session 10 building confidence and giving support

8/12/2019 Session 10 Building Confidence and Giving Support

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Building

Confidence andGiving Support

Session 10


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Building confidence and giving

supportAfter completing this session

participants will be able to:

list the 6 confidence and support skills

give an example of each skill

demonstrate the appropriate use of the

skills when counselling on infant andyoung child feeding

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SKILL 1.

ACCEPT WHAT A MOTHERTHINKS AND FEELS


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Question:

How will a mother feel if youdisagree with her, or criticize, or tellher that it is nothing to be upset orto worry about?


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You may make her feel that she iswrong. This reduces herconfidence. She may not want to

say any more to you.

So it is important not to disagree

with a mother.


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It is also important not to agree with

a mistaken idea. You may want tosuggest something quite different.That can be difficult if you already

agreed with her.

Instead, you just accept what she

thinks or feels. Accepting meansresponding in a neutral way, and notagreeing or disagreeing.


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Reflecting back and simpleresponses are useful ways toshow acceptance.

In a similar way, empathizing canshow acceptance of a mothers

feelings.


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SKILL 2.

RECOGNIZE AND PRAISE WHAT AMOTHER AND BABY ARE DOINGRIGHT


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Question:

How does it make a mother feelif you tell her that she is doingsomething wrong, or that her baby isnot doing well?


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Praising good practices hasthese benefits:

it builds a mothers confidence

it encourages her to continuethose good practices

it makes it easier for her toaccept suggestions later.

.


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Kilogram

s

1 2 3 4 5 6 7 8 9 10 11 12

First year

Month


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Which of these remarks will help to build themothers confidence?

Your babys growth line is goingup too slowly.

I dont think your baby isgaining enough weight.

Your baby gained weight lastmonth just on your breast milk.

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SKILL 3.

GIVE PRACTICAL HELP


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Sometimes practical help is better

than saying anything. Forexample:

when a mother feels tired or dirty

or uncomfortablewhen she is hungry or thirsty

when she has had a lot of

information already

when she has a clear practicalproblem.


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Question:

What kind of practical helpmight you offer?


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Some ways to give practical help:Help to make her clean and

comfortable.

Give her a drink, or something toeat.

Hold the baby yourself, while she

gets comfortable, or washes, orgoes to the toilet.


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No, I have not

breastfed him yet

My breasts are empty

and it is too painful to

sit up!


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Which response is moreappropriate?

You should let your baby sucklenow to help your breast milk to

come in.

Let me try to make you more

comfortable, and then Ill bringyou a drink.

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SKILL 4.

GIVE A LITTLE RELEVANTINFORMATION


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Try to give information that is

relevant to her situation NOW.Tell her things that she can usetoday, not in few weeks time.

Explaining the reason for adifficulty is often the most

relevant information when ithelps a mother to understandwhat is happening.


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Try to give only one or twopieces of information at a

time, especially if a mother istired, and has alreadyreceived a lot of information.


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Give information in a positive way, so

that it does not sound critical, ormake the mother think that she hasbeen doing something wrong. This isespecially important if you want to

correct a mistaken idea.

For example, instead of saying Thin

porridge is not good for your baby,you could say: Thick foods help thebaby to grow.

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He has started to

have loose stools.

Should I stop

breastfeeding ?

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Which response gives positiveinformation?

It is good that you asked beforedeciding. Diarrhoea usually stops

sooner if you continue tobreastfeed.

Oh no, dont stop breastfeeding. Hemay get worse if you do that.

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SKILL 5.

USE SIMPLE LANGUAGE


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SKILL 6.

MAKE ONE OR TWOSUGGESTIONS, NOT COMMANDS


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When you counsel a mother, yousuggest what she could do. Thenshe decide if she will try it or not.This leaves her feeling in control,and helps her to feel confident.

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10/8

I breastfeed

Amy twice inthe morning

and twice in

the evening

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Kilograms

First year

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Month

hi h f h i10/9


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Which of these responses is acommand, and which is a

suggestion?

You must feed Amy at least 10

times a day.

It might help if you feed Amy

more often.

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CONFIDENCE AND SUPPORTSKILLS

Accept what a mother thinks andfeels

Recognize and praise what amother and baby are doing right

Give practical help

Give a little, relevant information

Use simple language

Make one or two suggestions, not

commands.


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session 10 building confidence and giving support

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