Tag Archives: Nutrition

Final Group Analysis

Our final group analysis was guided by the following objectives:

  1. Identifying the key problems and social norms within the communities we visited
  2.  Prioritize and group the problems
  3.  Look at existing resources within the communities
  4. Identify activities we can modify in our existing work plan
  5.  Based on the research define what empowerment of females within these communities will look like
  6.  Action Plan: where do these finding fit? How can we include them into our work plan? How can we make them happen?

First we wrote down the problems and Social norms which stood out to us in both field visits. We then posted all of those findings on the board, and together categorized them into clusters. We ended up with four main categories:

  • Household Equity
  • Social Norms
  • Livelihoods
  • Nutrition

In groups we identified the main issues in each category and the role cultural beliefs, social norms and practical matters (such as access to resources) play. Combining these findings with the suggestion we had received from the respondents, we set about finding activities that could be incorporated into the Fish on Farms strategy.

I will use my group’s findings to demonstrate what the process involved and what the conclusions looked like. Please keep in mind that the following solutions are from our initial impressions only and do not represent the final results.

In my group we focused on  Household Equity and identified three areas that needed improvement:

i-                    Reducing the burden of household chores on women

ii-                   Reduce alcohol consumption of men

iii-                 Involve women in household decision making

We proposed the following as means of achieving these goals

i-                    Reducing the burden of household chores on women

Involve men in the training and education sessions so they are more aware of what the household chores involve. In the training sessions take a proactive approach; for example have the men prepare a meal. This way the men can experience what the process involves.

ii-                   Reduce alcohol consumption

Using role play, involve the men in the discussion about alcohol consumption and try to obtaining their opinion and identify circumstances that lead to drinking. For instance what are the social pressures that lead to drinking? Concurrently we can put a strong emphasis on the potential of the money that is spent on alcohol; we will add up the amount spent on alcohol within one year and talk about what they could use that money for ( ie. Farming equipment).

iii-                 Involve women in household decision making

In our research we found that women can make small daily decisions such purchasing household ingredients. However, when it comes to making bigger decisions such as selling household assets they do not have authority.  We attributed this to two factors: 1- A lack of income from women, 2- Lack of confidence in decision making.

To empower the women we hope to generate income through the Fish on Farms project. We will complement this by training the women in book keeping and budgeting. To enhance the women’s confidence levels we concluded that it is important to recognize their achievements and reward good decisions.

While coming up with these solutions our goal was to involve all members of the household, since it is the household as a unit which can drive the change and not individual members.

The next step of the baseline gender analysis is to start coding all of the summaries from our interviews on the field, and this will involve nothing more than an able body (ie. me), a laptop, and a long list of summaries to review. So stay tuned for the next post which will explain what coding is and what the process involves.

 

 

Body Image Tool

One of the most interesting tools that we used in the gender survey was the Body Image of Men and Women. The objective of the tool was to illustrate the different behavioral expectations for men and women, how they were learned, and to identify the consequences for people who do not follow them. This was done in separate groups of men and women; the men discussed the behavioral expectations for men and the women discussed the behavioral expectations for women.

I was fortunate to observe the focus group discussion of the women for this tool. First, we had the participants draw a picture of an ideal woman, which depicted how she was expected to look, dress and stand. Then as a group, the participants brainstormed the important qualities that an ideal woman should have and wrote them around the drawing.

An ideal woman is expected to dress modestly and neatly, and stands with her feet close together.

This tool illustrated the very different behavioral expectations for men and women. A man is expected to be strong and to be responsible for the family’s income, while it is important for a woman to be a good housewife and a good caretaker of the children.

Our participants came up with 13 qualities that an ideal woman should have such as politeness and docility, patience, respect for her husband and respect for the elders. She needs to be a good housewife who does not leave the house. And she is responsible for the wellbeing of the children and the management of all the household assets such as the income earned by the husband, the cows, and the pigs.

