LEC 5 Projects for Ilugin Community Center Community Pediatrics

1. Abela, Caro, Cosalan, Dator, De Castro, Hernandez J., Hernandez L., Ishimura, Pascua, Que LEC 5 Projects for Ilugin Community CenterCommunity Pediatrics

2. Background • Malnutrition - major causes of mortality and morbidity • National Nutrition Survey (2005-2008) • underweight children aged 0-5 years increased from 24.6 percent to 26.2 percent, about 3.35 million children • under height rate increased from 26.3 percent to 27.9 percent, representing 3.57 million children

3. underweight children aged 6-10 years increased from 22.8 percent to 25.6 percent, equivalent to 2.6 million • under height children in this age group likewise increased from 32 percent to 33.1 percent

4. General Objectives • To foster camaraderie and self-worth among the Community Health Workers by promotion of teamwork and unity through an enjoyable and cost-effective team-building activity

5. Create new attitude about nutrition and healthy living among a sample of children 4-6 y/o in the community through education and creativity

6. To develop a useful tool for evaluating the impact of the feeding program on its participants and at the same time, provide useful and accessible nutrition information to their caregivers.

7. ICC CHW Team Building Activity

8. Rationale • Human resource is the most important aspect of any organization • Conflicts among team members lead to reduced work efficiency • It is very important that members have both a good working and personal relationship with each other

9. Objectives • To let the CHWs understand the importance of good communication skills and teamwork • To motivate the CHWs into continuing to serve their community • To allow the CHWs to have fun and be given recognition for their efforts

10. Activities • Obstacle Course/Relay • Paper Maze • Nutrition Quiz • Egg Toss • Puzzle • “Jing-Ilugin” • “Vidyuhin Ilugin”

11. Obstacle Course/Relay • Each station of the obstacle course puts emphasis on a specific skill or trait that the CHWs need to master, either individually or as a group, in order to win the game. • Each skill or trait is essential to a CHW’s role in helping promote the importance of good health care in the community.

12. Paper Maze • CHWs need to navigate through a web-like obstacle course of crepe paper. • Trait: Teamwork (the team must overcome the weaknesses of other members through their other members’ strengths); Self-discipline (the maze must not be rushed for it to be successfully accomplished)

13. Nutrition Quiz • Team members are given 10 nutrition-related questions to answer; they must answer 6/10 in order to proceed. • Skill: Basic knowledge or background about nutrition (important for the upcoming nutrition month, as CHWs will also be responsible for educating parents about the importance of good nutrition)

14. Egg Toss • Each CHW pair from the team tosses an egg back and forth to one another, moving farther apart with each subsequent toss. They must catch the egg on all occasions. • Trait: Trust in their partner

15. Puzzle • CHWs are given pieces of a jigsaw puzzle that spell out a message. They must assemble the puzzle to be able to read the message, which they should shout upon completion. • Trait: Teamwork (all members of the group must work together to get the puzzle pieces to fit in the correct positions)

16. “Jing-Ilugin” • Jingle-making contest • CHWs must come up with an original, short nutrition-related jingle with accompanying choreography. • If appropriate, the winning jingle will be used as promotional material for the upcoming Nutrition Month activity.

17. “Jing-Ilugin” • CHWs need to understand the concept of good nutrition so that they can also pass on this knowledge to other members of the community. • Giving the CHWs a sense of ownership over the nutrition jingle may empower them to be more active in promoting proper nutrition.

18. “VidyuhinIlugin” • Video presentation that chronicles the activities of the CHWs, clerks, residents, consultants, and members of the community during the ComPeds rotation. • Also serves as a “thank you” message or acknowledgment of all the efforts the CHWs put into helping the community.

19. Includes: • Thank you messages from consultants & residents • Thank you messages from current and previous clerks • Thank you messages from members of the community • Pictures/videos of CHWs doing their everyday tasks in the community center

20. Project Outcome • By the end of the activity, the CHWs are expected to: • Understand the importance of unity and teamwork in accomplishing set goals • Have some basic knowledge about what constitutes proper nutrition • Receive recognition for their efforts in helping the community

21. Resources and Budget

22. GANNT CHART

23. Evaluation • Feedback from participants / consultants / residents • Highlights of the activity • Possible areas of improvement • Suggestions/recommendations for future activities

24. Nag-enjoy talaga kami” • “Ito yung 1st time nagkaroon kami ng ganito sa Ilugin” • “Masaya ang activity na toh!” • “Mahusay ang ginawa ng Clerks”

25. “Jing-Ilugin” Entry #1 Verse 1: GO at GROW Verse 3: Leron, leron, sinta Kailangan ang tubig Puno ng vitamina Walong baso araw-araw Kanin, patatas, mais, at Para tayo ay laging malakas Gatas, pagdating sa dulo Healthy food! Tinapay at butter nuts Verse 2: GLOW Kangkong, malunggay Kalabasa at talong May kasamang prutas Pampakinis ng balat

26. “Jing-Ilugin” Entry #2 Sabi ni nanay kumain ng gulay Sabi ko naman para saan ang gulay Pampaganda ng kulay pampahabang buhay, Sagot ni nanay. Makulay samahan pa ng itlog Pampasigla ng buhay Karne at manok ay ligaya kong tunay Kasiyahan kong tunay, paksiw at gulay.

