Health Advancement And Health Promotion

Executive Summary of Funding Proposal

The project is a funding proposal for the promotion of health care system among the population of children. Poor nutrition and lack of health education affects the potential of development and lifelong health, social and economical discrepancy among millions of children. Interventions represent nutritional status, child growth and development. This project will show the significant role of nutrition in growth and development of children and how to overcome the problem of undernutrition among the children of rural areas.

Aim of Funding Proposal

The project aims to promote child healthcare and nutrition in rural areas.

Objectives of this project:

Primary objective:

  • To improve the health status of children for their proper development and growth for a better future.

Secondary objective:

  • Early detection of health associated problems, their treatment and management of the care they need.
  • To spread awareness about significance of health, nutrition, and hygiene
  • Counselling of parents and teachers regarding health education so, that they can teach their children and students well.
  • To provide adequate services of treatment and care to the children already suffering from malnutrition.
  • Promotion of child health care via health camps at primary schools of rural areas and hospitals

Outcome:

This project will result in exponential increase in better health of children suffering from malnutrition and will spread awareness regarding the same.

Background and Needs Assessment

Children are the future of nation and nutrition plays a vital role in their growth and development; it is the basic principle for attaining good health and better physical as well as mental development. If children are not taking the proper amount of nutrients which are necessary for adequate development they, fell ill often and will show delayed mental and physical growth (World Health Organization, n.d.). This project has come under process to ensure the fulfilment of this agenda by adequate screening, regular healthcare checkups and treatment further followed up by nutritional services, their immunization as underprivileged children or children from rural areas are more prone to infectious diseases and other health hazards so, immunizing or making them resistant from the most common infections is needed and this could be done by the administration of vaccine , spreading awareness of health education, and counselling of children of age 2-5 and their parents to make them aware of the significance of nutrition. The location that has been selected to execute this project are primary schools and hospitals because there would not be a better place than these two to spread the awareness of nutrition and promotion of child healthcare.

According to Health and Social services (2016), Children of age 2-5 need to develop healthy eating habit and physical activities because the initial growth and development of a child directly affects the future of a child. Parents and caregivers play an important role in teaching this habit and need to be role models for children. The interventions have been emphasized not just to improve the health and nutrition of children but also learning potential and development in both short-term and long-term. The volunteers involved in this project will closely work educational institutes for the best outcome. Eid in 2018 have suggested that programs related to child nutrition are considered as one of the most appropriate approach in improving the diet, health and growth of children. The main problem is, the children in rural areas have poor access to adequate health services and proper nutrition they often remain unaware of the importance of immunization due to lack of health education of parents as well as of children which leads to underdeveloped growth of children.

Improving dietary intake in children of 2-5 years of age and offering adequate vaccination is a matter of priority in order to reduce the high prevalence of chronic diseases in childhood as well as adulthood and enhance the mental and physical development of children. An effective approach to achieve this is conducting nutrition oriented family and health programs. The significance of promoting and supporting this project is to control the early signs of risk factors that are seen increasingly in adolescent (Black et al, 2017).

The impact of this on target group is underdeveloped physical and mental health, poor performance in academics as well as in extra-curricular activities, and remain more prone to health hazards. According to Akombi et al, 2019 child with undernutrition will find difficulty in learning and become more prone to other health hazards and this will affect him later on also in his adolescent and adulthood because it has been seen that children who did not get proper nutrition in their early phase will show poor academic performance, undeveloped physique, poor reproductive outcomes which will affect the whole life of a child. So, this project will help in securing the whole future of an underpriviliged child by offering them proper immunization, working on their nutritional care, and providing the adequate health facilities in early age.

Stakeholder matrix:

For effective outcome of projects and programs collaboration with internal and external stakeholders are needed. Important steps for solid work procedure and outcomes recognition of key stakeholders is necessary (Auvinen, 2017). Government regulations, public, health care providers, patients and suppliers serves as stakeholders in health campaigns. The major role in healthcare services is played by government regulations by funding and releasing different programs on account to this. Stakeholders will act as the support system in conducting this project either it is about funding, marketing or execution of the plan.

Project Design and Implementation Plan

Poor health and undernutrition are crucial underlying factors and leads to affect the multiple aspects of growth and development. Projects to ensure the betterment of health, hygiene and nutrition are necessary as it acts as an input for best growth and development outcome of a child both physically as well as mentally. To attain the best development of a child which will eventually leads to our nation’s development, a child should get nourished well and must be healthy. According to Local Government Association, 2017 the reason why children from rural areas faces the problem of undernutrition, poor health, and undergrowth are the social and economic factors such as poverty, poor housing, unemployement and unable to access transport. These factors directly affect the child’s growth and development. For the success of any health promotion task force first of all, the provisions, target audience and their needs should be known. Identifying rural networks where the implementation of the project can be done is necessary. For this project, Primary schools, pharmacies, hospitals and village halls are the key networks where target audience can be reached.