After drawing, we discussed the importance of each of the qualities and the consequences for those who did not live up to the expectations. These behavioral expectations were learned from a young age from their parents, older siblings and teachers. When these expectations were not met, the people in the community would say that she was a bad woman and won’t befriend her. Also, it will only affect her family’s wellbeing if she was unable to fulfil her responsibilities. For instance, if she wasn’t patient with her husband when he picked a fight with her when he was drunk, then the conflict will not end and this is not good for her family, especially the children. She will also get into trouble with her husband if she did not do the household tasks or manage the assets well.

The women found some rules to be hard to follow such as always being patient with their husbands, especially when they were drunk, or staying at home all the time because they needed to have relationships with their neighbours who were also a great information source.

This tool has made them realized that there had been behavioral changes in the community that diverged from the traditional rules. Even though the women believed that these expectations had their merits, they had noted some positive changes that had taken place. The women reason and question other people more now and they are allowed to leave the house for income-earning, such as working in the factories in Phnom Penh.  They saw these changes as positive because they increased the family’s income and improved their livelihoods.

In addition to improving nutrition, the objective of Fish on Farms is also to improve livelihoods by empowering women. The information gathered through this process is important for our project because we can use this to study the problems that are faced by the women in the community such as domestic violence, and the roles of women in decision-making and income management.

Meeting of the Nutrition Working Group

This week we attended the Nutrition Working Group (NWG) meeting at the National Maternal and Child Health Center, which is hosted monthly by Cambodia’s National Nutrition Programme.

On the agenda were two presentations; one on the work of International Relief & Development (IRD) in Boribo Operational District in Kampong Chhnang Province and another is on Liger Charitable Foundation, a boarding school in Kien Svay that supports orphaned and impoverished children with education.

Since 2010, IRD has worked to address pronounced nutrition and childcare challenges in Boribo. The program uses Evidence-based Interventions for Improved Nutrition to Reinforce Infant, Child and Maternal Health (ENRICH)

IRD’s activities in Boribo District include:

  • Hearth program – uses positive deviance or Hearth model to identify beneficial indigenous practices or behaviors by mothers and inform these messages to other communities with malnourished children. Since its implementation, Hearth has been successful in reducing the number of moderately underweight and severely underweight children by about 70% in its target communities.
  • Focus on men – following IRD’s ‘whole family’ approach, the project is employing a strategy aimed at increasing men’s involvement in key maternal and childcare issues.
  • Cooking demonstrations with IRD’s contribution of  oil and peanuts, the VHVs and mothers organize nutrition rehabilitation sessions for malnourished children. During the sessions, they share knowledge and experience on child feeding and demonstrate how a nutritious meal (Bobor Krup Kreung) is cooked.

Liger Charitable Foundation – still in its early stages, Liger is working towards its objective of improving child health by integrating nutrient and health education into its various projects, including a school garden and sanitation/irrigation system. Through careful growth monitoring, Liger believes that children can make a difference in their country’s future and are the best agents of change in their own communities.

To find out more about the activities of IRD and Liger Charitable Foundation, you can follow the links below:

IRD: http://www.ird.org/en/our-work/programs/child-survival

Liger: http://www.theligerfoundation.org/

One of the most important roles of NWG is to establish and strengthen linkages, collaboration and communication between the various sectors working in nutrition and food security. I find this coordinated approach of dissemination of nutrition information among the partners to be an efficient use of resources that has high potentials for the development of intervention programs and national nutrition policies.

Field Data Collection: Part I

Our first round of field data collection for Baseline Gender analysis started in Chrey Seima Village, where the garden and fishpond arm of the project is being implemented. After a long day’s journey we were anxious to get started.

The first tools to be implemented were the gender timeline and seasonal calendar tools. For these tools we held separate FGD for men, women and the elders; this was done to allow for comparison of opinions held within each group. I was involved with the gender timeline for women, where we discussed how gender trends had changed in recent years. I was surprised at the group’s willingness to participate! Their enthusiasm was encouraging; they expressed their appreciation for the work that various NGOs had done over the past few years, and were very adamant in their request for more support, especially to help reduce domestic violence.

The second day of field data collection was conducted in three separate villages, all of which were part of the control group. Here, I conducted key informant interviews with the VHVs and VMFs to learn about what they consider as “healthy foods” and how they cope when food is scarce. With the help of my very reliable translator, Hellina Sarin, I was able to learn about their understanding of good nutrition and especially the role fish plays in a healthy diet.

