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Addressing Nutrition Challenges: Examples of Community Participation and Action in Kenya

This article showcases best practices in addressing nutrition challenges through community participation and action in Kenya. It includes case studies on linking nutrition and agriculture, social accountability, and recommendations for improvement. The article highlights the importance of community involvement and collaboration across sectors to achieve sustainable change in nutrition outcomes.

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Addressing Nutrition Challenges: Examples of Community Participation and Action in Kenya

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  1. Best practices in addressing nutrition challenges: Examples of nutrition support through community participation and action in Kenya Rose Ndolo, Senior Nutrition and Food Security Adviser World Vision UK Brussels Development Briefing for Nutrition Wednesday 20, May 2015

  2. Outline World Vision nutrition framework Nutrition situation in Kenya Case studies on linking nutrition & agriculture Case study on social accountability Challenges Lessons and Recommendations

  3. WORLD VISION GLOBAL NUTRITION FRAMEWORK & INTERVENTIONS Improve nutrition of children U5, girls, women and vulnerable groups Immediate factors Healthy Environment & Adequate Health Services Adequate Household Food Security & Livelihoods Underlying factors Quality food for infants and young children Adequate diet for families Quantity/quality of food for families in crisis Effective livelihood strategies and assured income Care of young child Care of mother and girls Family response to child illness Household and personal hygiene of household members Maternal and Child Health (community-based) Access to Essential Primary Health Care (facility-based) Healthy Environment WV Interventions Basic factors at societal level Adequate dietary intake Health Adequate Maternal & Child Care Practices

  4. Nutrition Situation in Kenya No significant change in the nutrition status of children under five years Kenya is not on course to meet WHA targets for stunting and wasting

  5. Linking Nutrition & Agriculture • Majeiyo group of 14 mothers, 10 youthful girls and 4 men • Members learn together • Trained on home gardening & rearing of small stock • Receive farm inputs ECHO/ UNICEF funded nutrition project linking with EC funded Livelihoods project in Samburu County - mother support groups approach for Infant and young child feeding

  6. Linking Nutrition & Agriculture EC funded Maternal Child Health and Nutrition project in Taita Taveta County by World Vision, IMC and St Josephs' Shelter of Hope Targeting through CMAM programme Caregivers are trained by agriculture extension workers Set up home gardens Receive small stock- goats and chicken

  7. Linking Nutrition & Agriculture A USAID funded addressing social determinants of health project in Western Kenya - positive deviance hearth (PD/ Hearth) approach • Targeting underweight children • Community inquiry & messaging • 12 days education sessions • 2 weeks follow up at home • Graduate after adequate weight gain • 8-15 caregivers form nutrition support groups • Groups are trained by government agriculture and health extension workers

  8. Linking Nutrition & Agriculture • Making nutrition groups sustainable • Groups contribute money regularly • They receive training on village savings and loaning • Pursue formal registration with government

  9. Measuring Impact 2205 children in the hearth sessions in Western Kenya were followed up for 12 months Under-weight prevalence sustainably reduced

  10. Social Accountability for Nutrition • Groups presented budget submissions to the County Budget and Appropriations Committee • Budget asks for nutrition, community health strategy, hygiene and sanitation • Nutrition received 33% budget increase A DFID funded nutrition project in Turkana County integrated the Citizens Voice and Action Approach for local level advocacy • 5 groups formed and trained on; • citizen participation in government budget making process • nutrition provisions in the constitution • conducting social audits and dialogue sessions

  11. Challenges The food security project didn't have population level nutrition data Limited capacity to measure impact of agriculture interventions on nutrition Inadequate scale up project level interventions Lack of joint nutrition frameworks across sectors/ ministries

  12. Lessons and Specific Recommendations Communities have to be at the core for sustainable linkages Build cross – sectoral/ ministerial collaborations for ownership Target the most vulnerable; malnourished children, children under 2 & 5 years, women Select and track appropriate indicators at project and national levels Build capacity to measure impact Embed social accountability into programmes Overall Recommendations National level- joint multi- sectoral frameworks for nutrition International level- include the 6 WHA nutrition targets as part of the SDGs to deliver change for nutrition

  13. Voices of women Jane Lekasuya, assistant chairlady of Majeiyo group says, ‘we are confident that we will slowly bring change to our community's way of living. When other women in our community come to our group to buy sukuma wiki (kale), some ask for saplings to plant and want to know how they can emulate us. We advise them to form and register a group and then seek training’

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