Tag Archives: Helen Keller International

Improving Maternal, Newborn, and Child Health in Kenya

By Randy Rosenthal

BGR has partnered with Helen Keller International to strengthen the health system and reduce maternal and child mortality in densely-populated Kakamega County, in western Kenya.

Malnutrition is a major problem in Kenya, where nearly half of the population lives in poverty. That’s why Buddhist Global Relief has partnered with Helen Keller International on a three-year project to improve access, delivery, and utilization of essential nutrition-related services in Kenya. HKI is working with the Kenyan Ministry of Health and Action Against Hunger (AAH) to address Maternal, Newborn and Child Health (MNCH) and to combat poor nutrition outcomes in five Kenyan counties. BGR is supporting HKI’s ambitious effort to strengthen the health system and reduce maternal and child mortality in densely-populated Kakamega County, in western Kenya. The grant from BGR sustains HKI’s Kakamega program in its entirety.

The grant from BGR this past year—the second year of the project— enabled HKI to train 1,745 health workers and directly serve over 34,000 children (17,771 girls and 16,236 boys). This happened mainly through vitamin A screenings that detect early malnutrition. These screenings were part of the biannual “mother and child days” (Malezi Bora). These events sought to increase the number of children under five receiving vitamin A supplementation. Properly administered, vitamin A capsules can greatly decrease the risk of childhood mortality and blindness in areas where vitamin A deficiency is prevalent. Indirectly, through the support of the local health system, the project has served over 97,00 adult women and 64,00 children under the age of five.

Another positive result of the project is a large increase in the number of women receiving pre-natal and post-natal care. Iron folate supplementation was given to 40,603 women in June to December 2017, while 76,768 women received the supplements between January and July 2018. The project also enabled HKI to address the underlying structural and managerial weaknesses of the Kakamega health system that prevents mothers and their children from receiving the care they so desperately need.

Yet while these benefits are significant, the project was unable to meet the targeted numbers, mainly due to political unrest. For instance, there was a nationwide nurses’ strike from June to September 2017, as well as episodes of violence around the presidential elections from August 2017 through January 2018, both of which made it difficult for HKI teams to work. Cultural obstacles are also difficult to work around, specifically the traditional preference for home births and unskilled birth attendants. It was also reported that many pregnant women do not show up for appointments, and many pregnant teenagers hide their pregnancy, avoiding care.

To face these serious challenges, HKI works with the Kenyan Ministry of Health to develop a series of meetings and workshops with local communities, such as maternity open days, which raises awareness of Maternal, Newborn, and Child Health by inviting community members to health centers and learn about the available reproductive health services.

In addition to the Mother and Child week screenings, another component of the project is the baby-friendly hospital initiative (BDHI), which has as a goal support for the early initiation of breastfeeding. Women that attend these sessions can then share what they learn with their communities. Such crucial information includes how to hold a baby while breastfeeding, and the importance of exclusively feeding a baby breastmilk at least during the first six months of life.

The project also supported HKI’s assessment for improving the health system, audits that have helped determine gaps in data. The project trained health workers in forty-two health facilities on topics that improved the workers’ knowledge specifically in the gaps the project identified, specifically with lack of performance of immunizations.

In sum, BGR’s partnership with HKI has been instrumental in improving children’s nutrition, lowering mortality rates, and strengthening the Kakamega County health system. Continued funding of this partnership will allow these accomplishments not only to persevere, but continue to improve.

Beneficiary stories

1.
Adelaide is a first-time mother who has directly benefited from the training from the newly trained health workers. She said: “My name is Adelaide Aliko, we are a family of three: myself, the baby’s dad, and our baby. My baby is one month, one week old. I normally go to Kakamega General Hospital, about two kilometers from here. When I visited the hospital after delivery I was taught how to breastfeed the baby, how to position him, how to support him, and I was told the baby should be exclusively breastfeeding for six months, without giving him any other food. Before I received the education at the hospital I knew my baby would need to be breastfed, but I didn’t know it should be exclusive up to six months without any other food. I also didn’t know how to position the baby while breastfeeding, which we were also taught. They also taught me that I should eat at least four meals per day so that I can make milk for the baby. I am thankful for the health workers who gave us this information because so far, my baby is doing well and I have also regained my health.”

2.
Catherine is the County Immunization Coordinator, and she was part of the team carrying out the Data Quality Audits (DQAs). From the DQA exercise, she was able to assess the causes of poor immunization coverage in the county. She developed action items to address this issue, including staff trainings (“On Job Trainings”), the use of correct registers, and a recommendation for holding meetings to review data before submitting data reports. She said that the project gave her “an opportunity to look at how they [health workers] store, arrange and manage their vaccines when I visited the health facility. The vaccine arrangement was not proper; some temperatures were abnormally low because of lack of knowledge on adjusting the thermostat. I felt if we got an opportunity to go through a training it could increase the knowledge among the health workers. I appreciated SETH [System Enhancement for Transformative Health] for the idea of incorporating immunization into the nutrition activities for me to go down and see what was wrong. Before that I did not know what was wrong with immunization and why we were performing so poorly.”

