promoting good maternal and child nutrition and health practices in the urban slums of Nairobi,Kenya
Promoting health lifestyles through capacity building and community eduction,consultancy and research
About Your Organization
Nutritionists Without Borders
Country where this project is creating social impact
Kenya, NA, Nairobi
Is your organization a
Non‐profit/NGO/citizen sector organization
How long has your organization been operating?
Has the organization received awards or honors? Please tell us about them
Tanita Community grants 2011 recipient.,to,promote healthy lifestyles among secondary school students in Nairobi,Kenya
References - Please provide two references with a two-sentence biography, email address, and phone number for each
1.Prof. Judith Kimiywe
Chairman, Dept of Foods, Nutrition & Dietetics, Kenyatta University,
P. O. Box 43844 – 00100, Nairobi. Mob Tel: +25470003103; firstname.lastname@example.org
She is an active and devoted nutrition leader in Kenya.
2)Dr. Grace Ettyang
Head of the Department of Epidemiology,
P O Box 4606 ELDORET 30100
Moi University; Tel: +254 722 609 257
She is devoted to promoting public health at the community level
The information you provide here will be used to fill in any parts of your profile that have been left blank, such as interests, organization information, and website. No contact information will be made public. Please uncheck here if you do not want this to happen..
Select the stage that best applies to your solution
Established (past the previous stages and has demonstrated success)
How long have you been in operation?
Operating for 1‐5 years
Which of the following best describes the barrier(s) your innovation addresses? Choose up to two
The Need: What problem are you trying to solve?
poor nutrition and health practices among women and children resulting to:
: Poor and inadequate breastfeeding practices
: increased preventable childhood illnesses/death
: poor maternal birth outcomes
The Solution: What is your solution? Be specific!
To increase maternal and child nutrition and health wareness, knowledge and skills using a community health and nutrition oriented approach among women living in limited resource settings of Mathare and Huruma slums in Nairobi
The Model: Walk us through a specific example of how your solution makes a difference; include your primary activities
This projects aims at primary prevention of many nutritional and medical illnesses that arise from poor practices and behaviour.It is innovative because it deviates from the normal processes of treatment and care focused on secondary and tertially disease treatment and management within the health care settings.It aims at instilling behavioural change practices among communities so that they can understand the causes of illness,the
prevention modalities from an individual to a community level embracing behavioural change as a key.
The primary activities will include:
:Conducting comprehensive maternal nutritional education and breastfeeding demonstrations sessions and the monthly follow-ups including sessions on Prevention of mother to child transmission of HIV(PMCT)
:conducting public health campaigns, hygiene promotions and waste disposal management demonstrations
:Holding monthly community mobilization sessions; airing health and nutrition education radio messages and public health promotion rallies
:conducting cookery demonstrations to promote dietary diversification,improve cookery skills,meal planning , service and storage and nutrient retention in the most cost effect and safe manner.
The Marketplace: Who are your peers and competitors? Identify others also working to address the needs you are and what differentiates you from them. What challenges could these players pose to your success or growth?
Currently Nutritionists Without Borders is the lead in providing nutrition and health education using the community oriented approach.The project innovation is through its strategic use of multi-dynamic approach in instilling behavioural change through:
The use of focus group discussions among pregnant and lactating women and those with children under 8 years of age.Other mechanisms will be;Use of drama and music to attract communities to attend public health promotion rallies,use of local venacular based radio stations to transmit key messages,Drug and alcohol abuse counselling will also be provided and community mobilization and sensitization using the key community personalities like chiefs ,traditional birth attendants and local members of parliament as well IEC materials.
This Entry is about (Issues)
Founding Story: We want to hear about your "Aha!" moment. Share the story of where and when the founder(s) saw this solution's potential to change the world.
I developed this concept after years of working at the Kenyan national hospital and i related many patients diseases/disorders to poor lifestyles albeit many would come when its too late when the problem was at the critical stages.I therefore decided to co-found the NGO to initiate community nutrition and health education sessions among the most vulnerable communities who had no access to health care and information.We kicked off with healthy sessions in churches and schools and gradually to the slums of Nairobi.So far we have been conducting these nutrition and health sessions to pregnant and lactating women and those household with children under 5 years of age and we have seen a lot of positive impact especially in the improvement in breastfeeding rates,uptake of good hygiene and sanitation practices and improved dietary diversification hence reduced infections/diseases.
