Abela, Caro, Cosalan, Dator, De Castro, Hernandez J., Hernandez L., Ishimura, Pascua, Que

Malnutrition - major causes of mortality and morbidity

National Nutrition Survey (2005-2008) underweight children aged 0-5 years

increased from 24.6 percent to 26.2 percent, about 3.35 million children

under height rate increased from 26.3 percent to 27.9 percent, representing 3.57 million children

underweight children aged 6-10 years increased from 22.8 percent to 25.6 percent, equivalent to 2.6 million

under height children in this age group likewise increased from 32 percent to 33.1 percent

To foster camaraderie and self-worth among the Community Health Workers by promotion of teamwork and unity through an enjoyable and cost-effective team-building activity

Create new attitude about nutrition and healthy living among a sample of children 4-6 y/o in the community through education and creativity

To develop a useful tool for evaluating the impact of the feeding program on its participants and at the same time, provide useful and accessible nutrition information to their caregivers.

Rationale

Human resource is the most important aspect of any organization

Conflicts among team members lead to reduced work efficiency

It is very important that members have both a good working and personal relationship with each other

To let the CHWs understand the importance of good communication skills and teamwork

To motivate the CHWs into continuing to serve their community

To allow the CHWs to have fun and be given recognition for their efforts

Obstacle Course/Relay Paper Maze Nutrition Quiz Egg Toss Puzzle

“Jing-Ilugin”“Vidyuhin Ilugin”

Each station of the obstacle course puts emphasis on a specific skill or trait that the CHWs need to master, either individually or as a group, in order to win the game.

Each skill or trait is essential to a CHW’s role in helping promote the importance of good health care in the community.

CHWs need to navigate through a web-like obstacle course of crepe paper.

Trait: Teamwork (the team must overcome the weaknesses of other members through their other members’ strengths); Self-discipline (the maze must not be rushed for it to be successfully accomplished)

Team members are given 10 nutrition-related questions to answer; they must answer 6/10 in order to proceed.

Skill: Basic knowledge or background about nutrition (important for the upcoming nutrition month, as CHWs will also be responsible for educating parents about the importance of good nutrition)

Each CHW pair from the team tosses an egg back and forth to one another, moving farther apart with each subsequent toss. They must catch the egg on all occasions.

Trait: Trust in their partner

CHWs are given pieces of a jigsaw puzzle that spell out a message. They must assemble the puzzle to be able to read the message, which they should shout upon completion.

Trait: Teamwork (all members of the group must work together to get the puzzle pieces to fit in the correct positions)

Jingle-making contest CHWs must come up with an

original, short nutrition-related jingle with accompanying choreography.

If appropriate, the winning jingle will be used as promotional material for the upcoming Nutrition Month activity.

CHWs need to understand the concept of good nutrition so that they can also pass on this knowledge to other members of the community.

Giving the CHWs a sense of ownership over the nutrition jingle may empower them to be more active in promoting proper nutrition.

Video presentation that chronicles the activities of the CHWs, clerks, residents, consultants, and members of the community during the ComPeds rotation.

Also serves as a “thank you” message or acknowledgment of all the efforts the CHWs put into helping the community.

Includes: Thank you messages from consultants &

residents Thank you messages from current and

previous clerks Thank you messages from members of

the community Pictures/videos of CHWs doing their

everyday tasks in the community center

By the end of the activity, the CHWs are expected to: Understand the importance of unity and

teamwork in accomplishing set goals Have some basic knowledge about what

constitutes proper nutrition Receive recognition for their efforts in

helping the community

Resources and BudgetICC TEAM BUILDING BUDGET REPORT

16-Jun-11MATERIALS Qty Unit Price TotalCrepe paper 8 9 72Folder 2 8.5 17Egg 5 5 25SnacksPalabok 2 600 1200Chicken 7 130 910Juice 8 9.5 76Cupcake 3 57 171Cube ice 2 20 40Utensils 2 110 220TOTAL 2731

GANNT CHART

June 6-10 11-Jun12-Jun 13-Jun 14-Jun 15-Jun 16-Jun

"Vidyuhin Ilugin"

Planning and Brainstorming

Compile pictures and videos

Jing - Ilugin

Obstacle Course

Gather materials

Set-up logistics

Feedback from participants / consultants / residents Highlights of the activity Possible areas of improvement Suggestions/recommendations for future

activities

Nag-enjoy talaga kami”“Ito yung 1st time nagkaroon kami ng

ganito sa Ilugin”“Masaya ang activity na toh!”“Mahusay ang ginawa ng Clerks”

Verse 1: GO at GROW Verse 3:Leron, leron, sinta Kailangan ang tubigPuno ng vitamina Walong baso araw-araw Kanin, patatas, mais, at Para tayo ay laging malakasGatas, pagdating sa dulo Healthy food!Tinapay at butter nuts

Verse 2: GLOWKangkong, malunggayKalabasa at talongMay kasamang prutasPampakinis ng balat

Sabi ni nanay kumain ng gulaySabi ko naman para saan ang gulayPampaganda ng kulay pampahabang buhay,Sagot ni nanay.