Randy Rosenthal teaches writing at Harvard University, where he recently earned a Masters of Theological Studies, with a Buddhist Studies focus. His writing has appeared in The Washington Post, The Los Angeles Review of Books, and many other publications. He edits at bestbookediting.com.

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Tackling Maternal and Childhood Malnutrition in Cote d’Ivoire

By BGR Staff

The following article is based on the final report for the first year of a three-year project being implemented by Helen Keller International (HKI), a long-time BGR partner. The project, which is being funded in its entirety by BGR, aims to improve nutrition for pregnant women, infants, and children in the Korhogo District of Cote d’Ivoire. Cote d’Ivoire is among the poorest countries in the world, ranking 172nd out of 188 countries on the UNDP Human Development Index. Estimated child mortality under five years is 195 per 1,000 live births and life expectancy is just 54 years. Malnutrition, including vitamin and micro-nutrient deficiencies, is a major contributing factor to the high rate of infant mortality. Chronic malnutrition affects about 33% of children under five. Together, HKI and BGR are doing something to address this problem.

With the support of Buddhist Global Relief, Helen Keller International has launched this project to tackle malnutrition in the Korhogo Health District, located in the Poro Region in the northern part of the country, where child malnutrition is most pronounced. The overall goal of the program is to reduce the incidence of malnutrition among women of childbearing age, expectant and breast-feeding mothers, and children during their first 1,000 days of life. This enables newborns to reach a healthy start in life, decreasing the incidence of stunting and improving children’s cognitive development. Continue reading

Projects for Fiscal Year 2017–18—Part 5 (conclusion)

By BGR Staff

23. U.S.: Urban Farming in Detroit

Nearly 40% of Detroit residents live below the poverty line and 21% of metro Detroiters are food insecure. Keep Growing Detroit (KGD) was established to promote a food sovereign city where the majority of fruits and vegetables Detroiters consume are grown by residents within the city’s limits. The aim is not only to provide residents with seeds to increase food security but to achieve “food sovereignty,” where residents are the leaders and beneficiaries of a transformed food system, able to make decisions about the health, wealth, and future of their families and community.

The grant from BGR will support KGD’s ongoing programs. These include: (1) The Garden Resource Program, which helps increase access to healthy food by providing technical and resource support to 1,500 urban gardens and farms in Detroit, including 400 new gardens in 2017. Together these gardens will produce over 180 tons of fresh, nutritious, locally grown produce for predominately low-income families and engage more than 16,000 residents. (2) Twenty-two events including 16 educational workshops and 6 garden workdays reaching 440 residents. At these events a diverse pool of community leaders and instructors, many Garden Resource growers, will provide hands-on instruction on basic gardening, water conservation, and food preservation techniques to build the skills and confidence of urban farmers. Annually renewable project

24. Vietnam: Enhanced Homestead Food Production

This is the second year of a three-year partnership between BGR and Helen Keller International that addresses household food security for residents of Muong Lang Commune, in Son La Province, a remote mountainous region in the northwest of Vietnam. There is high malnutrition in this region, which is a contributing factor to 50% of infant and childhood deaths. The Enhanced Homestead Food Production (EHFP) program trains multi-generation families to increase year-round food production with more diversified crops to improve nutrition and thereby to improve health. In all over 100 families in 10 villages will benefit from the program (approximately 550 individuals). The grant from BGR sponsors a third of the program.

In year two, an additional ten communities will benefit from the establishment of Village Model Farms (VMF)—a community based resource for training and technical support for the roughly ten families that typically make up each small village. Within each village a community husband and wife are identified and trained as the VMF demonstration farmers. These VMFs will provide agriculture resources for the community households (i.e. seeds),  educate families on nutrient rich crops, and  provide hands on training including bio-composting, crop diversification,  sanitation and hygiene, and even marketing strategies for income generation from sale of excess food production. The family model empowers women to actively contribute to the improved health of their village.
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Projects for Fiscal Year 2017–18—Part 4

By BGR Staff

16. India: Nutritional Support for Garden of Peace School
NEW PARTNER

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White Lotus Trust, an affiliate of Lotus Outreach, is a grass roots level organization in India working toward the development of a common school system, seeking to ensure the Right To Quality Education, especially in government schools. The Trust runs a holistic educational program called Garden of Peace, which provides students with the traditional primary school curriculum, English and Tamil courses, training in meditation and in philosophies of non-violence. The program supplies the students with school uniforms, books and other materials, transportation, and nutritional support twice a day. All of these services are critical to the holistic enrichment of the students’ lives and the long-term sustainability of their educational commitment. The nutritional component is at the program’s core, especially considering that the facilities are situated on an organic farm. The students and their parents are involved in farm activities, helping to grow a portion of the food served to the students. The school serves morning and midday meals to all students, which creates a further incentive for the support of the children’s continued education.

The grant from BGR will cover nutritional support for 174 students and assorted staff members for an entire academic year. This funding will facilitate Garden of Peace’s holistic educational and wellness objectives.  The grant will go toward the purchase of food items for direct nutritional support for the students. This includes rice, ragi (finger millet), gur (a sugarcane product), vegetables, cereals, oil and spices, and other items for the provision of two meals daily for the students and assorted staff members.

