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NUTRITION
PROJECT
REPORT
2017
Table of Contents
SUMMARY ............................................................................................................................ 4
INTRODUCTION ............................................................................................................... 4
FACTS ABOUT NUTRITION ............................................................................................ 5
TRAINING OF YOUTH NUTRITION EDUCATORS .................................................... 6
COLLABORATION AND PLANNING ............................................................................. 7
THE NUTRITION WORKSHOP ....................................................................................... 8
What is good nutrition?................................................................................................................................... 9
A balanced plate of food activity ...................................................................................................................... 9
Five Keys to Safer Food .................................................................................................................................. 9
Establishing your own garden .......................................................................................................................... 9
Plans for each suco ........................................................................................................................................ 10
Distribution of seeds and garden tools ............................................................................................................ 10
Closing Ceremony.......................................................................................................................................... 11
OUTCOMES ...................................................................................................................... 11
Participant knowledge ................................................................................................................................... 11
Deliverables .................................................................................................................................................. 12
REVIEW AND PLANNING FOR 2018 .............................................................................. 13
Appendix 1: Curriculum .............................................................................................................................. 14
Appendix 2: References and Tools Used for Workshop Preparation ..........................................20
Table of Figures
NUTRITION PROJECT
REPORT 2017
SUMMARY
Members of Juventude ba Dezenvolvimentu Nasional (JDN) recognize that many young people aged 17-24
generally lack knowledge and understanding of the importance of good nutrition for themselves and their
families. This issue is particularly relevant for young women and men in this age group as they are starting
their own families and becoming responsible for their newborn children, as well as themselves. For this
reason JDN again prioritized nutrition education as one of its key focus areas for 2017.
In collaboration with the Ministry of Health, WHO, Administrative Post delegates and community
leaders from Turiscai, JDN organized a workshop on 2nd September, 2017 to follow up and build on the
initial nutrition education provided twelve months earlier. The workshop was supported by WHO and the
Macedon Ranges Friends of East Timor (MRFoET).
Six youth nutrition educators, including three young women and three young men aged between 19-27
were trained to prepare for and lead the workshop, including studying MOH nutrition IEC materials,
developing presentations and inter-active activities and managing logistical arrangements.
Sixty people participated in the workshop, including 27 young women and 14 young men, aged 17-30,
from Beremana, Caimauk, Manumera and Luirai Sucos, the Chefe Sucos from each suco, the focal point for
Nutrition and Doctor from the Turiscai CHC, WHO representative, MRFoET representative, 6 JDN
members and a JDN advisor. The key messages were presented and reinforced through different inter-
active activities and songs, using MOH nutrition education tools.
An assessment showed that 90 percent of participants understood that there are three food groups.
Over 75 percent correctly identified two out of three foods in each food group. Participants’ knowledge
was weakest about foods for growth and about the role of rice in the daily diet. This information will be
used as the basis for planning the content of future workshops.
This report outlines the main components of the workshop, including outcomes and next steps.
INTRODUCTION
Juventude ba Dezenvolvimentu Nasional (JDN) is a youth led non-government organization that was
founded in 2014 by a group of young people aged 17-24 with assistance from two advisors, because we
wanted to understand and act on the issues affecting us and other young people. We also wanted to find
ways for young people living in the Municipalities to share some of the opportunities that are available to us
in Dili.
Members of JDN are either continuing our post secondary school studies, or are working or looking
for work. We meet weekly at the office in Metiaut to co-ordinate leadership development initiatives that
focus on issues of health and nutrition, employment, gender equality and university student
accommodation. JDN members are actively involved in planning and implementing these initiatives with
assistance from four adult advisors. Nutrition education of young people in our age group was prioritized
in our 2017 Plan and has become an important focus for the organization during this year and previous
years.
4
Nutrition Workshop, Turiscai, September 2017
JDN members receive capacity building training and experience through all the activities organized by
the organization. In accordance with this objective, six nutrition educators were recruited and trained to
plan and deliver the Nutrition Workshop in Turiscai. The objectives of the workshop were to:
• Teach young people in Turiscai about the three food groups and the importance of eating food
from each group every day.
