Rlu 6 5 3 enrich babies food with 2 3 different types of foods edited by tim en

Topic 3

Feeding a varied diet

Example – Key points for participants to take note of in their notebook What do you see in the pictures below? Which ingredients can be added to the food for your baby to prevent malnutrition? (Discuss)

Message: To help children to grow well and become strong, 2 or 3 kinds of nutritious ingredients must be added in the food for children (butter, oil, peanuts, eggs, beans, vegetables and fruits) at all times!

សណ្តែកដ ី ស+ត+្ែ+ណ្​្+ក=សណ្តែក +ដ+្ី  សណ្តែកដ ី សណ្តែកដ ី ..សី....ដក......ណ្ដក......(សីដកណ្ដក)

៥០០០ ៤៥០០ ២៥០០

១២០០០រ ៀល

Target group: Mothers and child caretakers 1. Coordination method: 1. A-Beginning of activities:



Ask the participants to sit in a circle and greet them

 Record attendance by loudly calling the participants by their names  Recall previous topics or action plans  Ask about problems or raise brainstorming questions to be linked with new topics  The facilitator asks the participants to sing the following song altogether: 1. Complementary Feeding (the same melody as for the song See Rotating Fan) 1.B- How to lead the discussion about feeding with a varied diet

 The facilitator selects 7 participants to play the below story and guide each actor in the story.

After that, the whole group joins in.

Rumduol

- Rumduol’s husband is a construction worker. Every evening, her husband has a drink with

friends. Rumduol has an 8-month-old daughter and has not been healthy and looked pale since her pregnancy. She did not go to the health center for a pregnancy checkup.

Rumduol’s husband: Hi friend! Now it is nearly dark. Go home and enjoy one liter of wine!

Friend: Yeah it is good because I am having a waist pain (They sit and drink happily) Rumduol: Today my cake did not sell well! Where are the villagers? Oh I must go to breastfeed my child who has been left to my mother for an afternoon!

Rumduol: Mom, how is my daughter? Did she cry much?

Rumduol’s mother: Yeah your daughter cried but now she has stopped and is sleeping in the hammock.

Rumduol: How could you console her to stop crying, mum?

Rumduol’s mother: I fed her with porridge and sugar water, so she stopped crying and fell asleep! Has your husband come home yet?

Rumduol: I don’t know, but he is always coming home late and getting drunk. Now I take my daughter back home.

Sam: Hi Bong Rumduol what do you have for dinner? I don’t know what I should cook!

The child of Rumduol’s starts crying! Oh Bong Rumduol your child cries. She looks thin and has a fever!

Rumduol: My daughter gets a fever and diarrhea very frequently. I don’t know what is happening!

Sam: Your child is thin and you also look pale. Have you and your child gone to the health center?

Rumduol: Never.

Her husband is coming: Hi Ms. teacher Village chief: Oh Ms. teacher is here! Did you tell Rumduol to take her child to have her weighed and receive anti-worm drugs and attend the Kitchen Program?

Sam: Not yet! Oh Bong Rumduol as you have just heard from the village chief, you mustលtake to have her weighed and her health checked because it is  អ្នកសម្របសម្រួ បង្វែរចូyour លគំនchild ិតពភា ិ កា very important for you and your child.

Rumduol: Yes I am taking my child to have her weighed and consult with the doctor! Thank you!



Facilitator gets the participants into a discussion.

2 : Brainstorm discussion

Open a discussion about Rumduol’s family and the child after watching the play.

Brainstorming question:  What type of person is Rumduol’s husband?  How can we deal with the problem if we were Rumduol?  What are the adverse impacts of feeding a child with liquid sugar porridge?  Did Rumduol provide her child with sufficient complementary food? Why?  Would her child be healthy if she provided sufficient complementary food?  What can we do to help her and her child to avoid pale skin and diarrhea?