17. Jamaica & Haiti: Nutritious Morning Meals for Young Children

The Trees That Feed Foundation was founded in 2008 and is currently run by two Jamaican natives, Mike and Mary McLaughlin. TTFF has worked in the Caribbean for over eight years and maintains an intimate working knowledge of the people, economies, and agricultural sectors of both Jamaica and Haiti. In Latin America and the Caribbean more than seven million children under five suffer from chronic malnutrition, which has a far-reaching negative impact on health and cognitive development. To address these challenges, TTFF has partnered with BGR on a school-feeding project in Haiti and Jamaica that provides children in both countries with nutritious, locally-sourced morning meals at their local schools. These meals will be produced by local small businesses. In addition to alleviating hunger, this model encourages a gradual increase in availability and accessibility of nutritious food within communities and a gradual decrease in reliance on continuous charitable food donations.

The key objectives of this project are: (1) to alleviate hunger, (2) to provide nutritious food for children in need, and (3) to build economic opportunity so communities can become self -sufficient. This project will provide approximately 36,000 meals to young schoolchildren at ten schools within Haiti and Jamaica. Each of the ten schools will be able to provide a breakfast meal to three classrooms of 30 children, about three times per week, for a full semester. This project will dovetail with other separately funded TTFF programs that help to build local markets for nutrient-rich food. Annually renewable project Continue reading

Projects for Fiscal Year 2017–18—Part 2

By BGR Staff

7. Cameroon: Practical Vocational Training for Single Mothers and Marginalized Women    NEW PARTNER

CCREAD-Cameroon—the Centre for Community Regeneration and Development—is a civil society organization based in Cameroon with a United Nations Special Consultative Status. It runs strategic programs developed in collaboration with state and non-state actors. Its interventions aim to introduce marginalized people and communities to social and economic empowerment opportunities and foster environmental sustainability.

This new BGR project will be launched in Mile 16 Bolifamba, a typical slum community with a population of 17,850 inhabitants, 98% of them peasant farmers. More than 85% of households live below the UN poverty line, with extreme marginalization of women and girls. More than 60% of children born of single/teenage mothers and widows are unable to complete a single academic year in school because of extreme poverty, as their mothers are unemployed. These households face major challenges in purchasing food and paying rent, medical bills, and school fees for their children.

This project is aimed at reducing extreme suffering for marginalized women and single and teenage mothers through practical vocational training. This will equip the women with the social and vocational skills they need and with the financial means to send their children to school; it will also transfer the skills to other girls to tackle long-term poverty within the area and beyond. Each year, the project is expected to benefit 100 women  (adults), 50 young girls (youth), and 100 children. Continue reading

Improving Nutrition among Children in Korhogo District, Cote d’Ivoire

BGR Staff

Mothers gather to discuss nutrition in Korhogo Health District

Malnutrition is a pressing problem in Cote d’Ivoire, where over 40% of the population lives in poverty. Cote d’Ivoire ranks 172 out of 188 countries on the UNDP Human Development Index, making it among the poorest countries in the world. The country has a population of 22 million, of which 6 million are children under five. Estimated child mortality under five years is 195 per 1,000 live births and life expectancy is just 54 years. Malnutrition, including vitamin and micronutrient deficiencies (vitamin A, iron, iodine and zinc being the most important), is a major contributing factor to the high rate of infant mortality. Chronic malnutrition affects about 33% of children under five years. Micronutrient deficiencies are also widespread.

BGR is currently partnering with Helen Keller International (HKI) to implement a program to improve an understanding of proper feeding practices among young girls and women in Korhogo Health District over the next three years. The primary goal of the project is to decrease the incidence of malnutrition in children during their first 1,000 days of life by training health workers in ENA in the Korhogo Health District. Korhogo Health District, located in the under-served Poro Region in northern Cote d’Ivoire, operates 77 health clinics that serve a target population of around 760,000.
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Enhanced Homestead Food Production in Côte d’Ivoire

BGR Staff

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Mother and child with recently harvested eggplant

In May 2013, Buddhist Global Relief (BGR) awarded Helen Keller International a three-year grant to support their Enhanced Homestead Food Production (EHFP) and Orange-Fleshed Sweet Potatoes (OFSP) production in Côte d’Ivoire. The project extended from September 2013 to August 2016. The goal of this project was to improve the nutritional status of children and families in the Gebke Region of Bouake District. In this region, as elsewhere across Côte d’Ivoire, people face a constant struggle with food security, availability of micronutrient-rich foods, and accessibility to markets.

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Group members in the garden

With BGR’s support, HKI piloted a three-year adaptation and expansion of its proven Food Production program model. They integrated EHFP into an existing community group and promoted the production and consumption of vitamin A and micronutrient-rich crops, including orange sweet potatoes. In an effort to improve the local group’s capacity to adapt to ever-increasing water shortages that threaten production, the HKI team helped pilot a drip irrigation system on the group’s model farm, which was used to train group members on improved agriculture techniques. Continue reading