• Develop the education skills a Timor-Leste Youth Nutrition Education Team who can continue to
run workshops in 2018 and beyond.
Research carried out by both Government and non-Government organisations shows that:
• One in two Timorese children under the age of five is stunted, which is the third highest stunting
prevalence in the world;
• Micronutrient deficiencies are common among women and children. Nearly one in three (63.2
percent) children (6-59 months) and 2 in 5 women age 14-60 (39.5 percent) are anaemic;
• High undernutrition among women of reproductive age perpetuates an inter-generational cycle of
malnutrition1.
1
The World Bank (2014: 15) Malnutrition in Timor Leste
2
RDTL (2015) Timor-Leste Food and Nutrition Survey 2013, Ministry of Health, Timor-Leste
3
RDTL (2017) Timor-Leste Demographic and Health Survey Key Indicators Report, Ministry of Finance, Timor-Leste
5
Nutrition Workshop, Turiscai, September 2017
Recent data shows specific areas of vulnerability in the Manufahi Municipality, where
• 18.9 percent of children aged 6 – 59 months was suffering from anaemia;
• 192 young mothers were between the ages of 15 – 19 years4;
• The prevalence of stunting was 47percent of children aged 0-59 months;
• The prevalence of underweight women aged 15 – 49 years old was 24 percent5.
As stated in the National Health Sector Strategic Plan 2011-2030, poor nutrition affects people of all
ages in all parts of the country in the following ways:
• Poor health
• Learning difficulties
• Low educational outcomes
• Reduced productivity
JDN members recognize that we can make an important contribution towards achieving government
objectives of reducing malnutrition among vulnerable groups by:
• Promoting the government’s behaviour change communication messages;
• Promoting consumption of diverse and locally produced food;
• Educating young people to influence mothers, fathers, adolescent girls and senior women,
about the importance of selecting, preparing and consuming nutritious food.
Nutrition education trainees participated in ten 1.5 hour training sessions that focused on preparing
for every aspect required for the delivery of a dynamic nutrition education workshop to educate
participants about the importance of eating food from each of the three main food groups three times each
day. The curriculum was presented so that all trainees understood the objectives and key messages and
how they would be presented. Participants were then allocated responsibility for preparing each part of the
agenda to ensure that they applied their nutrition knowledge in practice. Components of the experiential
learning program included:
• research on the nutritional value of specific foods and their food group;
• presentation of findings from this research;
• gathering MOH resources, studying key messages and presenting them to reinforce them for
themselves and others in the training;
• using and adapting MOH IEC tools to ensure maximum participation in workshop activities6;
• discussion and group work;
4
ibid
5
RDTL (2015) Timor-Leste Food and Nutrition Survey 2013, Ministry of Health, Timor-Leste
6 A list of MOH tools and resources is included in Appendix 2.
6
Nutrition Workshop, Turiscai, September 2017
• project management skills.
Trainees developed the activities and prepared all the tools to implement them at the workshop,
including designing banners with the key messages and large posters describing and displaying locally
available food and its uses in a balanced diet. They designed and prepared the participant folders, which
included materials that could be displayed and also used in participants’ homes.
The Nutrition Lead in WHO, Sr Crispin da Costa Araujo continued discussions held with JDN
members following the 2016 workshop and recommended updated resources and tools for use in preparing
the 2017 workshop. WHO also co-ordinated discussions with MOH and agreed to provide financial
support in the form of direct procurement of workshop materials and expenses.
7
Nutrition Workshop, Turiscai, September 2017
THE NUTRITION WORKSHOP
Sixty people participated in the workshop, including 27 young women and 14 young men, aged 17-30,
from Beremana, Caimauk, Manumera and Luirai Sucos, the Chefe Sucos from each suco, the focal point for
Nutrition and Doctor from the Turiscai CHC, WHO representative, MRFoET representative, 6 JDN
Nutrition Educators and a JDN advisor.
The theme of the workshop was: The food we need to be healthy and active. A range of inter-
active methods were used to present and reinforce the key message, which were:
1. Learn about three main food groups, i.e. food for growth, food for protection and food for
energy.