Please describe the goal of your initiative; outline what you are trying to achieve
the goal is to reduce maternal and child related morbidity and mortality that is highly associated with poor nutrition and health practices and improve nutrition and health awareness,skills and knowledge among the targeted communities.It is expected that with the uptake of these knowledge the communities will be able to achieve good nutritional status that will promote their general health and well being hence reducing the burden of disease and its related costs.The overall household economy will improve as communities spent their meager resources on other developmental related issues rather than healthcare and be able to take their children to school and offer other essential components of life and ultimately be able to save some money for the future.
What has been the impact of your solution to date?
:Increased breastfeeding rates hence reduced childen related morbidity/mortality
:Improved nutritional status among women and children
:increased community awareness of nutrition and health
:improved hygiene and sanitary practices hence reduced diarrhea related infections
Below is the Quantitative summary:
NWB provides nutrition care and support by developing menus and training staff on therapeutic food preparation and infant and young feeding practices and management of malnutrition within the HIV/AIDS context. (Ongoing since March, 2009). To date over 3800 children reached and 1200 staffs trained.
•Promoting good maternal practices and exclusive breastfeeding for the first 6 months and discouraging early weaning among pregnant women attending ANC care at Marura, City Council’s –Mareba Health center and Uzima Hospitals/Clinic (On-Going) Over 5700 mothers reached since programme inception in September,2009.
What is your projected impact over the next five years?
The projected impact is to double or triple the number of both direct and indirect beneficiaries if resources allow.Given the current progress the following are the estimated projections:
Number of exclusively breastfed children increase by 150%.
Number of women willing to exclusively breasfeed for 6 months increase by 100%
Number of community nutrition and health education beneficiaries (both direct and indirect) increase by 200%
Number of radio and television stations broadcasting key health and nutrition related messages and information increase by 50%
Number of malnourished children under 5 years reduce by 5%
Number of malnourished pregnant and lactating women reduce by 10%
Increased number of community and political leaders participating in health and nutrition sessions.
What barriers might hinder the success of your project? How do you plan to overcome them?
Financial constraints:through resource mobilization ,proposal development and fund raising activities
Political barriers:i will start by sensitizing the political leaders and key community leaders on the intended project and its overall benefits to the society
Cultural and religious barriers:i will conduct focus group discussions with key community persons.women group leaders, religious leaders,traditional healers and midwifes to assess their knowledge, attitude and practices in relation to maternal and child nutrition and health matters and focus on changing any harmful practice through intensive education sessions in a participatory manner.
Winning entries present a strong plan for how they will achieve and track growth. Identify your six-month milestone for growing your impact
Identify three major tasks you will have to complete to reach your six-month milestone
identification of key community playes
conducting a baseline nutrition and health status assessment survey using the FGD,KAP and SMART methodology
Now think bigger! Identify your 12-month impact milestone
Identify three major tasks you will have to complete to reach your 12-month milestone
Conduct the health and nutrition activities sequentially monitoring community uptake through demonstrative sessions
Involve the community fully in actively propomoting the health and nutrition activities at the household level
Monthly monitoring of behavioural changes and selecting key community leaders in monitoring the nutrition and health activities
Tell us about your partnerships
Are you currently targeting other specific populations, locations, or markets for your innovation? If so, where and why?
Yes for up-scaling purposes,i would want to replicate this model in other limited resource setting of Nairobi and Thika districts,I have identified Kahawa soweto in Nairobi and Kiandutu slums in Thika as the locations due to the high rates of maternal and child malnutrition rates being reported from the two selected areas.Kiandutu slums also reported the highest cases of diarreal in Thika district by the district health team and hence urgent measures are needed to improve the current situation
What type of operating environment and internal organizational factors make your innovation successful?
I have a dynamic team that is responsible and has a wide experience in community nutrition and health education who are willing to serve all communities.
Please elaborate on any needs or offers you have mentioned above and/or suggest categories of support that aren't specified within the list
As an experienced nutritionist/dietitian i can offer my services to any organization that may require them and consequently i would wis to receive Public health experienced mentors to grow this idea to full scalability and be multinational or regional in Africa.