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CONCEPT NOTE - Nutrition

The document provides a concept note for a 3.5 year project by the Catholic Diocese of Geita and the Health Department to address stunting in children under 5 in Geita Region. The project will use innovative, multisectoral approaches and work with communities and health facilities. Key objectives include improving nutrition behaviors, training community health workers, enhancing food security and supply of health services, and increasing stakeholder involvement in agriculture and nutrition activities. Activities will include assessments, behavior change communication, identifying best practices, and monitoring and evaluation. The Diocese has experience in the region and capacity to implement training and community components of the project.

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Paschal Kunambi
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100% found this document useful (1 vote)
223 views6 pages

CONCEPT NOTE - Nutrition

The document provides a concept note for a 3.5 year project by the Catholic Diocese of Geita and the Health Department to address stunting in children under 5 in Geita Region. The project will use innovative, multisectoral approaches and work with communities and health facilities. Key objectives include improving nutrition behaviors, training community health workers, enhancing food security and supply of health services, and increasing stakeholder involvement in agriculture and nutrition activities. Activities will include assessments, behavior change communication, identifying best practices, and monitoring and evaluation. The Diocese has experience in the region and capacity to implement training and community components of the project.

Uploaded by

Paschal Kunambi
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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CATHOLIC DIOCESE OF GEITA

DEVELOPMENT DEPARTMENT

CONCEPT NOTE

Addressing Stunting in Geita Region

Prepared by;

Joseph Ronald Massawe (Msc CED & MPH)


Diocesan Project Coordinator

Magdalena Thobias
Primary Health Care and Nutrition Coordinator

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Project description

A three and half year’s project will be implemented with Catholic diocese of Geita, Health
Department.
In line with the ASTUTE project goals, Health department aims at reaching pregnant and children
under five years and their caregivers through innovative approaches that adopt a multisectoral
bottom-up approach to address childhood stunting.

The approach will be implemented step by step for the project period and will include periodic
review, through an embedded process evaluation. This is a unique approach in the project area
because the existing approaches have not been too helpful in addressing childhood studying.
To implement the specific nutritional behaviors which will be targeted, the project will have to
fulfill the following objectives:
1. To develop simple innovation (small changes) in the health facilities/system to increase
early detection, intervention and care for mothers, newborn and children.
The diocese of Geita will conduct SWOT analysis and orient health care workers to providing
the solutions to the problems they face. This is meant to ensure ownership of the project to
the health system and hence its sustainability.
The following activities will be done:
i. Facility SWOT assessment
ii. Generate GIS mapping of facilities with nutrition, health details
iii. Encourage Health Workers to propose solutions (rearrangements, design posters,
time plan)
iv. Find champions among health workers and promote their innovations
v. Mentoring Health Care workers
2. To improve community nutritional behavior (adherence to IFA, early ANC booking,
Food diversification, exclusive breastfeeding, complementary feeding, immunization,
prevention of childhood illnesses).
It is a curriculum requirement for medical students to train and conduct nutrition field
projects. Hence, this exercise can be oriented towards Geita region, thus providing the
platform for “Treat and Train” for medical students. Their number being not less than 200
students each year, coverage at 1000/a day in Geita will easily be achieved. These
students are trained in nutrition assessment, behavior change communication and many
other health issues related to nutrition thus can provide the reach and appropriate
knowledge to the community. Furthermore, this project will ensure generate a platform
for an everlasting relation between Geita region and Catholic Diocese of Geita.
The following activities will be done:
i. Community Based Research: Household assessment of nutrition status, food
security and WASH
ii. Behavior change communication with positive deviance
iii. Learning community best practices and use the model to train others
iv. Encourage and establish community members to be champions for nutrition and
health
v. Encourage gardening, environment protection
3. To train Community Health workers
The diocese of Geita as a training institution which has all facilities necessary to train
Community Health Workers. There is current Community Health worker training that is
ongoing here at Sengerema School of Nursing which is under the diocese of Geita.
Catholic diocese of Geita has access to trainers and Ministry training manuals and
guidelines.