2. Understand the importance of eating food from each group three times each day.
3. Understand how these foods are beneficial for good health and to support daily activities.
4. Understand the 5 keys for safer food preparation.
In particular, Sr. Fernando da Silva noted that nutritious food is very important for everyone, but
he said, “it’s very difficult in Turiscai – we have eleven sucos and we should provide nutrition education for young
people from every suco”.
Sr. Crispin da Costa Araujo said that WHO was happy to support the workshop because of the high
rate of malnutrition in Timor-Leste; Sra. Fran Wigley said that she and MRFoET were very happy to work
with the JDN team to provide nutrition education in Turiscai and hoped there would be more workshops.
Sr. Alberto Dos Reis Mendonça thanked the Administrative Post, the suco leaders, the CHC, WHO and
MRFoET representatives and all the young people for their collaboration and cooperation. He introduced
the theme of the workshop by saying that living a healthy life depends on having good nutrition, which
enables us to:
• Study well
• Work well
• Play sport well
• Relax and recreate well
As a youth organization JDN has trained youth nutrition educators to provide education to young
people in the municipalities. He said:
“at this workshop we will learn together about the importance of food for energy, growth and protection.
We will learn about the function of each of these foods and the health benefits of consuming them”.
8
Nutrition Workshop, Turiscai, September 2017
What is good nutrition?
The Nutrition focal point for Turiscai, Sr. Fernando da Silva presented nutrition facts about Manufahi, in
comparison with other municipalities and explained the importance of eating nutritious food at all stages of
growth and development. Two JDN members talked about the three main food groups and the effects of
not eating nutritious food. The presentation focused on why we need to act as a community to address
problems of malnutrition and emphasized the foods that are necessary for good health, i.e.
1. Foods that help us to grow
2. Food that protects our bodies from disease, and
3. Food that gives us energy
A balanced plate of food activity
Participants formed four small groups to
practice using the information they had just
heard, by identifying which local foods
provide health benefits to support growth,
energy and protection from diseases. The
activity was adapted from the WFP tools and
enabled participants to work in pairs using
pictures of individual foods to learn about the
health benefits of each food and then show at
which meal it could be eaten. Members of
each small group presented the “plate of food”
they had prepared and explained what was on
the plate and why.
Reports from small group work (opposite)
9
Nutrition Workshop, Turiscai, September 2017
Plans for each suco
Participants then met in suco groups to discuss what they had learned and how they would implement
these things in their own suco in cooperation with other young people in the community and the suco
leaders. Plans from each suco are summarized below:
Liurai Suco:
A youth representative outlined a plan to disseminate the information gained at the workshop in the
community and then to meet with local authorities to discuss how to establish a garden as a group initiative.
The obstacles they identified were:
• it is difficult to grow anything in the dry season when there is no water;
• seeds and equipment including a machete and axe are needed;
• it will be difficult to disseminate the information to one aldeia which is very far from the suco;
• some of the families might accept the information and some won’t so additional assistance from
JDN is needed to help implement the plans.
Beremana Suco:
The Suco Chefe spoke about the garden that was initiated by some of the youth who attended the 2016
workshop and their families. He said that they want to improve their efforts in the future so that families
could grow their own food; he will talk with the each of the families about initiating their own garden.
Manumera Suco:
A youth representative from the suco said that they wanted to use an “innovative system” to initiate a
communal garden. They have the ability to produce traditional fertilizer, but they need seeds to start the
garden.
Caimauk Suco:
The Suco Chefe thanked JDN for providing new
information, because the participants learnt so
much that they didn’t already know about nutrition
and food through the workshop. He promised that
they would use what had been learnt. The
participants plan to organize a meeting to share the
information they gained with community members
and use the water they have to start a garden, using
what they have learnt previously from Red Cross.
Young people from Caimauk and the Suco leader planning how
to use the information they learned at the workshop (opposite).
10
Nutrition Workshop, Turiscai, September 2017
Closing Ceremony
The workshop closed with everyone singing the JDN nutrition song that was launched at the UN
celebration of International Youth Day. They also sang Batar Teman in Mambae.
