Since More Than Four Decades
VOLUNTARY HEALTH ASSOCIATION
BRINGING NEW HOPE
When Anjali swain's one year old daughter was found to be
underweight(5.5kg) despite having a healthy birth weight(3.3kg).Anjali did not know what was wrong untill she was identified by
expert from team surakhya with the help of ANM.She was told that
her daughter was malnourished and during interaction it was
found that although the child has been exclusively breastfed,but
pattern and quality of complementary feeding is sub standard.
Furthermore she was also suspected of having infected by worms.
Every bit of training on IYCF practices helped Anjali by
enhancing her knowledge regarding complementary feeding,health
seeking behaviour,hygiene.She learned about feeding pattern, low
cost nutrive ,recipes,continued breast feeding till 24 months
and de worming. After a rigorous follow up by team surakhya with
the help of district level partner NGO. Changes in feeding
practices have been incorporated and child have started showing
improvement in weight.
Dohra,Manes war block :
Janaki Sahoo(Naib sarpanch Dohra) found her sister in law having
no milk secretion therefore breast feeding could not be
initiated in the first hour of delivery..The hospital staff were
worried, but all majors seemed to be failure. She quickly
recollected the video of breast crawl, discussed with medical
staff and with their support, initiated early breast feeding by
breast crawl,milk came in whithin 30 minutes of breast crawl.
According to Janaki Sahoo, she learnt about breast crawl during
a training session at Dohra, where breast crawl video was shown
by team surakhya,with support from district project coordinator
and NGO partner. She has shown her keen interest in utilizing
some funds available at her level in promption of IYCF
practices, and breast crawl.
Arati Majhi, 30 educated and from a well to do family ,
approached us during a counselling session with her 16 month old
daughter, Kiran. She was worried about the health of her only
daughter who was dangerously thin (wasted). During birth her
weight was 3 kg�s but now after 16 months, her weight is 7
kg�s.After interaction with her, we could find out that she is
unaware about the type of complementary feeding to be given to
her child; furthermore she is also not feeding the child with
breastmilk. Has started giving mashed fruits as
complementary foods from 8 months and is continued till now.
Many studies reveal that breastfeeding is well practised in the
community but when it comes to complementary feeding after six
months, mothers are not aware of what to feed their child with?
Feeding child after six months is a big challenge for the
mothers to meet the increased requirements of the child. It
doesn�t matter if a child has healthy weight at the time of
birth, due to untimely introduction and insufficient
complementary feeding the child gradually becomes undernourished
(wasted). Consuming only fruits doesn�t meet the nutritional
requirements of the child, for fruits contains simple
carbohydrates and are low in calories.
She was suggested to introduce appropriate, hygienically prepared,
homemade, mashed complementary foods in adequate quantities and
continue breastfeeding at least till second birthday. Not to
Feed watery items may be easy to swallow and save caretaker�s
time but are very low in calories and nutrients. Some nutrient
dense recipes were suggested Khichdi added ghee, sugar, boiled
and mashed green leafy and other vegetables can be given. Rice
flakes (chuda) and sooji kheer, boiled egg can also be started.
Ways of retaining and enhancing nutritional content of food
along with maintaining hygiene while preparing and feeding the
child were something she was suggested.
Arati Majhi was assured Post counselling and has started feeding
her child and is happy with the response from child. It is
expected that within a couple of months the child will gain the