Desher Kaj
The first thousand days: courtyard talks on mother and baby nutrition
Courtyard talks, with the community clinic’s health worker, for pregnant women and mothers of children under two: breastfeeding in the first hour, only breast milk for six months, then home food while breastfeeding goes on to two years.
Area
Bandarban
People
3 people
Time
About 6 hours
Difficulty
Easy
About this task
In hilly Bandarban many villages are far from a hospital over hard paths; care for mothers and babies needs to reach the village. The community clinic’s health provider or family welfare assistant does the talking; the team handles the place, invitations and attendance. Pregnant women and mothers of children under two come, each with one family member. The core messages follow WHO and UNICEF advice: breastfeeding in the first hour after birth; only breast milk for the first six months; from six months, safe soft home food alongside breastfeeding to two years or beyond; pregnancy check-ups and the child’s vaccination card; washing hands with soap before feeding.
Why it matters
From pregnancy to a child’s second birthday, about a thousand days, is the most important time for growth and development; WHO says good nutrition in this period lowers the risk of illness and death. Families decide about food together, so a family member needs to hear it alongside the mother.
What changes after
Over forty-five mothers and family members across at least three talks; each knows the first hour, six months and two years; mothers connected with the community clinic.
Who can join
Anyone can organise; only the health worker gives the advice. With women volunteers, mothers speak more easily.
Step by step
- 1Done
Bring in the health worker90 min
The community clinic’s health provider or the family welfare assistant does the talking; the team organises.
- 2Done
Invitations120 min
Pregnant women and mothers of small children, each with one family member (mother-in-law or husband), because families decide on food together.
- 3Done
The courtyard talks180 min
The health worker’s core points: breast milk in the first hour; only breast milk for six months; soft home food from six months; pregnancy check-ups and the vaccination card; washing hands before feeding.
Checklist to get ready
- Attendance register · ১টি
- Picture posters · ৫টি
When it counts as done
- At least three talks with at least fifteen people each, in the attendance register
- The health worker present, in the photos
Proof required: Photo, Signatures
⚠ Safety
Medical advice comes only from the health worker. Never sell or hand out medicines, vitamins or formula milk. No photos of mothers’ faces without consent; never a photo of breastfeeding.
What it costs
| Posters (A3, colour) | 5 | ৳30–60 |
| Attendance register and pens | 1 set | ৳100–200 |
| Mats (nothing if borrowed) | 3 | ৳0–250 |
| Total (about) | ৳600–1,800 | |
Getting ready, step by step
14 days before
Visit the community clinic and book the health worker’s time; they do the talking.
7 days before
Choose courtyards; invite pregnant women and mothers of small children with their families.
Talk days
Attendance, the health worker’s talk, questions and answers.
The month after
Check with the health worker how many mothers came to the clinic.
Who does what
- Lead (1): Fixes times with the clinic, courtyards and invitations. — ____________
- Invitations and attendance (ideally a woman volunteer) (1): House-to-house invitations, the attendance register. — ____________
- Minding children (1): Keep older children playing nearby during the talk. — ____________
The day, hour by hour
- 15:00Mats, posters and attendance in the courtyard.
- 15:15The health worker’s talk: the first hour, six months, home food from six months, two years.
- 15:45Pregnancy check-ups, the vaccination card, handwashing.
- 16:00Questions and answers; the clinic’s days and hours.
- 16:30Thanks, done.
What can go wrong, and what to do
- The health worker cannot come at the last minute → Postpone the talk; the team never gives health advice itself.
- Someone wanting to promote a product or medicine → Politely decline; no products at the talks.
- Arguments over common misconceptions → The health worker answers; listen with respect.
Useful numbers
- 16263Shasthya Batayon: a doctor on the phone
- 999National emergency: police, fire, ambulance (free)
Questions people ask
- Can we give nutrition advice ourselves?
- No. The health worker advises; the team organises. For questions nobody can answer, Shasthya Batayon on 16263.
- What if a company offers milk or food?
- Decline. No product is promoted or handed out at the talks.
- Can I join if I cannot stay the whole time?
- Yes. Say in your request which step or which hours you can do. The lead will give that step to you.