The Nutri-Salud Project (2012-2017), funded by USAID and primed by URC, assisted the Government of Guatemala to address the chronically poor health of mothers and children in mostly-indigenous communities in 30 municipios in western Guatemala.
The Manoff Group led the project’s SBCC strategy design and implementation, and supported nutrition program design and implementation. We developed the Programa de la Rueda de Prácticas para Virir Mejor (the Wheel of Practices for Better Living), which the Ministry of Health officially adopted as their community strategy.
The Wheel strategy encompasses:
- A home-based tool depicting 19 key behaviors in the first 1,000 days of life, designed to help families set goals, track progress and remember commitments to the health of mothers and their new infants, as well as serving as a focal point for counseling during periodic home visits by a health worker or volunteer.
- Group activities to facilitate the recommended practices; and
- Community activities to monitor, promote and facilitate the practices, including how to solicit outside support when needed.
We also adapted and validated our Child Length Mat to enable families to visualize and take action to prevent child stunting and promote growth.
Over 50,000 households in hundreds of communities adopted the Wheel Strategy through Government and 30 collaborating civil society organizations. Nutri-Salud conducted an in-depth evaluation in 8 communities, which found improvements in the recommended practices and enthusiasm among participating families.