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Manchay Momma

Manchay Momma. Aimee , Alexandra, Karlee. Introduction. Child (‹5 years ) underweight , stunting , wasting , overweight Stunting levels highest. Introduction. Chronic malnutrition in children under 5. Introduction. Malnutrition by region , children under 5.

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Manchay Momma

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  1. ManchayMomma Aimee, Alexandra, Karlee

  2. Introduction • Child (‹5 years) underweight, stunting, wasting, overweight • Stuntinglevelshighest

  3. Introduction Chronicmalnutrition in childrenunder 5

  4. Introduction Malnutritionbyregion, childrenunder 5

  5. Introduction: Justification • Malnutrition and stunting: decreased nutritional status starting at 3 months & continuing to 2 years (37.4% normal at 1-2 years) • Cusco Nutritional Status Study • Giving educational messages followed by exposure gave better message retention in caregivers and adoption of practice • Trujillo successful nutrition education

  6. OurFamily • Areli • 1 year 7 mo • Mayra • 25 yearsold • Live withclosefamily

  7. Timeline • Visit 1- • 24- hourrecall • Observation • Visit 2- • Intervention • Visit 3- • Follow-up

  8. Objectives • Increaseoverallnutritional status • Physical and cognitivegrowth and development • Affectonfuture • Pregnancy • Career • Life

  9. Diagnosis of Practices, Perceptions, and Knowledge • 24-hour recall • Wide variety • Lots of animal products • Eggs, chicken, liver • Solid Foods • Beans, lentils, rice, vegetables, fruits • Milk • Formula- 5 times a day • Frequency of meals and snacks

  10. Diagnosis of Practices, Perceptions, and Knowledge • Interview and Observations • Drinkinglots of milk • Likestoeat • Independent- Grapes! • Aware of hunger and satiety • Asksforfood • Limitedhygiene • No handwashing • Patient and ResponsiveFeeding • Momwasattentive

  11. Analysis • Objective • Solid foodmeal • Consistency • Infants and young children are capable of showing evidence of adequate self regulation • Liquid carbohydrates generally produce less satiety than solid forms • Expectations: Continue normal and healthy growth

  12. Intervention • Methods • Materials • Pictures, Table, Soup, Puree • Process • Demonstration • TalkingwithMother • Facilitators • Foodisalreadymade • Childishungry • More nutrients • Barriers • Extra work • More food • MotivatingFactors • Sleeping throughthenight • More nutrients, sustainedhealthygrowth

  13. Results • MessageReceivedWell • Wantedto Try Recommendation • UnderstoodtheMessage • Repeatedmessagetous and husband

  14. Results of Follow-Up • Recommendation • Motherwasabletomakeevening s-meal • Wasnotdifficult • Understoodbenefits • Babysleptthroughthenight • Babywantedfoodpictured in educational material • Continue • YES!! • TelltheNeighbors • Thickerconsistencyfoodmakesthebaby full and provides more nutrients • Feedwithcare, no shouting

  15. BehaviorChange • Reflection • Successfull • Momwasintellegent and willing

  16. Recommendations • Improvements • Givecardwith date and time of nextvisit • More dynamic/interactivematerials • Howitcould be better • Materialsforournoweducatedmothertogivetoneighbors • Communityeducationmeetingtoreach more caregivers

  17. Reflections • PATIENCE! Itwon´tgorightallthe time • Practicality of recommendations • Understanding cultural aspects • Awareness of body and spokenlanguage • Active listeningskills • Sensitivetobeliefs • Relatingtodifferentpopulations

  18. Bibliography • WHO Graphs: http://apps.who.int/nutrition/landscape/report.aspx?iso=PER&rid=161&template=nutrition&goButton=Go • INEI Graphs http://www.inei.gob.pe/ • Wolff, M., & Perez, L. (1985). Nutritional status of children in the health district of cusco, peru. American Journal of Clinical Nutrition, 42(3), 531-541. Accessed at: http://ajcn.nutrition.org.proxybz.lib.montana.edu/content/42/3/531.full.pdf html • Robert, R., Gittelsohn, J., Creed-Kanashiro, H., et al (2006). Process evaluation determines the pathway of success for a healt center-delivered, nutrition education intervention for infants in Trujillo, Peru. American Society of Nutrition, vol. 136, no. 3, p. 634-341. Accessed at: http://tinyurl.com/pp3fbbm • An Pan and Frank B. Hu (2011) Effects of carbohydrates on satiety: differences between liquid and solid food. Curr Op ClinNutrMetabol Care 4: 385–90. Accessed at: http://link.springer.com.proxybz.lib.montana.edu/article/10.1007%2Fs11690-012-0302-4 • Birch, L., Deysher, M. (1986). Caloriccompensation and sensoryspecificsatiety: evidenceforselfregulation of foodintakebyyoungchildren. Appetite, vol. 7, p. 323-331. Accessed at: http://tinyurl.com/p24hnsd

  19. ¿Questions?

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