Early childhood programs with the help of hospitals and primary schools which can provide health education to both the parents and children will help in improving the health of a child. In addition to this a healthy and safe school environment will help in protecting children from health hazards and abuse. Strengthening the coverage of training and increasing the provision of equipment would help in improving nutrition services, although there will be some barriers while implementing nutrition services in campaigns, these barriers can be high case load but this could be overcome by a good management team (Billah, 2017). Poor nutrition, lack of health education, and improper immunization not only affects the potential of development of a child but affects its lifelong health, social and economical discrepancy (Hurley, Yousafzai & Lopez-Boo 2016). Interventions represent nutritional status, child growth and development Most of the school-age children are not able to access health and nutrition services because schools of rural areas does not come under the utmost priority of national health programs but public healthcare providers can overlook to this.

Child healthcare and nutrition project is important as it addresses multiple health and nutrition problems such as malnutrition, poor sanitization, and poor oral healthcare etc to spread awareness regarding that. Health and nutrition interventions among children from underprivileged and rural areas have substantial impacts on betterment in educational as well as extracurricular skills. The plan can be implemented by using adequate approach, tools, marketing strategies and resource targeting parents, teachers, staff and school administration. Collaborating with primary schools and hospitals will help to provide and ensure nutrition education, learning and training resources for parents, teachers, school administrator and children. Providing school meals to underprivileged children and spreading awareness for the outcome of eating healthy vs eating junk and impact of them on a child’s health. Educating parents via counselling which involves preparation of food, meal planning, and cooking practices will be an effective strategy in improving health parameters. Nutrition education can also be delivered to people via posters and pamphlets which influence people towards healthy eating habits.

The expense estimated for this project is developed to be run in rural areas to considering the major barriers that are faced by the underprivileged children. 

Project plan:

  1. Child Care, Management and Treatment campaigns in rural areas to get access to nutrition and regular health checkup services.
  2. School based health and nutrition services with the help of our child health care and nutrition project: organizing oral treatment camps, regular health checkups and providing mid-day meal to underprivileged can contribute to achieve the goal.
  3. Provision of safe water and sanitation: Improper unhygienic water supply at rural areas increases the exposure of children and other population group to the health hazards. Providing safe water and sanitization along with separate facilities for girls will help in reducing the dropouts of girls at menses and will ensure the overall child care.
  4. School based health education: This approach focuses on the development of knowledge, values and skills towards health and hygiene. Educating children for health by teaching them the significance of hygiene and nutrition by organizing health camps at schools will help in attaining this goal.
  5. Counselling at hospitals at the time of child birth: Counselling of parents and other family members at the time of child birth and spreading awareness regarding the significance of nutrition in the development and growth of child.
  6. Counselling of parents and teachers in order to ensure physical and mental development of children and distributing pamphlets will influence people towards healthy eating habits, the design of the pamphlets and posters should be based on persuading strategies and techniques to reach the target audience.

However, there are some barriers in communicating with parents which includes being too busy with work to talk with the health providers and counsellors, parents prioritizing to talk about food issues instead of nutrition and sometimes giving reality check often become offensive for parents. To overcome these barriers and efficient communication and counselling of parents few strategies can be applied such as enforcing leverage policy while communicating to avoid any type of conflicts and positive outcomes of counselling, implementation of centre level practices for reinforcing policy, and fostering a relationship between counsellors and parents (Dev et al, 2017).

Implementation plan:

S.no.

Programs

Activities

1.

Child Care, Management and Treatment campaigns in rural areas

a) Weekly campaigns will be organized in those areas where people can easily reach out

b) Health providers/Staff/volunteers will be hired for providing regular services

c) Regular supply of basic medicines

2.

School based health and nutrition services

a) Screening, treatment, preventions followed up with care services

b) Regular BMI (Body-mass index) checkups

c) First aid services

d) Regular organization of health campaigns

e) Nutrition counselling

f) Providing healthy food once a day in school

g) Significance of health and hygiene

3.

Provision of safe water and sanitation

a) Safe and adequate water supply

b) Maintenance of hygiene

c) Proper sanitization

4.

Counselling at hospitals at the time of child birth

a) Spreading awareness with the help of posters

b) Personal counselling with the help of doctors

5.

Counselling of parents and teachers

a) Distributing pamphlets home to home

b) Meeting administrators of schools and convincing them to include the health and nutrition education

Fig 2: Implementation plan

Expected Outcome:

After completion of this project, following are the key points which will be achieved:

  • It will ensure better health and education outcome of children
  • Promotion of basic health, hygiene and education will be done
  • Children from rural areas will be healthy, well-nourished and will actively take part and perform in academics as well as in extracurricular activities.
  • Early childhood care and management programs will let the children know about the importance of nutrition for them.
  • Development of underprivileged children will lead to development of rural areas

Evaluation Plan

Reporting, Monitoring and Evaluation:

  • Weekly progress report and financial report.
  • Monthly progress report and financial report.
  • Quarterly progress report and financial report.
  • Yearly progress report and financial report.

