Buckner Luke, Carter Harrison, Crocombe Dominic, Kargbo Sento, Korre Maria, Bhar Somnath, Bhat Shivani, Chakraborty Debashis, Douglas Pauline, Gupta Mitali, Maitra-Nag Sudeshna, Muhkerjee Sagarika, Saha Aparjita, Rajput-Ray Minha, Tsimpli Ianthi, Ray Sumantra
NNEdPro Global Centre for Nutrition and Health, St John's Innovation Centre, Cambridge, UK.
NNEdPro India and South Asia Regional Network, Remedy Clinic Study Group, Kolkata, India.
BMJ Nutr Prev Health. 2021 Jul 28;4(2):405-415. doi: 10.1136/bmjnph-2020-000181. eCollection 2021.
Malnutrition is a global emergency, creating an overlapping burden on individual, public and economic health. The double burden of malnutrition affects approximately 2.3 billion adults worldwide. Following 3 years of capacity building work in Kolkata, with assistance of local volunteers and organisations, we established an empowering nutrition education model in the form of a 'mobile teaching kitchen (MTK)' with the aim of creating culinary health educators from lay slum-dwelling women.
To evaluate the piloting of a novel MTK nutrition education platform and its effects on the participants, alongside data collection feasibility.
Over 6 months, marginalised (RG Kar and Chetla slums) women underwent nutrition training using the MTK supported by dietitians, doctors and volunteers. Preintervention and postintervention assessments of knowledge, attitudes and practices (KAP), as well as anthropometric and clinical nutritional status of both the women and their children were recorded. The education was delivered by a 'See One, Do One, Teach One' approach with a final assessment of teaching delivery performed in the final session.
Twelve women were trained in total, six from each slum. Statistically significant improvements were noted in sections of KAP, with improvements in nutrition knowledge (+4.8) and practices (+0.8). In addition, statistically significant positive changes were seen in 'understanding of healthy nutrition for their children' (p=0.02), 'sources of protein rich food' (p=0.02) and 'not skipping meals if a child is ill' (p≤0.001).
The MTK as a public health intervention managed to educate, empower and upskill two groups of lay marginalised women into MTK Champions from the urban slums of Kolkata, India. Improvements in their nutrition KAP demonstrate just some of the effects of this programme. By the provision of healthy meals and nutritional messages, the MTK Champions are key drivers nudging improvements in nutrition and health related awareness with a ripple effect across the communities that they serve. There is potential to upscale and adapt this programme to other settings, or developing into a microenterprise model, that can help future MTK Champions earn a stable income.
营养不良是一个全球性的紧急情况，给个人、公共和经济健康带来了重叠负担。全球约有23亿成年人面临营养不良的双重负担。在当地志愿者和组织的协助下，我们在加尔各答开展了3年的能力建设工作，建立了一种名为“移动教学厨房（MTK）”的赋权营养教育模式，旨在从居住在贫民窟的普通女性中培养烹饪健康教育者。
评估新型MTK营养教育平台的试点情况及其对参与者的影响，以及数据收集的可行性。
在6个月的时间里，边缘化（RG Kar和Chetla贫民窟）女性在营养师、医生和志愿者支持的MTK的帮助下接受了营养培训。记录了干预前后女性及其子女的知识、态度和行为（KAP）以及人体测量和临床营养状况。教育采用“看一个，做一个，教一个”的方法进行，并在最后一节课对教学效果进行了最终评估。
总共培训了12名女性，每个贫民窟6名。KAP各部分均有统计学意义的显著改善，营养知识（+4.8）和行为（+0.8）有所提高。此外，在“对子女健康营养的理解”（p=0.02）、“富含蛋白质食物的来源”（p=0.02）和“孩子生病时不跳过正餐”（p≤0.001）方面也出现了统计学意义的积极变化。
作为一种公共卫生干预措施，MTK成功地将两组边缘化的普通女性教育、赋权并提升技能，使其成为印度加尔各答城市贫民窟的MTK倡导者。她们营养KAP的改善只是该项目的部分成效。通过提供健康膳食和营养信息，MTK倡导者是推动营养和健康相关意识提高的关键驱动力，对她们所服务的社区产生连锁反应。该项目有扩大规模并适用于其他环境的潜力，或发展成为一种微型企业模式，这有助于未来的MTK倡导者获得稳定收入。
