Quinn hki food_security
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Helen Keller International's (HKI) Homestead Food Production (HFP) model aims to improve nutrition among low-income households through home production of nutrient-rich crops and small livestock. It was initially piloted in Bangladesh in 1990 and has since expanded to several Asian and African countries. The enhanced HFP model emphasizes behavior change using Essential Nutrition Actions to improve child feeding practices and care. Evaluations found the program increased dietary diversity, income, and women's empowerment while reducing anemia and night blindness. Key challenges include demonstrating impact on child growth and improving cost-effectiveness.
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Quinn hki food_security
- 1. HKI’s Enhanced Homestead Food Production model Linking food production to nutrition outcomes Victoria Quinn, PhD Senior Vice President, Programs Helen Keller International Presentation made to CORE Group Washington, DC 14 September 2010
- 6. HKI’s HFP program model… Objective of HFP program model: improve nutritional status of vulnerable members of low income households through home production of micronutrient (MN) rich crops and small animals, poultry, … Until recently the nutrition focus was on dietary diversity and micronutrients (esp. vitamin A and iron) and not on child growth Today our ‘new’ enhanced-HFP model has a stronger focus on infant & young child feeding and behavior change (via Essential Nutrition Actions) with expectations for improvements in child growth.
- 7. HKI’s HFP program model Where? Since 1990, now in four countries in Asia: Bangladesh, Nepal, Cambodia and Philippines. Just launched in Africa in Burkina Faso (with IFPRI and local partners) Coverage? Cumulative to-date more than 950,000 families (e.g 5.5 million people) reached (e.g. majority in Bangladesh) Who? Primarily target women farmers from poorer households
- 13. HKI’s HFP program model Approximately 1,200 households per district Village Model Farm (VMF) Farmer’s Groups (women’s groups) Households (women) 15-20 VMFs per district 2-3 Groups per VMF 20 HHs per group
- 16. Appropriate technology and practices
- 17. Village Model Farm Nursery
- 18. Focus on women: beneficiary garden
- 19. HFP produce used in food demonstrations for child nutrition day
- 20. Support for small scale poultry production
- 21. Health workers and Essential Nutrition Actions education session targeting mothers in HFP program
- 22. Some results…
- 23. Regarding HKI’s HFP program in Bangladesh, IFPRI reports (2009): “… there is sufficient evidence to conclude that HFP is improving household food security, and in some cases nutrition and other intermediary outcomes” IFPRI Evaluation under Millions Fed review: Improving diet quality and micronutrient nutrition: Homestead food production in Bangladesh by Iannotti, Lora; Cunningham, Kenda; Ruel, Marie. 2009. IFPRI Discussion Paper 928.
- 24. Source: Bushamuka, V. N., S. de Pee, A. Talukder, L. Kiess, D. Panagides, A. Taher, and M. Bloem. 2005. Impact of a homestead gardening program on household food security and empowerment of women in Bangladesh. Food and Nutrition Bulletin 26 (1): 17–25. Micronutrient rich crops: diversity, production and consumption increased
- 25. Production and consumption of vegetables by type of garden ( n =10,107), Bangladesh Source: Talukder et al. Food Nutr Bull 2000;21:165-172 Crop diversity, production and consumption increased
- 26. Prevalence of nightblindness among underfives (12-59 mo) that had not received VAC by home garden and poultry ownership (n=4296), Bangladesh (Kiess et al, APHA abstract) Night blindness decreased
- 27. Anemia prevalence among children aged 6-59 mo from program and control households in Bangladesh, Cambodia, Nepal and Philippines at BL and EL. Source: Talukder et al. FACTS Report 2010
- 29. Source: Bushamuka, V. N., S. de Pee, A. Talukder, L. Kiess, D. Panagides, A. Taher, and M. Bloem. 2005. Impact of a homestead gardening program on household food security and empowerment of women in Bangladesh. Food and Nutrition Bulletin 26 (1): 17–25. Income increases
- 30. Source: Bushamuka, V. N., S. de Pee, A. Talukder, L. Kiess, D. Panagides, A. Taher, and M. Bloem. 2005. Impact of a homestead gardening program on household food security and empowerment of women in Bangladesh. Food and Nutrition Bulletin 26 (1): 17–25. Women’s role in family strengthened
- 32. III. Agricultural programs: some key design issues relevant for nutrition outcomes
- 33. Human, Economic, and Institutional Resources Nutritional Status Health Diet Household Food Security Potential Resources Ecological Conditions Care of Mother and Child Environ. Health, Hygiene & Sanitation Political and Ideological Structure Root Causes Manifestations Immediate Causes Underlying Causes Adapted from UNICEF Conceptual Framework of Undernutrition FOOD CARE HEALTH
- 35. HKI’s EHFP Model Program Impact Pathways Essential Nutrition Actions using behavior change Beneficiaries understand & adopt ENA messages and use health facilities Impact Supportive supervision Project Monitoring and Evaluation Input Process Outputs Outcomes HKI, NTAG, NNSWA, SMJK, DHO, DADO, DOLS HKI partners with local NGOs and government Village Model Farms (VMF) established Small animal production established Increased production of nutrient-rich fruits & vegetables HFPB groups established Linkages to VMF, FCHVs and health services Agriculture inputs including seeds, saplings and poultry Improved and developed gardens established Increased Income Improved child care and feeding practices Beneficiaries understand agriculture training Increased animal source food production Increased household consumption Improved maternal and child health and nutritional status Agriculture-related training