The following will be done:


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i. Identify and recruit volunteers for community health work together with
communities and relevant authorities
ii. Setting the norm for community health work and encouraging volunteerism
iii. Training of community health workers
iv. Integrating community health workers into their local setting
v. Providing materials and supplies to community health workers necessary for their
work
vi. Coaching and mentoring the community health workers through easy to
remember edutainment materials
vii. Training community health workers in gardening, farming and other income
generating activities in respect to nutrition and food security to make them role
models
viii. Forming economic groups among community health workers and training them in
bookkeeping and finances in their groups.
4. To improve food security at household level for ensuring food diversification with
priority to pregnant women, lactating women and children under two years
The following will be done:
i. To identify and/or encourage the establishment of local women’s groups and link
these to agriculture and social development officers for training and orientation to
various activities that they can do
ii. To encourage knowledge transmission and training among women in various
groups
5. To improve the supply and utilization of maternal and child health services in the
beneficiary districts
The following will be done
i. To train 120 health workers for two days on supply chain management in order
to improve availability of IFA, therapeutically feeds and other related supplies
ii. To train 120 RCH personnel (RCH Clinic, maternity wards and pediatrics) on
maternal anemia and childhood stunting for two days
iii. To advertise the services provided in health facilities that relate to maternal and
child nutrition through household education
iv. To sensitize the community on early ANC booking and male involvement in
maternal and child health
6. To increase stakeholders (LGAs, CSOs& NGOs, community) involvement in investing
on Agriculture and Nutrition related activities and policies
The following will be done
i. Conduct stakeholders meetings (at the district level, ward and village level) on
priority setting and financing nutrition related activities
ii. To conduct one day capacity building session to district nutrition multisectoral
committee to perform its duties
iii. To formulate and conduct a one day meeting twice a year with the district
nutrition stakeholders committee in order to provide leadership in the
implementation of the project
iv. To conduct a one day dialogue forum with district council social service
committee on how to invest in agriculture and nutrition activities in the district
v. To form teams of champions in nutrition from various sectors within local
settings that will spearhead the activities from their sectors towards improvement
of the nutrition situation.
7. To ensure a well managed project ( Monitoring and evaluation)
The diocese of Geita and consultant from CUHAS will carefully monitor and evaluate the
project constantly so as to identify the best practices early and encourage them.

3
The following will be done
i. To develop M & E forms
ii. To provide remunerations to project staff
iii. To collect and submit reports to relevant stakeholders
iv. To conduct monthly supportive supervision and mentorship to health facilities
and community groups
8. Feedback and dissemination of information
The through medical staff will conduct research and disseminate results to the
community. Use of fun games, sports, easy communication will be encouraged and
employed

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Project implementation plan

Activity Year 1 Year 2 Year 3


Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q3
Project management
Orient staff X
Ethics Approvals X
Procure equipment X X
Reporting X X X X
Team meetings X X X X X X X X X X X X
IMPLEMENTATION OF ACTIVITIES
Simple Innovation with X
Facility Assessment

Community mass assessment X X X X X X


with behavioral change
communication

Identify, training and X X X X X X


norming of Community
Health workers

Mobilize, Orient and bring X X X


together stakeholders to one
table and nutrition agenda
sensitization

To improve food security X X X X

Reviewing and Selecting


Best Innovations

Monitoring and Evaluation X X X X X X X X X X X X

Coaching and Mentoring X X X X X X X X X X X X

Dissemination and results X X X X


sharing

Experience and capacity

Catholic diocese of Geita as institution’s in the diocese which is familiar with Geita region and
has been involved in several projects. The projects that have been implemented by the Catholic
diocese of Geita through its health department works in health system strengthening, service
provision to community based project. A few are listed below:
Completed:

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1. Enhancing Decision Making for Maternal and Child Health Using GIS in Sengerema District
Council. 2014 – 2015. Funded by Touch Foundation
3. Community Based Research – Treat and Train Program, Making diocese of Geita and CUHAS
have an impact on the community. 2013-2015. Funded by Touch Foundation

General budget

The Proposed budget will be 117,364 USD

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