Question

You and seven other dietetic interns are embarking on a journey to Guatemala for a four-week community rotation. Each semester for the past three years, students from your university have been visiting the same village through Friends World and have done constructive projects, such as building a small schoolhouse and a church and cultivating a garden. This is the first year the dietetic interns will participate, with a focus on nutrition. The dietetic internship director will also attend to supervise; she is fluent in Spanish (the primary language of Guatemala), as are four of the eight interns. In the village there is a high incidence of dehydration from diarrhea and undernutrition. Most infants are formula-fed because there is little support for breastfeeding and a lack of knowledge about this practice. The goal of this rotation is to provide nutrition education on UNICEF’s Child Survival campaign called GOBI (an acronym for the following elements of the UNICEF campaign: growth charts, oral rehydration therapy, breast milk, and immunization). UNICEF has initiated this program in many developing countries and will be setting up GOBI within the year in the Guatemalan village you will be visiting. Another goal of your rotation is to identify data that could be useful for a nutritional assessment and monitoring tool for the children of this village.

questions

1. Access the Millennium Development Goals (MDGs) and Sustainable Development Goals (SDGs). Which goals from the MDG and SDG are related to the GOBI program?

2. Create a list of data that will be useful to include in a nutritional assessment of the children in this village.

3 .Describe some barriers that you and your group may encounter in delivering your nutrition messages relative to the GOBI program to the local population.

4. Select an element of GOBI (growth charts, oral rehydration therapy, breast milk, or immunization) that you and your fellow interns would view as a priority during your four weeks in the Guatemalan village and create a nutrition diagnosis using a PES statement. Include your rationale for choosing this elemen

5.Describe intervention strategies that you might utilize with the Guatemalan community for the element of GOBI that you selected

6. Establish a plan for monitoring and evaluating the outcomes of the GOBI element you selected that coincides with your nutrition diagnosis.

Answer 1

1) GOBI program is formed for the wellbeing of children and UNICEF has already initiated this program in many developing countries .

The GOBI program is related to the fourth goal of Millenium Development Goals(MDGs); that is "To reduce the child mortality rate". The MDGs were 8 internationa development goals for the year 2015 and it was developed in the Millennium summit of the United Nations in the year 2000.

The GOBI program is related to the third goal of Sustainable Developement Goals (SDGs); that is " Establish good health and wellbeing". The SDGs are formed in the year 2015 for a better world. Almost 195 nations are agreed with this and it has 17 goals.

2) There are few information that are vital for the nutrition assessement . For eg:

* Has the child experience any weight loss recently or in the 3 months

* Is the child maintaing a helathy weight or has underweight

* Is there any poor weight gain issues over the last months

* Is there any eating disorders or feeding problems

* Do a malnutrition assessment to rule out Kwashiyorkor and Marasmus

* Calculate BMI and assess for malnutrition symptoms