ena orientation_guyon and nielson_10.10.12
TRANSCRIPT
Steps for adapting generic ENA tools
1. Understand as menu, science-based2. The key messages booklet3. Training plan4. BCC channels5. Partnerships and harmonization
Customizing ENA messages with
local partners…Literature review; identifying existing toolsFormative research to identify priority practices for context as well as barriers to them & practical solutions to facilitate behavior changeDoer/Non-doer commonly used to identify target groups and communications strategiesUndertaken with partners in their project sitesTailor “Key ENA Messages” booklet to local context & terminology
Optimal Practice
Current Practice
Barriers Appeals/MotivatorsBenefits
Messages Strategies
Formative research approaches
Behavior
Priority Group or Influencing Groups
DescriptionDeterminants
Bridges to
ActivitiesActivities
To promote this
behavior:
among this
audience:
(circle one)
Priority Group:Influencing Groups:
we will research
these
determinants:*These can only be determined after conducting research studies
and achieve these
bridges to
activities
(priority benefits
and priority
barriers):
1.2.3.
by implementing
these
activities:1.2.3.
Designing for Behavior Change (DBC) Framework*
*Adapted from BEHAVE framework by TOPS
• Training (often cascade)• Master trainers • Health workers
- Child Survival/IMCI (Niger, Mali)- HIV (Ethiopia)- CMAM (Liberia)- Hygiene (Bangladesh)
• Community volunteers- Care Groups (mothers)- Agriculture extension agents
Training Plan
Practicum vital
Possible to customize training for: Health managers Health agents Baby-Friendly Hospitals NGO staff Emergencies HIV/AIDS
• Short-term, skills-based training, • Heavy on counseling/negotiation and communication skills (Lots of
practice with real mothers)
Emphasizes building technical and counseling skills of providers
Ethiopia: Customized ENA CoursesTrainer’s Guide
Using the Essential Nutrition Actions to Improve the Nutrition of Women and
Children in Ethiopia
A Four Day Training Coursefor Health Managers and Program
StaffThe Ethiopian Public Health Training
InitiativeFebruary 2004
Trainer’s GuideUsing the Essential Nutrition Actions to Improve the Nutrition of Women and
Children in Ethiopia
A Four Day Training Course forHealth Staff and Managers at PMTCT Sites on Infant Feeding and Women’s Nutrition in the
Context of HIV & AIDSJune 2004
Community level training
• Community volunteers- Community health workers- Mothers groups (Care Groups)- CMAM screening groups- Village Model Farmers (EHFP)- Primary schools (teachers, students)- Micro savings & loan groups
Practicum vital
Care Groups to structure community-
level activities
BC more than messages…
• Knowing the right practice does not guarantee we will do it
• Negotiation skills and multi-channel strategies• Common Barriers to address:– “Insufficient breast milk” (lactation management)– Food access (HFP)– Soap & water access (Tippy-taps)– Child care challenges (rotating day care)– Labor saving devices (mills, improved stoves)
Forge partnerships to harmonize approaches across
different groups…
Many groups using same messages & IEC materials
Everyone sings the same “nutrition” song to the same tune…
Get all partners to focus on targeted concise messages that promote “small do-able actions”
Objective to reach > 80% coverage
Maximizes the delivery of nutrition by integrating into existing services (not a new or separate intervention) Platform to scale up the promotion and support of adequate nutrition & feeding practices...
Pulls together existing vertical programs in a sensible “action-oriented”' way...
Greatly expands coverage to multi level, multi contacts, multi channels…
Provides a solid, science-based framework for training service providers
Advantages of the ENA framework
Thank you
Grateful acknowledgement to Dr Victoria Quinn & Shawn Baker (HKI) and Meera Shekar (WB) for selected slides