IYCF Counselling Cards

Gabay sa Pagpapasuso at Pagpapakain ng Sanggol at Bata (Infant and Young Child Feeding)

Use of cards
Developed to help counsel mothers and other caregivers about infant and young child feeding Midwives to train peer counsellors on the use of cards to counsel mothers and caregivers

Practice positive counselling skills to be successful

Listening and Learning Skills

Use helpful non-verbal communication

Keep your head level with the mother or caregiver

Pay attention Reduce physical barriers Take time Touch appropriately

Listening and Learning Skills

Ask open questions

Use responses and gestures that show interest Reflect back what the mother (or caregiver) says
Avoid using judging words

Building Confidence and Giving Support skills

1. Accept what a mother (or caregiver) thinks and feels. 2. Listen carefully to the mothers (caregivers) concerns. 3. Recognize and praise what a mother (or caregiver) and child are doing correctly.

4. Give practical help.

Building Confidence and Giving Support skills

5. Give little, relevant information at a time.
6. Use simple language that the mother or caregiver will understand.

7. Make one or two suggestions, not commands.

Use of cards
Can be used for information dissemination, education
Sessions for a big group One-to-one session

Use of cards
User: Should read main message and key points
Can mix and match topics May pick topic applicable to the situation/ target audience

IYCF 3-Counselling
1. Assess: ask, listen and observe

2. Analyze: identify difficulty and if there is more than one prioritize the difficulties 3. Act: discuss, suggest a small amount of relevant information, agree on doable action

Step 1 - Assess
1. Greet the mother/father/caregiver

2. Ask questions that encourages her/him to talk

Listening and learning skills
Building confidence and giving support skills

Step 1 - Assess
1. Questions
What is your name and your childs name?
Observe the general condition of mother/ father/caregiver? What is the age of the child? Has your child been recently sick? If presently sick, refer mother to health facility

Step 1 - Assess
1. Questions
Ask mother/father/caregiver if you can check childs growth chart. Is growth curve increasing? Is it decreasing? Is it levelling off? Does the mother know how her child is growing?

Step 1 - Assess
1. Questions
Ask the mother how the child is doing, whether the child is gaining weight (do not just rely on the plots on the growth chart)
If there is no growth chart, ask mother/ father/caregiver how he or she thinks the child is growing?

Step 1 - Assess
1. Questions
Ask about the childs usual intake
Ask about breastfeeding

Observe mother and babys general condition

Observe babys position and attachment

Step 1 - Assess
1. Questions
Ask about complementary feeding
What type/kinds

Frequency
Amount Texture (thickness/consistency: mashed, sliced, chunks

Step 1 - Assess
1. Questions
Ask about other milks
Ask about other liquids

Does your child use a cup?

Who assist child to eat? Are there other challenges that mother faces in feeding the child?

Step 2 - Analyze
1. Is feeding age-appropriate? Identify feeding difficulty 2. If there is more than one difficulty, prioritize difficulties 3. Answer the mothers questions (if any)

Step 3 - Act
1. Depending on the age of baby and analysis, select a small amount of information relevant to the mothers situation. 2. Praise the mother 3. For any difficulty, discuss with mother/ father/caregiver how to overcome the difficulty

Step 3 - Act
4. Present options/small doable actions and help mother to select one that she can try to overcome the difficulty 5. Share with mother/father/caregiver appropriate counselling card and discuss 6. Check understanding

Step 3 - Act
7. Let mother know that you will follow-up with her at the next weekly visit 8. Suggest where mother can find additional support 9. Refer as necessary 10. Thank mother for her time

Key Messages
Card 1: Wastong nutrisyon para sa mga buntis at nagpapasusong ina Card 2: Panganganak sa ospital o klinik

Card 3: Sa kanyang unang 6 na buwan, ang iyong sanggol ay nangangailangan lamang ng gatas ng ina

Key Messages
Card 4: Kahalagahan ng eksklusibong pagpapasuso sa sanggol sa kanyang unang anim na buwan Card 5: Magpasuso tuwing kinakailangan, umaga at gabi (8-12 beses) upang patuloy ang pagdaloy ng gatas ng ina

Card 6: Tamang paghakab

Key Messages
Card 7: Ibat-ibang posisyon sa pagpapasuso Card 8: Pagpapasuso sa sanggol na kulang sa timbang Card 9: Pagkolekta ng gatas Card 10: Para sa mga nagtatrabaho sa opisina, pagawaan o lugar paggawa

Key Messages
Card 11: Para sa mga nagtatrabaho sa impormal na sektor Card 12: Expanded Breastfeeding Promotion Act (RA 10028)

Card 13: Malinis na pangangatawan

Card 14: Pagbibigay ng karagdagang pagkain sa bata pag-abot niya ng 6 na buwan

Key Messages
Card 15: Pagbibigay ng karagdagang pagkain sa bata mula 6 hanggang 9 na buwan Card 16: Pagbibigay ng karagdagang pagkain sa bata mula 9 hanggang 12 na buwan

Key Messages
Card 17: Pagbibigay ng karagdagang pagkain sa bata mula 12 hanggang 24 na buwan Card 18: Ibat-ibang pagkain Card 19: Pagtatanim ng gulay sa paligid Card 20: Kung may sakit ang sanggol

Key Messages
Card 21: Pagpaplano ng pamilya

Card 22: Pagsubaybay sa kalusugan ng bata Card 23: Kailan dapat dalhin sa pagamutan ang sanggol o bata?

Mechanics for Practice Session

1. Divide into triad

2. Decide who among the triad will be the mother, counsellor or observer
3. Each group will be assigned a case study 4. Mothers should give all the information included in the case study and should answer other questions that the counsellor may ask outside the case study

Mechanics for Practice Session

5. Counsellor of each triad should asks the mother about her situation and practice
assess, analyze and act steps listening and learning skills building confidence and giving support skills

Mechanics for Practice Session

6. Observers task

Record the skills of the counsellor used

Provide feedback after the case study

7. Participants in the triad will switch roles and repeat the steps using another case study

Mechanics for Practice Session

8. One working group demonstrate a case study in front of the whole group 9. Plenary discussion