Finally, Sr. Orlando Soares thanked all the participants and JDN, WHO and MRFoET for organizing
and supporting the workshop. He stated again that he wanted the next workshop to include representatives
from all eleven sucos in Turiscai. Sr. Alberto, JDN President then thanked everyone for their support,
participation and contribution in organizing the workshop and throughout the day and thanked the CHC
staff for their collaboration. He said that:
“as young people we must take our responsibility to contribute to the development of the country and through
the work of JDN we are also contributing to achieving the 2030 Sustainable Development Goals. I
encourage all young people present to share what they had learnt with other young people and work with them
to grow their garden”.
OUTCOMES
Participant knowledge
At the end of the workshop an assessment of the effectiveness of the workshop in educating
participants about the three food main food groups and the required daily amount of rice and water
consumption each day was conducted.
Ninety percent of respondents knew that there were three main food groups. The majority of
participants were able to name at least two foods in each of the three food groups. Fifty five percent of
participants correctly identified the foods for energy; 42 percent correctly identified the foods for
protection and 32 percent correctly identified the foods for growth, as shown in figure 2. Knowledge
about foods for growth was weakest.
It is clear from these results that JDN needs to maintain a focus in future workshops on presenting
and reinforcing information about the three main food groups. It is complex information especially for
those who are receiving it for the first time. It is important to explain clearly to participants the difference
between food that contains protein, food that contains carbohydrates and food that contains vitamins and
minerals. While this was a main focus in the workshop the assessment shows that it takes a lot of time to
learn this information. It also requires many different ways of presenting this information so that we can
reinforce the learning.
100
55 52.5 45
42.5
32.5 33.5
Percentage
1
Correct iden.fica.on of food from 3 main groups
11
Nutrition Workshop, Turiscai, September 2017
Ninety seven percent of participants understood the importance of drinking plenty of water every day.
Sixty-seven percentage of participants said they did not need to eat rice three time a day. As 32.5 percent
answered this question incorrectly this is an indication of the need to focus our training on the importance
of balance in our diets. We need to describe both the nutrient value of rice but also the poor nutritional
outcomes of eating too much rice.
100
97.5
67.5
32.5
Percentage
10 Rice consump.on/day
Water intake/day
2.5
1
Correct Incorrect
Deliverables
JDN’s nutrition education project achieved its goals in terms of reaching the target participants,
knowledge gained by participants, the training of youth educators and the use of MOH IEC materials in
youth friendly activities, as discussed below.
12
Nutrition Workshop, Turiscai, September 2017
13
Nutrition Workshop, Turiscai, September 2017
Appendix 1: Curriculum
Facilitators’ Guide
Nutrition Education for Young People
Agenda:
Session Topic Tim e
Welcome and introductions 9:00 – 10:00
1
Overview of agenda and objectives
Powerpoint – nutrition situation in TL, key messages for 10:00 –10:15
2
a healthy diet
BREAK 10:15 –10:45
Activity: Plate with three foods 10.45 –12:00
• Key messages
3 • Demonstration
• Break into groups of 4 to practice
• Present back to the large group
4 5 Keys to Safer Food 12:00–12.30
LUNCH 12:30 – 13.30
5 Nutrition Song 13:30–14:00
Drama about the benefits of eating nutritious food. 14:00 –14:45
6
Discussion
7 Small group discussion and feedback 14:45 –16:00
8 Distribution of vegetable and tree seedlings 16:00 - 16:15
9 Summary, close, nutrition song, other relevant songs 16:15 – 16:30
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Session 1
W elcome and Introductions
Session 2
The Nutrition Situation in Tim or-Leste
Time: 60 minutes
Materials: Computer and projector
Objectives: 1. Present key facts about the nutrition situation in T-L
2. Explain the three major food groups and their value for the health of
individuals and families
