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Improving Child Nutritional Status Through Interactive Education in Peru

This project focuses on addressing chronic malnutrition in children under 5 years in Peru. By implementing educational interventions and promoting healthy feeding practices, the aim is to enhance overall nutritional status, physical and cognitive growth, impacting future wellbeing. The study involves diagnosing current practices and perceptions, implementing tailored interventions, and analyzing results to track progress. Recommendations include interactive materials, community outreach, and continuous support for caregivers.

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Improving Child Nutritional Status Through Interactive Education in Peru

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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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