Makulay samahan pa ng itlogPampasigla ng buhayKarne at manok ay ligaya kong tunayKasiyahan kong tunay, paksiw at gulay.

RecommendationsTeam building activity can be done

outside the community centerShould be a yearly event in order to

strengthen relationships

Rationale

In preparation for The Medical City Department of Pediatrics’ Nutrition Program Launch this July 2011, it will be helpful to provide a standardized monitoring tool to assess a child’s nutritional status.

ICC CHWs are capable of utilizing this booklet.

This monitoring tool will aid in providing feedback on the effectiveness of the nutrition program and in tracking a child’s nutrition progress.

To aid primary caregivers and community health workers in monitoring nutritional status of the patients enrolled in Ilugin Community Center Nutrition Program

To document daily dietary intake of the patients enrolled in the ICC Nutrition Program

To assess and correct the gaps in knowledge regarding standard portions and meal preparation.

To provide handy information regarding acute gastroenteritis and dehydration which will include home-made oral rehydration salt preparation and preventive measures.

The 5x7 inch booklet will consist of two parts:

Part One: Title Page Demographics with full length body picture Baseline anthropometric measurements Anthropometrics Monitoring Table Growth Charts (CDC and WHO)

Part Two: Food Pyramid Food preparation and serving size guide Meal Plan Food Diary Recipes Acute Gastroenteritis and Dehydration

Guidelines Post-Nutrition Program Assessment References (FNRI, WHO, CDC, DOH)

P1500 for 100 booklets of 30 pages each Paper Ink Reproduction

Method: Focus group discussionEvaluators: CHWs/ mothersConducted by: Residents/ Clerks

When: After the first month of the Nutrition Program Implementation

Nakatulong po ba ang Nutri-Book sa inyong pag-rerecord ng mga kailangang impormasyon para sa ICC feeding program? Sa paano pong paraan?

Madali bang maintindihan ang laman ng Nutri-Book? Kung hindi, ano ang maaaring gawin upang maintindihan (halimbawa: training, demonstration)?

Madali bang sundin at gawin ang mga nutrition tips at sample menu ng Nutri-Book?

May kailangan bang baguhin sa Nutri-Book? Ano?

Iba pang rekomendasyon:

Four sets of Nutri-Book prototypes designed according to age and gender: Boys, 0-2 years old Boys, 3-6 years old Girls, 0-2 years old Girls, 3-6 years old

Ilugin Community Children’s Activity

Book

Background

Child malnutrition is major a problem experienced by purok Ilugin of Pinagbuhatan, Pasig Due to the increased risk of disease

susceptibility in acquiring and proliferating infection

Rationale Need to change attitudes and

perspectives of the community’s children Preschool as an essential time to learn and

develop good dietary habits Project to focus on 4-6 year olds

Activity books that inform/teach good nutrition and incorporate writing and reading skills

Mainly aimed at the dev’t of health-oriented perspective on nutrition at a young age as well as nurturing dev’t milestones

Objectives To create an activity book that will engage

children into learning about nutrition as they learn about the basics of reading and language

To empower teachers and parents as they teach their children about healthy habits and nutrition

To provide a medium for communication between children and their community health workers and doctors about good nutrition and keeping a healthy lifestyle

Mechanics/Plan

Materials Folders Letter-sized paper Fasteners Crayons

Mechanics/Plan Mechanics

Illustrations for activity books to be obtained from the net and modified to suit the Filipino culture and be reproduced

Illustrations will be about healthy food starting with letters of the alphabet (to teach the child’s first word & associate it with healthy eating) & the major food groups

A sample of 50 children will be given the first copies of the activity book to gauge their response and have time for evaluation

Activity Book Prototype

Activity Book Prototype

Activity Book Prototype

Resources The resources for the activity book would be

firstly from the ASMPH community then hopefully from the whole Ateneo community as well Collection of scrap paper from students of the

ASMPH or other members of the Ateneo community

Crayon donations from the Ateneo elementary school

The Ilugin community would be encouraged to participate in providing recycled materials in order to make the project sustainable

Gantt Chart/Timeline

Estimate BudgetMaterials/Activity

No. of Pieces

Cost per Unit

Total Cost

Folder 25 2.50 65Photocopying 750 0.50 375Fastener 50   100 (for box of

50)Crayons *May be free if able to acquire from donations

50 boxes of 8 crayons

20 1000

Snacks for kids

    400

    TOTAL PHP 1940

Evaluation Tool

Evaluation would be done through FGDs conducted with the parents of the preschool children involved in the project

The success of the project shall be measured with a generally positive response to the activity book. Any recommendations from the FGD shall be taken into consideration for the revision of the activity book.

THE END