- 36. Program Impact Pathways Essential Nutrition Actions using behavior change FOOD CARE & HEALTH HKI’s EHFP Model Program Impact Pathways Impact Supportive supervision Project Monitoring and Evaluation Input Process Outputs Outcomes HKI, NTAG, NNSWA, SMJK, DHO, DADO, DOLS HKI partners with local NGOs and government Village Model Farms (VMF) established Small animal production established Increased production of nutrient-rich fruits & vegetables HFPB groups established Linkages to VMF, FCHVs and health services Agriculture inputs including seeds, saplings and poultry Improved and developed gardens established Increased Income Beneficiaries understand & adopt ENA messages and use health facilities Improved child care and feeding practices Beneficiaries understand agriculture training Increased animal source food production Increased household consumption Improved maternal and child health and nutritional status Agriculture-related training
- 37. Program Impact Pathways Essential Nutrition Actions using behavior change FOOD CARE & HEALTH HKI’s EHFP Model Program Impact Pathways Impact Supportive supervision Project Monitoring and Evaluation Input Process Outputs Outcomes HKI, NTAG, NNSWA, SMJK, DHO, DADO, DOLS HKI partners with local NGOs and government Village Model Farms (VMF) established Small animal production established Increased production of nutrient-rich fruits & vegetables HFPB groups established Linkages to VMF, FCHVs and health services Agriculture inputs including seeds, saplings and poultry Improved and developed gardens established Increased Income Beneficiaries understand & adopt ENA messages and use health facilities Improved child care and feeding practices Beneficiaries understand agriculture training Increased animal source food production Increased household consumption Improved maternal and child health and nutritional status Agriculture-related training
- 41. V. Key take away messages
- 42. Message 1 FOOD + CARE + HEALTH
- 43. Design agricultural programs to empower women in their important role as the gatekeepers of household food security, food production and child nutrition in order to maximize positive nutritional impact. Keep an eye on how programs may influence women’s control of resources in the family and as well as women’s time use (e.g. for childcare) so as to “do no harm”. Message 2 WOMEN
- 44. Key role of women in nutrition and agriculture
- 46. Thank You!
- 47. The preceding slides were presented at the CORE Group 2010 Fall Meeting Washington, DC To see similar presentations, please visit: www.coregroup.org/resources/meetingreports
Notas do Editor
- We focused our efforts in these countries with the objective of showing behavior change impact at scale. In each country there was a sizeable catchment area population ranging in size from a million to over 6 million people across multiple districts and regions.
- - The critical contact to start with are the ones related to the life cycle Starting with the pregnancy, and trying to maximize nutrition in each of the contact… for example, what to do, at health facility or at community Level when a woman is pregnant, at deliveryearly initaition of BF, vit A for the mother In post natal, link with family planning During immunization, GM/P of course, and IMCI, as in developing countries, children are sick often and lose weight each time eg 40% in Ethiopia sick 2 weeks before the survey #
- - The critical contact to start with are the ones related to the life cycle Starting with the pregnancy, and trying to maximize nutrition in each of the contact… for example, what to do, at health facility or at community Level when a woman is pregnant, at deliveryearly initaition of BF, vit A for the mother In post natal, link with family planning During immunization, GM/P of course, and IMCI, as in developing countries, children are sick often and lose weight each time eg 40% in Ethiopia sick 2 weeks before the survey #
- We focused our efforts in these countries with the objective of showing behavior change impact at scale. In each country there was a sizeable catchment area population ranging in size from a million to over 6 million people across multiple districts and regions.
- - The critical contact to start with are the ones related to the life cycle Starting with the pregnancy, and trying to maximize nutrition in each of the contact… for example, what to do, at health facility or at community Level when a woman is pregnant, at deliveryearly initaition of BF, vit A for the mother In post natal, link with family planning During immunization, GM/P of course, and IMCI, as in developing countries, children are sick often and lose weight each time eg 40% in Ethiopia sick 2 weeks before the survey #
- - The critical contact to start with are the ones related to the life cycle Starting with the pregnancy, and trying to maximize nutrition in each of the contact… for example, what to do, at health facility or at community Level when a woman is pregnant, at deliveryearly initaition of BF, vit A for the mother In post natal, link with family planning During immunization, GM/P of course, and IMCI, as in developing countries, children are sick often and lose weight each time eg 40% in Ethiopia sick 2 weeks before the survey #
- - The critical contact to start with are the ones related to the life cycle Starting with the pregnancy, and trying to maximize nutrition in each of the contact… for example, what to do, at health facility or at community Level when a woman is pregnant, at deliveryearly initaition of BF, vit A for the mother In post natal, link with family planning During immunization, GM/P of course, and IMCI, as in developing countries, children are sick often and lose weight each time eg 40% in Ethiopia sick 2 weeks before the survey #
- - The critical contact to start with are the ones related to the life cycle Starting with the pregnancy, and trying to maximize nutrition in each of the contact… for example, what to do, at health facility or at community Level when a woman is pregnant, at deliveryearly initaition of BF, vit A for the mother In post natal, link with family planning During immunization, GM/P of course, and IMCI, as in developing countries, children are sick often and lose weight each time eg 40% in Ethiopia sick 2 weeks before the survey #