The final day of data collection also took place in three separate villages (Sanloung I – III). It was the busiest one yet!  We conducted 6 group discussions with male, female and mixed respondent groups, who are part of the garden arm of the Fish on Farms project.

Here is a list of the villages we visited and the tools that were covered:

Day 1

Tools:  Seasonal Calendar and Gender Timeline

  • Chrey Seima Village , Chea Khlang Commune, Svay Antor District, pond and garden group
  • Chhkae Kaun village, Chea Khlang Commune, Svay Antor District, pond and garden group

Day 2

Tools:  Nutrition & Copings Strategies, Fish Preference, Division of  Household Tasks and Venn Diagram

  • Thnoung Village, Chea Khang Commune, Svay Antor District, control group
  • Prey Khla I Village, Prey Khla Commune, Svay Antor District, control group
  • Prey Khla II Village, , Prey Khla Commune, Svay Antor District, control group

Day 3

Tools: Financial Management, Gender Drawing, Asset Management, and Gender Trends

  • Sanloung I Village, Angkor Tret Commune, Svay Antor District, Garden group
  • Sanloung II Village, Angkor Tret Commune, Svay Antor District, Garden group
  • Sanloung III Village, Angkor Tret Commune, Svay Antor District, Garden group

As I had mentioned in the previous blog post, each day of data collection was followed by a full day of data summary and preliminary analysis. So please stay tuned for our next post which will discuss the details of how this process took place and our conclusions.

Introduction

 

My name is Pardis Lakzadeh and Im a graduate from the Faculty of Integrated Sciences in the area of Human Nutrition and Immunology. My focus was on understanding the impact of Nutrition on overall health and more specifically the relationship between nutrients and the immune system. I was first introduced to this area of research in FNH 355 International Nutrition, taught by Judy McLean herself! I was immediately taken in by the complexity of the problems surrounding nutrition globally, and was very impressed with the innovative solutions offered. This new found interest motivated me to follow up this course with FNH 455 Applied International Nutrition, and it was here that I first learned about Fish on Farms. I knew immediately that I would like to be involved and here I am 6 months later. Over the next few months together with Hellene Sarin I will be updating the blog posts and twitter account, to keep you updated on the exciting progress of Fish on Farms.

My name is Hellene Sarin and I will be working with Pardis Lakzadeh over the next few months. I am from Phnom Penh, and a fourth year student majoring in Natural Resources Conservation in the Faculty of Forestry at UBC. Building on my experience from last summer in Cambodia where I was involved in the research evaluation of a voucher program for reproductive health, through qualitative research that has a strong focus on gender analysis with FoF, I hope to gain a better understanding of the problems that surround nutrition issues in a developing country. I am also really excited to learn more about Participatory Rural Appraisal tools throughout the project and how the integration of aquaculture into homestead food production works to improve nutrition and livelihood of the people.

Baseline: Day 7

I‘ll confess, I made a rookie mistake – I forgot to charge my camera battery. The only picture I managed to take before my battery ran out was of a recently slaughtered chicken next to a bowl of its own blood.

Ingredients for today's lunch.

I didn’t get to ask the cook what they intended to do with the blood, but since they went to great lengths to collect it in a bowl post-slaughter, I assume it was incorporated into the meal in some way. While this may sound unappetizing to a lot of readers (especially those in North America), it’s pretty common in other parts of the world — even in Western countries. The Brits are known for their blood sausage and blood pudding. For centuries the Maasai warriors of Kenya have consumed the blood of cows. In Cambodia, where so many are anemic, adding animal blood to the diet makes sense as it’s an excellent source of iron.

I’m spending the 8th day of baseline at a health center to watch the NIPH (National Institute of Public Health) technicians collect more blood samples, but I’m saving the details for a post on the blood collection process. So instead of a recap, check back tomorrow for another special feature!

An Afternoon at Central Market

Today I spent the afternoon on personal preparations for baseline, and I’m not talking about anything survey-related. I spent the afternoon purchasing non-perishable food to bring with me to Prey Veng.

