>and</strong> encouraginguptake of breastfeeding new mothers <strong>and</strong> promoting breastfeeding in public areas.Funding came from a number of sources including NHS core budgets.4.38 There were more examples (10) of community <strong>and</strong> voluntary organisationsbeing involved in work with families with children to improve weaning practices.Examples included holding healthy weaning classes with mother <strong>and</strong> toddler groups,practical cookery classes <strong>for</strong> families <strong>and</strong> demonstrations at weaning fayres <strong>and</strong>breastfeeding peer support. All respondents said that the work was targeted atspecific groups or areas.
Parents Cooking Group, Gowans Child & Family Centre, PerthThe purpose of the group is to improve participants’ basic cooking skills, basicnutrition <strong>and</strong> hygiene awareness. Sessions cover product labelling, health <strong>and</strong> safetyin the cooking environment, weekly menu <strong>and</strong> shopping planning, budgeting,preparing <strong>and</strong> cooking meals. The target group is parents with children under theage of five attending the Centre which is situated in a regeneration area. Staff workwith some of the most difficult to engage parents <strong>and</strong> carers with a range of issuesincluding poor attachment relationships, substance misuse, lack of finance, low selfesteem <strong>and</strong> negative experience of the education system.When the parents join the group they are asked to complete a questionnaire, thisgives an indication of the types of meals they are making at present <strong>and</strong> the facilitiesthey have at home. Sessions are then modified to suit the individual needs of theparents. Parents are encouraged to use the skills learned at home <strong>and</strong> to try toprepare cost effective nutritious meals <strong>for</strong> their families, especially their youngchildren. Evaluation is carried out at the end of the course to determine what skillshave been learned <strong>and</strong> if family eating habits have changed.For further in<strong>for</strong>mation contact: Norma Aberdein, Gowans Child & Family Centre,naberdein@pkc.gov.uk4.39 All the community <strong>and</strong> voluntary organisations surveyed said that work was inplace to improve the nutrition of children under the age of five. This work includedhealthy eating <strong>and</strong> cookery courses <strong>and</strong> provision of fresh fruit to nurseries. The keyobjectives of this work included raising awareness of the importance of a healthybalanced diet, especially on a low income, ensuring that children <strong>and</strong> parents haveaccess to a variety of choices <strong>and</strong> in<strong>for</strong>mation, getting parents to learn aboutdifferent food groups, <strong>and</strong> encouraging healthy eating in the family home.4.40 Funding came from a number of sources including grants from the FairerScotl<strong>and</strong> Fund, the NHS, community health initiatives, <strong>and</strong> lottery funding. Variousgroups <strong>and</strong> organisations were involved in this type of work including nurseries,playgroups, parent <strong>and</strong> toddler groups, healthy living initiative staff, local volunteers,as well as NHS <strong>and</strong> local authority staff. In most cases (9) work was being targetedat specific groups such as young parents with addictions or areas of deprivation.Conclusion4.41 The analysis indicates that support <strong>for</strong> breastfeeding is well establishedacross most parts of Scotl<strong>and</strong>. Several Boards have achieved UNICEF BabyFriendly accreditation in their maternity units, <strong>and</strong> although all Community HealthPartnerships (CHPs) have plans to progress this, no CHP has accreditation acrossall community premises. The breastfeeding health improvement target may havebeen a useful tool in focusing attention on this within NHS Boards <strong>and</strong> also localauthorities. In all cases, Health Boards lead work on breastfeeding with someexamples of partnership working with local authorities <strong>and</strong> the community <strong>and</strong>voluntary sector to deliver specific programmes. Reliance on volunteers <strong>and</strong> shorttermfunding emerges as an issue which may affect the sustainability of peer supportprogrammes.