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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
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