Abela, Caro, Cosalan, Dator, De Castro, Hernandez
J., Hernandez L., Ishimura, Pascua, Que


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
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

 To foster camaraderie and self-
worth among the Community
Health Workers by promotion of
teamwork and unity through an
enjoyable and cost-effective teambuilding activity
 Create new attitude about
nutrition and healthy living among
a sample of children 4-6 y/o in the
community through education and
creativity
 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.
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
 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

Obstacle Course/Relay
 Paper Maze
 Nutrition Quiz
 Egg Toss
 Puzzle


“Jing-Ilugin”
“Vidyuhin Ilugin”


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.


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); Selfdiscipline (the maze must not be rushed for it
to be successfully accomplished)


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)


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


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)



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.


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.


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.

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

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
Resources and Budget
ICC TEAM BUILDING BUDGET REPORT
16-Jun-11
MATERIALS
Qty
Unit Price
Crepe paper
8
9
Folder
2
8.5
Egg
5
5
Snacks
Palabok
2
600
Chicken
7
130
Juice
8
9.5
Cupcake
3
57
Cube ice
2
20
Utensils
2
110
TOTAL
Total
72
17
25
1200
910
76
171
40
220
2731
GANNT CHART
June 6-10
11-Jun
"Vidyuhin
Ilugin"
Planning and
Jing - Ilugin Brainstorming
Obstacle
Course
Gather
materials
12Jun
13-Jun
14-Jun
Compile pictures and videos
15-Jun
16Jun
Set-up logistics

Feedback from participants / consultants /
residents
 Highlights of the activity
 Possible areas of improvement
 Suggestions/recommendations for future
activities




Nag-enjoy talaga kami”
“Ito yung 1st time nagkaroon kami ng ganito
sa Ilugin”
“Masaya ang activity na toh!”
“Mahusay ang ginawa ng Clerks”
Verse 1:
GO at GROW
Leron, leron, sinta
Puno ng vitamina
Kanin, patatas, mais, at
Gatas, pagdating sa dulo
Tinapay at butter nuts
Verse 2:
GLOW
Kangkong, malunggay
Kalabasa at talong
May kasamang prutas
Pampakinis ng balat
Verse 3:
Kailangan ang tubig
Walong baso araw-araw
Para tayo ay laging malakas
Healthy food!
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.
Recommendations


Team building activity can be done outside
the community center
Should be a yearly event in order to
strengthen relationships
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.

This monitoring tool will aid in providing
feedback on the effectiveness of the
nutrition program and in tracking a child’s
nutrition progress.


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


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.

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)

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)

P1500 for 100 booklets of 30 pages each
 Paper
 Ink
 Reproduction
 Method: Focus group discussion
 Evaluators: CHWs/ mothers
 Conducted by: Residents/ Clerks
 When: After the first month of the
Nutrition Program Implementation
Nakatulong po ba ang Nutri-Book sa inyong pagrerecord ng mga kailangang impormasyon para sa ICC
feeding program? Sa paano pong paraan?
 Madali bang maintindihan ang laman ng NutriBook? 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:


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
Ilugin Community
Children’s Activity Book
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
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
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
Mechanics/Plan

Materials
 Folders
 Letter-sized paper
 Fasteners
 Crayons
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
Activity Book Prototype
Activity Book Prototype
Activity Book Prototype
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
Gantt Chart/Timeline
Estimate Budget
Materials/Activity
No. of Pieces
Cost per Unit
Total Cost
Folder
Photocopying
25
750
2.50
0.50
65
375
Fastener
50
Crayons
*May be free if
able to acquire
from donations
Snacks for kids
50 boxes of 8
crayons
100 (for box of 50)
20
1000
400
TOTAL
PHP 1940
Evaluation Tool


Evaluation would be done through FGDs
conducted with the parents of the preschool
children involved in the project
The success of the project shall be measured
with a generally positive response to the
activity book. Any recommendations from
the FGD shall be taken into consideration for
the revision of the activity book.
THE END