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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

ManchayMomma

Aimee, Alexandra, Karlee


Introduction
Introduction

  • Child (‹5 years) underweight, stunting, wasting, overweight

  • Stuntinglevelshighest


Introduction1
Introduction

Chronicmalnutrition in childrenunder 5


Introduction2
Introduction

Malnutritionbyregion, childrenunder 5


Introduction j ustification
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


Our family
OurFamily

  • Areli

    • 1 year 7 mo

  • Mayra

    • 25 yearsold

  • Live withclosefamily


Timeline
Timeline

  • Visit 1-

    • 24- hourrecall

    • Observation

  • Visit 2-

    • Intervention

  • Visit 3-

    • Follow-up


Objectives
Objectives

  • Increaseoverallnutritional status

  • Physical and cognitivegrowth and development

  • Affectonfuture

    • Pregnancy

    • Career

    • Life


Diagnosis of practices perceptions and knowledge
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


Diagnosis of practices perceptions and knowledge1
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


Analysis
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


Intervention
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


Results
Results

  • MessageReceivedWell

  • Wantedto Try Recommendation

  • UnderstoodtheMessage

    • Repeatedmessagetous and husband


Results of follow up
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


Behavior change
BehaviorChange

  • Reflection

    • Successfull

      • Momwasintellegent and willing


Recommendations
Recommendations

  • Improvements

    • Givecardwith date and time of nextvisit

    • More dynamic/interactivematerials

  • Howitcould be better

    • Materialsforournoweducatedmothertogivetoneighbors

    • Communityeducationmeetingtoreach more caregivers


Reflections
Reflections

  • PATIENCE! Itwon´tgorightallthe time

  • Practicality of recommendations

  • Understanding cultural aspects

  • Awareness of body and spokenlanguage

  • Active listeningskills

  • Sensitivetobeliefs

  • Relatingtodifferentpopulations


Bibliography
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


Questions
¿Questions?


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