Before I came to Cambodia, I never thought of myself as a picky eater. There are a few things I don’t like (to say I dislike ketchup is an understatement), but overall I can usually find something to eat. Growing up in Vancouver meant that I was exposed to multicultural cuisine from a young age. I love curry, dim sum, and sushi. My pre-travel research highlighted the prominence of fish, rice, soup, noodles and vegetables in the Cambodian diet. I love fish! I love rice! I thought I was set.

My first trip to Central Market in Phnom Penh was paradigm-shifting, to say the least. It could also be described as an olfactory assault. Before I even noticed what was for sale, I noticed how it smelled. There is an entirely unfamiliar, pungent odor that I now associate with Khmer food. Apparently I have an aversion to fish sauce, which is used in most dishes here as an easy way to enhance both the nutritional value and flavor (and odor) of food.

Outside of Psah Thmei, or Central Market

I forced myself to take in the scene at the market using my eyes rather than my nose. The offerings were more diverse than I expected. There were a lot of things I recognized, but even more that I didn’t. I had expected fish, but I hadn’t expected so many types of fish, prepared in so many different ways. Very few of the vegetables and fruits looked familiar. (I have since tried mangosteen and dragon fruit– yum!). Food that I thought I recognized turned out to be something different. Those hard-boiled eggs weren’t the hard-boiled eggs I’m used to – they were actually hard-boiled eggs with animal fetuses inside, for a little extra crunch. Things that I don’t even consider to be food were sold as food (see below).

Some of the offerings at Central Market

Left: Skewers of meat Middle: Boiling the skewers Right: Grilled Squid

Top left: Several types of fish available for lunch Bottom left: Roasted birds Right: fish and meat to purchase for home

I left the market with the few items I came for: some fruit and a tupperware container.

Left: fruit vendor Top right: dragon fruit Bottom right: mangosteen

Tomorrow I’ll stock up at Lucky Market, which sells Western food. On my shopping list: peanut butter, crackers, nuts, and dried fruit.

On my tuk tuk drive home from the market, I tried to process what I had seen and smelled. However, I ended up with more questions than answers. I wondered if a Cambodian person would have the same reaction to a Canadian market as I did to a Cambodian market. What foods at Granville Island would seem foreign or unappetizing to them?

I also wondered when the Western diet became so limited. In North America, it’s extremely rare to eat insects. It’s also unusual to eat all the parts of a fish (although I have seen this done – but usually when fish is on the menu, a boneless filet arrives at the table) or the organs of an animal (again, there are exceptions to this rule). When did we stop eating all the parts of an animal? Why did this happen? Is it because our society, as a whole, is affluent enough to be more selective?

Do Cambodians eat a greater variety of animals and animal parts for nutritional reasons, such as a lack of available Western sources of protein? Or do they eat these things because it’s what they’re raised to eat, so these foods are “normal” to them and are consumed without hesitation?

Protein-rich insects for sale

During my undergraduate studies at Barnard College, Columbia University, I took a course entitled “Edible Conflicts: The History of Food.” We discussed how food has shaped society from pre-historic times to the present. I’ve seen examples of this here in Cambodia, from the way people sit around a food stall at a market to enjoy their food and chat with the chef and other patrons (rather than going to a cluster of tables and chairs the way one might at a food court), to the way our survey defines members of a household as people who eat from the same pot in one house.

Eating lunch at the vendor's counter

But now I’m also trying to understand the Cambodian diet from a nutritionist’s perspective. After all, that’s what Fish on Farms is doing. We’re trying to take the Cambodian diet, which has developed along its trajectory due to historical and geographical conditions, and effect change in a culturally-acceptable manner to improve the lives of Cambodians. That’s why we picked aquaculture over chicken coops. Chicken and eggs don’t feature prominently in national diet, whereas fish is front and center.

I’m looking forward to observing several homes in Prey Veng during baseline to try to piece together my understanding of the Cambodian diet by integrating both a sociocultural and a nutrition perspective.

Countdown to baseline: 2 days!