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PROJECTS BEING IMPLEMENTED
| 1.- HEALTH PROJECT WITH FAMILY INTEGRATION Miski Wawa IV |
Project name: Health project with family integration
Duration:
September 2008 - September 2009
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Description summery of the project:
The project aims to improve nutrition and health of children underneath the 6 years who are vulnerable and at risk for malnutrition, living in marginal urban areas of the city of Cusco. The intervention strategy considers actions to promote health and family counseling. CEDNA is monitoring in the homes of the beneficiary population. This in order to reduce the nutritional risk and improve the capabilities of the mothers in health and nutrition.
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The project covers three components:
The Component Monitoring and surveillance of nutritional recovery of children: This component includes mothers who are informed about healthy food, hygiene and basic healthcare.
The Component Training and Promotion: It is proposed to achieve behavioral changes in the beneficiary families to ensure the prevention and nutritional recovery of children, and above all ensuring sustainability of the project.
The Component Development of Productive Capacities: It raises the development of productive capacities and technical management of micro enterprises led mainly by mothers, to improve the average income of families in order to help improve the family food diet, especially of the child.
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Population beneficiary
The project aims to work with children in a state of acute and global malnutrition in the marginal urban areas of Cusco.
Children per comunnity |
Niños en la comunidad |
Jardines |
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Sept. |
Oct. |
Nov. |
Sobrepeso |
0 |
0 |
7 |
Normal |
0 |
44 |
57 |
Desnutrido agudo, global |
0 |
8 |
7 |
Desnutrido Crónico |
0 |
23 |
28 |
Riesgos desnutridos |
0 |
47 |
51 |
Desnutrido cron, agu, glo |
0 |
2 |
2 |
Total niños |
0 |
124 |
152 |
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Niños en la comunidad |
V. concepción |
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Sep. |
Oct. |
Nov. |
Sobrepeso |
0 |
1 |
1 |
Normal |
0 |
15 |
23 |
Desnutrido agudo, global |
0 |
3 |
4 |
Desnutrido Crónico |
0 |
17 |
23 |
Riesgos desnutridos |
0 |
28 |
34 |
Desnutrido cron, agu, glo |
0 |
1 |
1 |
Total niños |
0 |
65 |
86 |
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Niños en la comunidad |
San Pedro |
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Set. |
Oct. |
Nov. |
Normal |
0 |
0 |
7 |
Desnutrido agudo, global |
0 |
0 |
0 |
Desnutrido Crónico |
0 |
0 |
0 |
Riesgos desnutridos |
0 |
0 |
2 |
Desnutrido cron, agu, glo |
0 |
0 |
0 |
Total niños |
0 |
0 |
9 |
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These populations are so-called "slums" (suburban) and living in poverty, human settlements on the outskirts of the city located at the top of the key hills and slopes of Cusco.
The beneficiaries of the project will include 300 families with children under the 6 years old.
Area of intervention
The intervention area is the peri-urban area of the city of Cusco. We are working with local communities, comprising people with limited economic resources, migrants from rural areas with little education, informal activities and with a small family income with three children on average. In this area there is reported a high risk of malnutrition.
In the area of intervention there are health services belonging to the Ministry of Health and belonging to the Network of Health Services, North Cusco.
The demand for health services in the area is growing, but is not covered by the staff of health posts, due to: deteriorating physical infrastructure, lack of equipment, information systems and reduced staff.
The overall mortality rate in the community is 7.6 x 1000 inhabitants, compared with that of Cusco it is 4.4 x 1000 inhabitants. These high rates of mortality and morbidity in the population of the area of intervention are due to many factors, such as; poor diet, lack of shelter, difficulties in access to health services, inadequate preventive practices, bad hygiene habits, poor sanitation and poor organization of the population..
Likewise, another factor that influences these degrees of malnutrition in the area, are diarrhea and parasitic diseases, where there is inadequate disposal of solid waste. The consumption of water stored are in inadequate conditions which makes the population consume water stored in drums and tanks which are often dirty. 45.0% of households have no drainage system, very few have sanitary latrines and less with a system of solid waste disposal; nor is there cleaning public service, so that such waste is disposed to nearby places (such as for example: roads).
Due to geographical conditions of the area, this presents limitations for connecting internal roads. There is a public transport network, but this does not reach the communities located on slopes..
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Orchards
The families have small areas in their community (with no particular use) suitable for growing vegetables which are for example ideal for a balanced diet.
With the installation of orchards it is also expected to create a habit within the families for the cultivation and consumption of vegetables. Families will be responsible in the orchards. The staff of CEDNA provides advice and support with the purchase of seeds. |
Raising animals
Also, the project proposes to introduce animal raising, such as the guinea pig, whose meat is quite appreciated by his taste level. Selected families will be directly responsible for their upbringing, reproduction and consumption. This will improve the nutrition of families who are at a nutritional risk. The staff of CEDNA provides advice and training.
The criteria for the selection of beneficiary families will relate to: nutritional risk of children underneath the 6 years old, active participation of the family and whether or not the family puts there acquired efforts into daily practice. They will establish ways to keep the animal breeding to achieve enlargement of beneficiary families. These will be established on an agreement with the families, rules and regulations for the maintenance of the modules and their repayment in kind to make delivery possible to another selected family.
It also considers training events in the management of micro-enterprises with a view to strengthening the management capacity of families especially the mothers, who in the medium term could consolidate a permanent source of income.
The project also works on the formation of "Promotion Mothers" who will be leaders of a group of mothers. A few mothers are trained to be a promotion mother through a training process, learning and practice and increasing their knowledge.They are also trained to bring their knowledge back on to the other mothers of the community. Thirty Promotional Mothers will be selected and they will receive ongoing training and education.
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The promotion mothers of health
They are the most important people within the organization, who have the same ideals as every one of us.
A promotion mother is normally a leader of the group of mothers with little formal education but through a training process, and learning practices, have increased their knowledge and improve their practices in food and nutrition to be able to share their knowledge. Trough this way they are trying to fulfilling the role of communicator in these marginal urban areas. As an agent promoting a process of change and develops replicas of training in basic health, food and hygiene in creating conditions for the families to improve basic health and nutrition of the families with undernourished children.
THE ORGANIZATIONAL ROLE OF THE PROMOTIONAL MOTHER
Working in family groups of Inter Learning.
Manage communication techniques and animation.
Generate reflection on problems of health and nutrition
Share experiences.
Development of practical demonstration groups in the preparation of balanced food products of the Andean zone (nutritional value of foods, food combination of quantity, frequency and factors affecting malnutrition).
Training events will be developed to strengthen their leadership and organizational capacity for self-improvement with the formation of their organization in order to give greater force to promotion and prevention performing as promoters of health and nutrition in their community. Their main strategy will be to ensure continuity of operations in basic health and nutrition. Important is that they must have the acceptance and credibility of the population.
* The promotion mother must be dynamic, lively and sympathetic.
* The promotion mother must be kind and friendly.
* The promotion mother must have patience.
* The promotion mother must be imaginative, creative and ingenious.
* They must have respect for the participants.
* They should facilitate with the participation of all mothers.
* The promotion mother must be tolerant, sensitive without losing respect.
* The promotion mother should be a good observer, evaluator and monitoring their achievements.
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