Models for Strengthening the Community-based Management of Acute Malnutrition_Maureen Gallagher_5.6.14
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This document discusses rapid socio-cultural assessments (RSCAs) to understand community perceptions of malnutrition and barriers to severe acute malnutrition (SAM) treatment. It provides an example of an RSCA conducted in Nigeria, examining the people, places, and perceptions regarding malnutrition. The RSCA informed the development of communication materials and participatory training methods to raise awareness of malnutrition signs, causes, and community management of acute malnutrition programs in locally appropriate languages.
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Models for Strengthening the Community-based Management of Acute Malnutrition_Maureen Gallagher_5.6.14
- 1. Rapid Socio Cultural Assessments: Understanding Community Perception of Malnutrition and barriers to SAM treatment Maureen Gallagher, Senior Nutrition Advisor CORE Group meeting, May 5th , 2014
- 4. RSCA : an example from Nigeria
- 5. People
- 6. Places
- 7. Perceptions
- 8. Actions
- 10. 10 « What are the causes of malnutrition? The MoH is opening a new health service at the health centre...»
- 11. Drama
- 12. 12 « What are the signs? »
- 14. « What is CMAM? »
- 15. • Posters for health facilities • Training Handouts for Cvs • Flyers for care takers and key stakeholders • Information in local languages Didactic material
- 16. Group discussions & awareness by leaders
- 17. Training package Visual tools &Trainer Guide
- 20. To make information easier to learn
- 25. What next ? • RSCA draft guidelines • Integrating WASH & FSL • Adaptable toolkit
- 26. Thank you - questions?
Editor's Notes
- THANK YOU for the opportunity to present
- An RSCA is a rapid assessment that is very much qualitative information collection. I will speak today more on the content than on the methodology and sampling challenges which I can share as needed during the discussion or afterwards
- I’ll walk us thorugh on what it is while sharing the results from the Nigeria experience Here we are going to 2 LGAs in Yobe State. I speak hausa having been a Peace Corps volunteer in Niger for over 2 years. When arrivin in Nigeria I though I knew more than average until we conducted the RSCA
- Who are the key stakeholders? Who influences choice and decisionmaking? How are organized ? Here may identify that there are different hiarchies, political , traditional , religious As well as we may find that certain communities have many groups and existing social solidatrity mechanisms At the stage we also asses WHO are you, in terms of ethnic gtroups, languages, inter/intra household dynamics So essentially WHO, HOW ARE THEY ORGANIZED, and WHAT are exisitng dynamics? STRUCTURES ETHNIC Groups – Hausa Fulani Kanouri Women’s leaders, petty traders, regiligious leaders, TBAs
- THREE DIMENSIONS Where do people speak? MARKETS/MOSQUE/HEALTH CENTER/HAIRDRESSER’s House What are the formal and informal channels of communication? PHONE/RADIO When do they happen? (FARMS may be seasonal, weddings as well, religious ceremony days while WELLS are on a regualr basis, like hairdressers and other key stakeholders) There was a difference between men & womens places of communication, gathering exchange MARKETS – RADIO
- How is what we are assessing about seen? In the case, I’ll share about severe acute undernutrition…. Please close your eyes , as I would like to share some of the perception from Yobe State on Causes Treatment AWRENESS as a KEY BARRIER to ACCESS
- Community as a whole to be mobilizaed and aware of key messages
- Materials were dveloped in that context Developed for northern nigeria & with tool in 3 lanuage (Hausa, Kanouri, Fofoldi)
- Games, handouts, training guide
- To train illiterate community volunteers