Documentos de Académico
Documentos de Profesional
Documentos de Cultura
20 January, 2015
Frameworkforactionstoachieveoptimumfetaland
childnutritionanddevelopment*
*2014BlackMaternalandchildundernutrition andoverweightinlowincomeandmiddleincomecountries
NutritionsensitiveInterventionsandPrograms*
Interventions or programs that address
the underlying determinants of fetal and
child nutrition and development (food,
care, health) and incorporate specific
nutrition goals and actions.
Nutritionsensitive programs can serve as
delivery platforms for nutritionspecific
interventions, potentially increasing their
scale, coverage and effectiveness.
*2013Lancet
Conceptualframeworkoftherelationshipbetweenhousehold
foodproductionstrategiesandhealthandnutritionoutcomes
Increased
household
income
Gender
sensitive
agriculture
training
Participation
inhousehold
food
production
interventions
Agricultural
inputs
Increased
production
of
nutrient
richfoods
Increased
spending
onhealth
Nutrient
rich
foods
sold
Increased
spending
on
nutritious
foods
Nutrient
richfoods
consumed
by
household
Increased
consumption
ofnutrient
richfoodsby
womenand
children
Improved
utilization
ofvitamins
and
minerals
Improved
intakeof
macro and
micro
nutrientsby
womenand
children
Improved
maternal
andchild
health
outcomes
Improved
maternal
andchild
nutritional
status
Nutrition
education
2012WebbGirard:Theeffectsofhouseholdfoodproductionstrategiesonthehealthandnutritionoutcomesofwomenandyoungchildren.
CharacteristicsofHKIsHFPprogrammodel
Utilizesexistingcommunitystructuresandsystemsto
establishDemonstrationFarms(DFs)whoreceived
agriculturesupportandnutritioneducation;
Integrateshomegardeningwithsmallanimal
husbandry,poultry/fowlproductionandfishfarming;
Promotesyearroundaccessofindigenous
micronutrientrichcropsandanimalsourcefoods,many
ofwhicharealreadybeingproducedbyhouseholds;and
Improvesonlocalfarmingpractices toextentpossible.
ProgramModelCascade
HKI
DemonstrationFarm
Local
NGOs
Govt
Comm
Leaders
Others
Members
Head
Interventioninputs:
Inputsupport:seeds,seedlingsandsaplings,poultry(local
breeds)or/andsupportforpoultrysheds,poultryvaccines,
fishcultivars,horticulturalinputs,animalfodder,and
gardeningtoolslikewatercaneandpipes
TraininginEssentialAgricultureTechniquesincludinganimal
husbandryatdifferentlevels extensionagentsfromNGOs,
communityhealthvolunteers,villageandsubdistrict
government
Training inEssentialNutritionActionsandbehaviorchangeat
differentlevels healthstafffromNGOsandgovernment
offices,healthvolunteers,andtargetedwomen
Establishoflinksformarketing&resourceaccess
Important:Inputsupportshouldntbe100%freeofcost
AgricultureTraining
Agriculture
Yearround vegetable and fruit
production;
Seed, seedling and sapling
production;
Integrated pest management;
Organic fertilizer and pesticides; and
Small scale irrigation
NutritionTraining
Nutrition
The Importance of Dietary Diversity;
Undernutrition and its Causes;
The Importance of Micronutrients;
Hygiene Practices; and
Infant and Young Child Feeding Practices.
AnimalHusbandryTraining
Chicken Rearing;
Chicken Coop Construction;
Chicken feeding;
Chicken vaccination; and
Catfish rearing.
NutritionEducation
*Source:Bushamuka,V.N.et.al.FNB2005
Target
Households (HH)
Demonstration
Farms (DF)
Phase 1 (2012)
1,601
Phase 2 (2013
2015)
2,400
4,001
80
120
200
Total
10 months (Mar
Dec 14)
18 months (Mar
14Sept 15)
74
17
HKIsProjectGoals
Improvethefoodsecurityandnutritionconditions
amongvulnerablehouseholdsinTimorTengah
Selatan(TTS)district,EastTenggaraTimur (NTT)
ProvinceineasternIndonesia.
Promoteandfacilitateimprovedhouseholdfood
securityandnutritionthroughHomesteadFood
Production(HFP).
Improvethecapacityofhouseholdstoproduce
yearroundmicronutrientrichfoods(fruits,
vegetables,smallanimals(e.g.chickens,eggs)for
theirownconsumption.
Improvethenutritionalpracticesandbehavioursof
thosehouseholds.
ChangeinFoodConsumptionScoresfrom
baselineafter18monthsofimplementation
100%
90%
80%
70%
2012(Dec)
2013(Sep)
2014(Jan)
2014(Jul)
60%
50%
40%
30%
20%
10%
0%
Poor
Borderline
Source:2012Baselinesurvey,3roundsofLQASsurvey
Acceptable
ComparisonbetweentheMinistryofAgriculturesSustainableFoodReserve
GardenModel(Kawasan Rumah Pangan Lestari/KRPL)andHKIsHomestead
FoodProductionModel
Component
Ministry of
Agriculture
HKI
Improvingfoodsecuritythrough
utilizationof
thehomegarden
Yes
Yes
Increasingfooddiversity
Yes
Yes
Demonstrationfarmsasasourceof
inputs
Yes
Yes
Yes,with20HHs
pervillage
Yes,with20HHs
perDF
Yes
Yes
IncomeGeneration
Nutritionand
Income
Generation
Groupapproach
Training
Focus
Lifehastobechanged!
HKI[HelenKellerInternational],through
itsHomesteadFoodProductionprogramin
ourvillage,hasimprovedmyfamilyslife
becausewenowplantorganicvegetables
andraisepoultryaswellascatfishinour
yard.Productionofthosevegetables,
chickenandcatfishissogoodthatIcan
sellsometothemarketandithas
improvedoureconomicconditionwhile
fulfillingthebasicneedsofmyfamily.I
amsuretheresultofthisactivitywillhelp
metoprovideenough
moneytopayformychildrensschool
fees.Ireallyhopethatthegovernmentwill
continuesupporting
thisactivity,
InSummary
Vulnerablehouseholdscan:
diversifytheirdietbyincreasingconsumption
ofmicronutrientrichfoods,includingpoultry
andfish
generateincome,alsotobespentonfoods
HFPhasthepotentialtoreducemicronutrient
deficiencies;
Consideringitsmultiplebenefits,HFPisanoption
toimprovehouseholdfoodsecurity,nutrition
andlivelihoodsandcontributetoachievingthe
MDGs.
THANK YOU.
Alone we can do so little; together
we can do so much. Helen Keller pgupta@hki.org