1. Presentation: Nutrition situation in T -L, key messages for a healthy diet (30
m ins)
- Present key facts about nutrition
- The three main food groups and how they benefit the body and mind
- The importance of good nutrition for mental and physical growth, for work, study, sport
and for protection against illness
- The importance of drinking fluids to transport nutrients that give energy and help the
body to function well
15
Session 3
Activity: Plate with Three Food Groups
Time: 75 minutes
Materials: Empty plate poster (large) and copies of small d-s posters with information
Photos of food from each food group
Objectives: 1. Present examples of food from each food group
2. Practice putting together a plate to show how a plate for each meal should
look
3. Presentation to large group
STEPS
Session 4
5 Keys to Safer Food
Time: 30 minutes
Materials: WHO Banner: 5 keys to safer food
Objectives: 1. Present and discuss 5 keys to safer food
2. Butcher paper and pens
STEPS
Session 5
Nutrition Song
Time: 30 minutes
16
Materials: Nutrition song words
Guitar and musical instruments
Objectives: 1. Teach a song that includes key messages about good nutrition
STEPS
Session 6
Drama
Time: 45 minutes
Materials: Props for drama
Objectives: 1. Demonstrate the benefits of eating nutritious food through drama
STEPS
Session 7
Small Group Discussion and Feedback
Time: 75 minutes
Materials: Questions and pens for small groups; template for recording responses
Butcher paper and pens
Vegetable and tree seedlings
Objectives: 1. Small group discussion about how information from the workshop can be
used
2. Representatives from small groups feedback main areas of action they
want to see
3. Complete post-test questionnaire using new knowledge
STEPS
17
- Ask each person to say their name and the main thing they have learnt so far in the
workshop
- Discuss questions making sure everyone participates
- Record responses in template provided
- Nominate individual/s to give feedback
Session 8
Summary and close
Time: 30 minutes
Materials: Words of nutrition song and other popular songs with nutrition messages
Musical instruments
Objectives: 1. Summarize the main messages and outcomes from the day
2. Thank everyone and close the workshop
3. Celebrate with singing and music
STEPS
1. Film : (5 m ins)
- Show film about a mother caring for her under-nourished child
18
Encourage people to think of similar examples or ways in which they can use this
information
19
Appendix 2: References and Tools Used for Workshop Preparation
Centre for Studies for Peace and Development and Johns Hopkins University (undated)
Revizaun Estratéjiku Timor-Leste, CEPAD, Timor-Leste.
French, Bruce R (2011) Food plants for Healthy Diets in Timor Leste; Rotary Club of
Devonport North and Food Plants International.
RDTL (2017) Timor-Leste Demographic and Health Survey Key Indicators Report, Ministry of Finance,
Timor-Leste.
RDTL (2017) Reseita Hahán Saudável, Ministerio da Saude, Timor Leste.
RDTL (2017) Nutrition Flipchart; Ministry of Health and World Health Organisation.
RDTL (2015) Recommendations for Healthy Eating in Timor Leste, Ministry of Health, National
Directorate of Public Health, Department of Nutrition, Dili, Timor-Leste, with technical
assistance from the World Health Organization (WHO), Dili, Timor Leste.
RDTL (2015) Timor-Leste Food and Nutrition Survey 2013, Ministry of Health, Timor-Leste.
RDTL (2015) Mapeamento Fatór Báziku ne’ebé hamosu Malnutrisaun iha Timor Leste,
Presidéncia da República, Timor Leste.
RDTL (2014) The Economic Consequences of Under Nutrition in Timor Leste, Ministry of
Health, Timor Leste.
RDTL (2012) National Nutrition Strategy 2014-2019, Ministry of Health, Timor-Leste.
RDTL (2011) Timor-Leste Strategic Development Plan 2011-2030, Democratic Republic of Timor-
Leste, Dili, Timor-Leste.
RDTL (2011) National Health Sector Strategic Plan 2011-2030, Ministry of Health, Timor-Leste.
RDTL (2010) Timor-Leste Demographic and Health Survey 2009-10. National Statistics Directorate
[NSD] and ICF Macro, Dili, Timor-Leste.
The World Bank (2014) Malnutrition in Timor-Leste, The World Bank
http://documents.worldbank.org/curated/en/666231491492248496/pdf/114087-WP-PUBLIC-
EAPEC-176-p-MalnutritioninTimorLeste.pdf cited 15th September 2017.
World Food Program (WFP) Etape Aktividade Bikan no Grupu Aihan Tolu, WFP Timor-Leste.
20