Answer  Commend her and her husband to attend the discussion group to obtain new awareness  Encourage her husband to take his child and wife to the health center to obtain advice from a doctor  Encourage her to cook multi-nutrition food for her child and herself  The husband must encourage his wife to eat additional food, so that she will have sufficient breast milk for the baby  What problem will a child face if we don’t provide him/her with sufficient food?

Answer  The baby doesn’t gain weight (he/she loses weight)  He/she is thin, pale  He/she is not as active as other children  He/she gets ill frequently  He/she will not do well in his/her study when attending school  His/her parents loose time and money in taking care of the child  He/she may die if there is no timely resolution  What multi-nutritious food should be additionally given to a child?

Answer  A varied diet comprised of vegetables, fruits, meat and fish  Orange/red fruits (carrot, sweet potato, pumpkin, ripe mango, ripe papaya and avocado)  Green vegetables (cabbage, ivy gourd, moringa leaves, pumpkin shoots, star gooseberry)  Fish, meat, liver, eggs (nuts, including cashew, and all kinds of beans) etc.  Grind all ingredients so that the meal is easy to chew, swallow, and digest for the child  Add butter or oil in the food for children at all times  Cow milk may be added into the food and can be used instead of water when cooking porridge. Continue breastfeeding the child until he/she is 24 months old or over, whenever he/she is hungry.

3 : Brainstorm for participants to practice in the group or individually at home  Develop a plan with the participants and share it with members inside/outside the group about the importance of providing a varied diet for a child aged 6 months or over  For a child aged from 6 months to 1 year, breastfeeding should be conducted before providing other meals  Cook nutritious foods for a child aged 6 months or over

 Provide additional nutritious meals two or three times/day to help the child to grow well and be strong  The child must be breastfed until the age of 24 months or over  The participants must provide feedback when meeting the next time to share their experience and practice

Message: To help children to grow well and become strong, 2 or 3 kinds of nutritious ingredients must be added in the food for children (butter, oil, peanuts, eggs, beans, vegetables and fruits) at all times!



4. Learn to read  write  and calculate

 Encourage the participants (parents, child caretakers) to draw tables or pictures in their notebook  Encourage them to choose keywords and learn to write and read them loudly all together បបរ

ម្ាយទន់

ធញ្ញ ាតិ

ចម្ររុះ  ច+ំ​ំ+រ+ំ​ំុះ

ចម្ររុះ

  ចម្ររុះ

រវមំ ឹ

 Write these words on the flipcharts on which the tables are drawn and break down the keywords (no need to write them on new flipcharts)  Break down the keywords that the participants have learned to write and read and then put

them together to form sentences, for instance:

សណ្តែកដ ី ..សី....ដក......ណ្ដក......(សីដកណ្ដក)

Number calculation practice: Rumduol and her husband buy some food from market for the family. She spends 3,000 riels for fish, 4,500 riels for cooking oil, and 2,500 riels for peanuts.

Question: How much did she spend on food?

Method  3000 + 4500 + 2500 = 10000 riels 5. Set the topic and remind of the time for the next meeting according to the timetable - Topic.............................

6. Additional information and materials for the facilitator

Purpose:

All of us will know about the importance of providing additional multi-nutritious food to help a child to grow well and be strong and intelligent.

Materials: Flipchart, tape, marker

Song: Feed a Variety of Foods (the same melody as for the song Kok Heu Te Eng)  Oh mother

You must know that You should provide

Fish, beans

Tofu and egg

 Mango, banana, jackfruit, orange These are foods

a variety of food

moringa leaves, star gooseberries water spinach,

Yellow, green, sweet ripe papaya, available in our village

To protect all Mother and child

For good health

 Nutritious foods

Divided in three groups

Rich in all nutrients

Beans, sesame oil

Rice, salt

They are

Potato, Taro,

These are the three groups

Song: A variety of foods: Written by Ms. Vanny and revised by Mr. Ravan

Goodbye (the same melody like Before We’re Separated)  My dear group, I would like to say goodbye to go home. We’re having a rest.

Until the time will have come that we will be meeting each other (2 times).