Staff

To achieve the goals of this project following members will be needed as staff:

  • Medical Volunteers
  • Paediatricians
  • Nurses
  • Students

Roles and duties:

  • Assisting pre-camp planning procedures related to medical team duties
  • Assisting volunteer orientation and training as per requirement
  • Maintenance of health and hygiene
  • Good management skills
  • Good communication skills to convince people

Budget

The total expense for this project will be 155160 AUD per annum

S. no

Programs and activities

Estimated cost

1.

Child Care, Management and Treatment campaigns in rural areas

5950 AUD

a)

Weekly campaigns in areas where people can easily reach out

1970 AUD

b)

Hiring of Health providers/Staff/volunteers

197AUD per member per month

Minimum 10 volunteers = 1970 AUD

c)

Supply of medicines

2010 AUD

2.

School based health and nutrition services

5710 AUD

a)

Screening, treatment, and preventions

2959 AUD

b)

Regular BMI (providing weighing machines to schools in rural areas)

246 AUD

c)

First aid services

350 AUD

d)

Health campaigns

1020 AUD

e)

Nutrition counselling

100 AUD (management cost)

f)

Providing healthy food once a day in school

980 AUD

g)

Creating awareness regarding significance of health and hygiene

55 AUD (poster printing & transportation cost)

3.

Provision of safe water and sanitation

1050 AUD

a)

Safe and adequate water supply

390 AUD

b)

Maintenance of hygiene

450 AUD

c)

Proper sanitization

210 AUD

4.

Counselling at hospitals at the time of child birth

220 AUD

a)

Spreading awareness with the help of posters

120 AUD

b)

Personal counselling with the help of doctors

110 AUD

5.

Counselling of parents and teachers

90 AUD

a)

Distributing templates from home to home

45 AUD

b)

Meeting administrators of schools and convincing them to include the health and nutrition education 

45 AUD

 

Total cost Monthly

12930 AUD

 

Total cost yearly

155160 AUD


Fig 4: Budget

Gantt Chart

S.no

Programs

Activities

1st Year

2nd year

(first semester)

2nd year

(second semester)

1.

Child Care, Management and Treatment campaigns in rural areas

a) Weekly campaigns will be organized in those areas where people can easily reach out

b) Health providers/Staff/volunteers will be hired for providing regular services

c) Regular supply of basic medicines

 

2.

School based health and nutrition services

a) Screening, treatment, preventions followed up with care services

b) Regular BMI (Body-mass index) checkups

c) First aid services

d) Regular organization of health campaigns

e) Nutrition counselling

f) Providing healthy food once a day in school

g) Significance of health and hygiene

     

3.

Provision of safe water and sanitation

a) Safe and adequate water supply

b) Maintenance of hygiene

c) Proper sanitization

   

4.

Counselling at hospitals at the time of child birth

a) Spreading awareness with the help of posters

b) Personal counselling with the help of doctors

   

5.

Counselling of parents and teachers

a) Safe and adequate water supply

b) Maintenance of hygiene

 
 


Fig. 5: Gantt Chart

Reference for Funding Proposal

World Health Organization. (n.d.). Early child development- Nutrition and early years. Retrieved from: https://www.who.int/topics/early-child-development/child-nutrition/en/

Health and Social services. (2016). Early child nutrition (0-5). Retrieved from: https://www.hss.gov.nt.ca/en/services/food-and-nutrition/early-childhood-nutrition

Eid, N. M.S. (2018). Child Nutrition Programs in Kindergarten Schools implemented by Governmental sector and Global nutrition consulting companies: A systematic review. Current research in Nutrition and Food Science, 6(3), 656-663.

Black, A. P., D’Onise, K., McDermott, R., Vally, H. & O’Dea, K. (2017). How effective are family-based and institutional nutrition interventions in improving children’s diet and health? A systematic review. BMC Public Health, 17, 818.

Akombi , B. J., Agho, K. E., Renzaho, A. M., Hall, J. J. & Merom, D. R. (2019). Trends in socioeconomic inequalities in child undernutrition: Evidence from Nigeria demographic and health survey (2003-2013). PLoS ONE Journal, 14(2), e0211883.

Auvinen, A. M. (2017). Understanding the stakeholders as a success factor for effective occupational Health care, occupational health. Orhan Korhan: IntechOpen.

Local Government Association. (2017). Health and well being in rural areas. Retrieved from: https://www.local.gov.uk/sites/default/files/documents/1.39_Health%20in%20rural%20areas_WEB.pdf

Billah, S. M., Saha, K. K., Khan, A. N. S., Chowdhury, A. H., Garnett, S. P., Arifeen, S. E. & Menon, P. (2017). Quality of nutrition services in primary health care facilities: Implications for integrating nutrition into the health system in Bangladesh. PLoS ONE 12(5), e0178121.

Hurley, K. M., Yousafzai, A. K., & Lopez-Boo, F. (2016). Early Child Development and Nutrition: A Review of the Benefits and Challenges of Implementing Integrated Interventions. Advances in nutrition, 7(2), 357–363.

Dev, D. A., Williams, C. B., Ramsay, S. & McBrite, B. A. (2017). Engaging parents to promote children’s nutrition and health: Providers’ Barriers and Strategies in head start and child care centers. Faculty Publications, Department of child, youth and family studies. 140.

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