Faith Thuita Ms, PATH FSN Network Knowledge Sharing Meeting, June 11-13, 2012,

1. Influencing the influencers: Community tools for engaging fathers, grandmothers and leaders in nutrition Faith Thuita Ms, PATH FSN Network Knowledge Sharing Meeting, June 11-13, 2012, Addis Ababa, Ethiopia

2. Tools to engage fathers, grandmothers, and community leaders for improved maternal and child nutrition • In this session we will: • Review some evidence about influencers • Examine a package of tools the IYCN Project developed to “influence the influencers” for who can support improved nutrition and caring behaviors • Learn about a study in Kenya that is evaluating the impact of engaging men and grandmothers on maternal and young children’s diets using the tools. • Do an exercise based on one of the tools, and some small group work to think about influencing the influencers through our current projects

3. Evidence for who influences a mother’s decision about IYCF and her own diet Photo: Mike Wang/PATH

4. Roles and Influence of grandmothers and men – Family approach • Mother-child dyad nestled within family. • Need to address community norms, not just individual behaviour. • GM - Care givers, senior advisors and consultants on pregnancy, child birth and care for infants and young children).

5. Roles of men/Fathers • Provision of financial resources – basic family needs • Financial and logistic resources for routine and emergency health care

6. Formative research data: Barrier Analyses

7. PATHs SURE start Programme - India Used multiple channels and methods of communication to engage; • Mothers • Household members • Health care workers • Community leaders to improve maternal and neo-natal outcomes in over 5,500 rural villages and 700 urban slums.

8. Effect of mothers’ groups: participants practice healthier behaviors in antenatal period

9. MSG participants provided better newborn care

10. IYCN Project’s Community Nutrition Package: training and participant materials

11. Package of Materials Peer educators Men’s groups Grandmother groups Mother support groups Community leaders Strengthening health talks Integrating nutrition into community theater activities.

12. Monitoring and evaluation forms Counseling supervision checklist and guidelines. Exit interview questionnaire and guidelines. Referral tracking form and register.

13. Examples of experience with tools Training psycho-social support counselors (PSSC) on HIV and infant feeding. Training manual and participant guide on infant feeding and HIV used. Reporting tools for ongoing monitoring activities.

14. Photo: Evelyn Hockstein/PATH

15. Engaging grandmothers and men to Improve maternal diets and child feeding practices Public health evaluation • Formative assessment • Baseline study • Community based intervention • Endline survey

16. Training , Facilitation and Monitoring tools for use with dialogue groups • Training grandmothers dialogue group mentors • Trained mentors use dialogue group mentors guide to facilitate monthly dialogue sessions. • Monitoring tools – Monitor group meetings

17. Grandmothers – Training and group discussion

18. IYCF and Gender: a training manual for male group leaders • Training and participants guides for training male group leaders. • Guides modified to train fathers dialogue group mentors

19. Men – Mentors training and Dialogue group

20. Community theater for improved nutrition: a guide for program managers and theater groups Photo: Julie Baker/PATH Photo: Kali Erickson

21. Using this collection of tools Available on www.iycn.org

22. Thank you for your attention! • Do you have any questions before we begin some discussions in small groups?