27. Recommendations • Team building activity can be done outside the community center • Should be a yearly event in order to strengthen relationships

28. Nutri Book 2011

29. Rationale • In preparation for The Medical City Department of Pediatrics’ Nutrition Program Launch this July 2011, it will be helpful to provide a standardized monitoring tool to assess a child’s nutritional status. • ICC CHWs are capable of utilizing this booklet.

30. This monitoring tool will aid in providing feedback on the effectiveness of the nutrition program and in tracking a child’s nutrition progress.

31. Objectives • To aid primary caregivers and community health workers in monitoring nutritional status of the patients enrolled in Ilugin Community Center Nutrition Program • To document daily dietary intake of the patients enrolled in the ICC Nutrition Program

32. To assess and correct the gaps in knowledge regarding standard portions and meal preparation. • To provide handy information regarding acute gastroenteritis and dehydration which will include home-made oral rehydration salt preparation and preventive measures.

33. Mechanics/ Plan • The 5x7 inch booklet will consist of two parts: • Part One: • Title Page • Demographics with full length body picture • Baseline anthropometric measurements • Anthropometrics Monitoring Table • Growth Charts (CDC and WHO)

34. Part Two: • Food Pyramid • Food preparation and serving size guide • Meal Plan • Food Diary • Recipes • Acute Gastroenteritis and Dehydration Guidelines • Post-Nutrition Program Assessment • References (FNRI, WHO, CDC, DOH)

35. Gantt chart

36. Budget • P1500 for 100 booklets of 30 pages each • Paper • Ink • Reproduction

37. Evaluation Tool • Method: Focus group discussion • Evaluators: CHWs/ mothers • Conducted by: Residents/ Clerks • When: After the first month of the Nutrition Program Implementation

38. FGD Questions • Nakatulong po ba ang Nutri-Book sa inyong pag-rerecord ng mga kailangang impormasyon para sa ICC feeding program? Sa paano pong paraan? • Madali bang maintindihan ang laman ng Nutri-Book? Kung hindi, ano ang maaaring gawin upang maintindihan (halimbawa: training, demonstration)? • Madali bang sundin at gawin ang mga nutrition tips at sample menu ng Nutri-Book? • May kailangan bang baguhin sa Nutri-Book? Ano? • Iba pang rekomendasyon:

39. Project Outcome • Four sets of Nutri-Book prototypes designed according to age and gender: • Boys, 0-2 years old • Boys, 3-6 years old • Girls, 0-2 years old • Girls, 3-6 years old

40. Ilugin Community Children’s Activity Book

41. Background • Child malnutrition is major a problem experienced by purok Ilugin of Pinagbuhatan, Pasig • Due to the increased risk of disease susceptibility in acquiring and proliferating infection

42. Rationale • Need to change attitudes and perspectives of the community’s children • Preschool as an essential time to learn and develop good dietary habits • Project to focus on 4-6 year olds • Activity books that inform/teach good nutrition and incorporate writing and reading skills • Mainly aimed at the dev’t of health-oriented perspective on nutrition at a young age as well as nurturing dev’t milestones

43. Objectives • To create an activity book that will engage children into learning about nutrition as they learn about the basics of reading and language • To empower teachers and parents as they teach their children about healthy habits and nutrition • To provide a medium for communication between children and their community health workers and doctors about good nutrition and keeping a healthy lifestyle

44. Mechanics/Plan • Materials • Folders • Letter-sized paper • Fasteners • Crayons

45. Mechanics/Plan • Mechanics • Illustrations for activity books to be obtained from the net and modified to suit the Filipino culture and be reproduced • Illustrations will be about healthy food starting with letters of the alphabet (to teach the child’s first word & associate it with healthy eating) & the major food groups • A sample of 50 children will be given the first copies of the activity book to gauge their response and have time for evaluation

46. Activity Book Prototype

47. Activity Book Prototype

48. Activity Book Prototype

49. Resources • The resources for the activity book would be firstly from the ASMPH community then hopefully from the whole Ateneo community as well • Collection of scrap paper from students of the ASMPH or other members of the Ateneo community • Crayon donations from the Ateneo elementary school • The Ilugin community would be encouraged to participate in providing recycled materials in order to make the project sustainable

50. Gantt Chart/Timeline