The last week of my internship was possibly the most exciting time in my five months with the GROW project in Ghana. I saw all of my ideas and plans for GROW’s Nutrition Strategy come to life.
In case you’re not sure of what my role and responsibilities with GROW are, let me give you a brief summary. As the Nutrition/Food Security Intern, I analyze needs for nutrition training and identify opportunities to stimulate healthy dietary choices within families participating in the project. The ‘analyzed needs for nutrition training’ part means I conducted a needs assessment of GROW’s beneficiaries. I researched their health and nutritional status, community assets, local diet, attitudes and values, use of community resources and services, and perceived barriers to improved nutrition. All of this information gathering entailed desk research of GROW project data and other West African food security projects, focus group discussions with GROW women, as well as key informant interviews with local nutrition stakeholders.
The second half of my responsibilities was the ‘identifying opportunities’ part, which is formerly called the GROW Nutrition Strategy. This included nutrition-related program goals, objectives, and recommendations to address identified barriers. Also, I included an assessment of internal and external trends and issues that can pose challenges to the nutrition program as well as an appropriate implementation strategy for my recommendations.
I found the needs assessment and strategy development processes very rewarding. Not only did it build my professional skills, I also gained insight into the culture of the communities we work with. Although, my work focuses on food and nutrition, it is astonishing how intimately food is related to families’ lifestyle and beliefs system. I gained an appreciation for the ‘why’ many things are the way they are for GROW women today. But most importantly, never straying far from my health background, I saw the big picture of how hunger, poverty and diseases are all interlinked. And all of these revelations played a part in my recommendations for the nutrition program.
Developing and designing the nutrition training and food demonstrations for the program involved working with Women in Agricultural Development (WIAD), a technical directorate of Ministry of Food and Agriculture, and Ghana Health Services (GHS), a public service body formed from the reorganization of the Ministry of Health. Drawing on the technical expertise of each of these agencies, I drafted the agreement for MEDA to enter into a collaborative partnership with WIAD, implementing basic nutrition training and food demonstrations using soybeans, and with GHS, implementing community-based Infant and Young Child Feeding (IYCF) training in GROW communities.
The messages and materials used in these training sessions are key as attempting to change food habits is a very complex and lengthy process. Motivating these families to adopt long-term nutritional practices requires increasing their knowledge, skills and environmental supports for the behaviour change. The channels of communication, size of training groups, and even the timing of sessions (we decided on four sessions for each group) play a significant role in how well a new behaviour will be accepted and practiced.
Outlining the messages, materials and implementation schedule with WIAD and GHS, led up to the planning of pilot sessions to be conducted during my last week with GROW. I was so excited to see everything I planned actually come together. Of course, it was very chaotic times as I had to organize my work to be handed over to the future GROW Nutrition Coordinator to be hired in 2014 and some tasks remained to be completed. Nevertheless, I organized two pilot sessions to be hosted in two different communities of Wa West district hosted by two of GROW’s Key Facilitating Partners (KFPs).
Community Aid for Rural Development (CARD) hosted the first pilot session in the Wechiau community with WIAD implementing nutrition training and a practical activity. Even though visual materials weren’t available for this pilot session, positive feedback was received from attendees (fourteen women lead farmers) and CARD staff (KFPs hosting these sessions build their capacity in food and nutrition training as well!). Topics of discussion included:
- Food groups and local food variety
- Balanced meals
- Importance of clean water
- Benefits of soybeans
- What and how soybeans can be blended into local dishes
The practical activity taught women how to properly select, wash, dry and cook soybeans to make soy flour or soy paste. This practical activity is introductory as the following session teaches attendees to incorporate soy flour into local dishes like banku, Tom Brown, tubaani and many others.
Centre for the Alleviation of Poverty, the Environment and Child Support (CAPECS) hosted the second pilot session in the Poyentanga community with GHS implementing nutrition training. This pilot session went really well and the women were very engaged, sharing their personal experiences and challenges with the group. Topics of discussion included:
- Importance of Infant and Young Child Feeding
- Common challenges to breastfeeding and solutions
- Foods important for maternal nutrition (pregnant and lactating mothers)
- Stages of child development and associated feeding practices
- How to prepare porridge to the correct consistency for a 6-month old child
I was so happy to see pilot sessions held successfully and get a sneak peek into what will be when full implementation begins in 2014. It was a proud moment for me and gave me the chance to evaluate every thing I had done in my time with GROW. Collaborating with regional NGOs and government to achieve shared objectives while building capacities of both is a momentous achievement for me. I am confident that not only will women and families of Northern Ghana be eating healthier, but the GROW project will set a precedence for nutrition-sensitive programming in agriculture and food security in the development sector.