Day 4

Childcare, Hygiene & Play in Creches

S.No	Associated Practices
Childcare at centre
1	Assist children who struggle with feeding by sitting with them
2	Promotes and encourages the mothers to be in the creche till the child gets adapted to the creche.
3	Interacts with children throughout the day with politeness, patience and love and avoid practicing any form of corporal punishment.
4	Responds promptly and sensitively to children’s toilet needs.
5	Attends crying children in the creche with care and sensitivity.
6	Physical handling of children like lifting, picking up, holding need to be gentle and proper.
Hygiene & Cleanliness
7	Wash the play materials twice a week to keep them clean.
8	Disposes the fecal matter of the children safely.
9	Cleans the toilet every day, flushes it after every use.
10	Clean all daily-use items such as utensils, handwashing bucket, tub, dining mats, and bibs after use.
11	Clean the kitchen slab, gas stove, and playing area, tables, doorknobs, daily, keeping all utensils in a fixed place.
12	Dusts mattresses, bedsheets, and mosquito nets before every use.
13	Wash bedsheets weekly and mosquito nets once in a month.
14	Wash hands before and after cooking and feeding children.
15	Wash / disinfects hands after cleaning a child’s nose and washes hands after assisting with toileting.
16	Use clean towels, handkerchiefs, bibs and aprons.
17	Grooms the child everyday by combing, Trim nails weekly.
18	Ensure children’s handwashing before and after meals.
19	Ensure the children washes their hands after toilet usage.
20	Ensuring no spitting inside the creches and its premises. Prohibits use of any tobacco and alcohol in and around the creche.
21	Dispose leftover food properly every day.
22	Maintain two separate bags: one for unused clean cloths and another for used ones. Disposes used nose-cleaning cloths daily.
23	Use dustpan and closed dustbin for disposal of waste material.
24	Drains out used water from the kitchen and from the wash area safely.
Play and Activities
25	Engages in physical activities with children every day. For example: walking, throwing balls, jumping, picking ball/ blocks etc.
26	Sings rhymes everyday with actions and expression. Preferably in local language.
27	Converse with the children using play materials - Example - Talking about & around the materials.
28	Narrates short stories with voice modulation, action and expression preferably in local language. Picture cards/puppets may be used for this purpose.
29	Distributes toys/play materials and engages children age appropriately.
30	Gives ample opportunities and encourages all children to participate in activities while keeping individual's pace and interest in mind.

Time	Sessions	Content	Mode
09:00-09:45 AM	1. Ice breaking activity & Recap	a) Baalgeet b) Activity c) Recap of previous day	Activity + Balgeet
09:45-10:30 AM	2. Childcare at centre	a) Receiving and handover of children b) Child Handling and interaction	Demonstration + Video + Picture Card discussion
10:30-11:00 AM	3. Sleeping protocol	a) Setup of a sleeping area b) Protocol of sleeping children- bedding, assisting of children	Demonstration + Video
11:00-11:15 AM	Tea Break
11:15-11:45 AM	4. Breast Feeding	a) Setting of a corner for breast feeding b) Promoting breast feeding through using the corner, posters and images.	Demonstration + Visual aids
11:45-01:30 PM	5. Hygiene & Cleanliness-I	a) Caregivers level hygiene b) Child level hygiene c) Creche level Hygiene d) Utensils Cleaning e) Outdoor Cleaning f) Play materials cleaning g) Water Filter Cleaning Demo	Demonstration + Video + Discussion
01:30-02:30 PM	Lunch
02:30-03:00 PM	5. Hygiene & Cleanliness-II	a) Cloth and play material cleaning b) Handwash	Demonstration
03:00-04:00 PM	6. Play & Activities	a) Physical activities-Demo & Practices b) Rhymes and Stories-Demo & Practices	Activities through games, songs, stories
04:00-04:15 PM	Tea Break
04:15-05:00 PM	6. Play & Activities	a) Demonstration of each play material b) Playing with caregivers through each toy set	Demonstration
05:00-05:45 PM	7. First Aid	a) Handling common emergencies of children in creches. b) ORS preparation	Demonstration
05:45-06:00 PM	8. Day consolidation	Consolidation of each session’s recap and learnings.

Material List - Day 4

S.No	Material Required	Quantity
1	Printed Copy of Balgeet and story	30
2	Big size paper Cup	2 pack- (50 in each pack)
3	Dummy Doll	6
4	Mattress	1
5	Bedsheet	2
6	Mosquito net	1
7	Adhesive wall hook	1 packet
8	Posters	4
9	Double sided tape	2
10	Shawl/Scarf	1
11	Chart papers	5
12	Chesis marker	1 packet
13	Checklist print	35
14	Scissors	1
15	Toys set	1
16	Saree	1
17	Chalk	1 packet
18	Handwash Liquid	1
19	Bucket	1
20	Anthro items	1 set
21	Stock register	5
22	Attendance register	5
23	Visitor's register	5
24	Child card	5
25	Collateral link	1
26	Egg format register	5
27	Fire extinguisher Ball	1 pcs
28	Petrol	2 Liter
29	Jute bori	3 pcs
30	Pressure regulator	1
31	LPG Hose pipe	1
32	LPG gas	14 kg
33	Lighter	1
34	Match box	2
35	Fire extinguisher ABC type	1 cylinder
36	Whiteboard	1
37	Marker	2 marker each (Red, Black, Blue & Green)
38	Projector	1
39	Handkerchief	2
40	Batteries
41	Weigh	1KG & 500 GMS
42	Projector screen	1

Session 1–Ice breakers & Recap

Duration: 45 mins

Objective: To help participants to recall and reflect the previous day’s discussed points and create an environment for interactive discussions.

Materials Required:

• A copy of Baalgeet,
• Big size paper cups (100-As required), Table/Desk
• Whiteboard Marker/ Chart paper
• Duster

Steps for facilitation

1. The day will start with a baalgeet by facilitator, caregivers will participate with actions, after which two caregivers will lead the baalgeet with support of facilitator. Finally, two other caregivers will lead the practice for the remaining caregivers.
2. An ice breaking activity will be conducted with the play of a short game.
3. All the caregivers will be divided into two groups and stand in a queue. Some paper glass will be there at an end which will be carried on head without touch with hand to go another end, will put the paper cup by hand and try to make tower.
4. Both of the teams will have 2 minutes timeframe. After 2 minutes both the teams will stop and see which tower is long and the number of paper cups used. (If there is space constraint, we can choose another activity)
5. Recap of the previous day and the points shared by caregivers will be noted on whiteboard or chart paper by the facilitator. (Facilitators can add or highlight some points.)

Baalgeet Sample

मैं हूँ छोटी सी गुड़िया, ठुमक ठुमक कर नाचूँगी -2
बोलो गुड़ियाँ एक-एक-एक, गुड़िया खाये केक,
मैं हूँ छोटी सी गुड़िया, ठुमक ठुमक कर नाचूँ<गी-2
बोलो गुड़ियाँ दो-दो-दो, गुड़िया खेले बॉल
मैं हूँ छोटी सी गुड़िया, ठुमक ठुमक कर नाचूँगी-2
बोलो गुड़ियाँ तीन-तीन-तीन, गुड़िया बजाए बीन
मैं हूँ छोटी सी गुड़िया, ठुमक ठुमक कर नाचूँगी-2

मैं तोता मैं तोता, हरे रंग का मैं दिखता
चोंच मेरी लाल रंग की
मिठू, मिठू मैं कहता मिठू-मिठू
मैं तोता मैं तोता, नील गगन मैं उड़ता
रोज़ दाना खा कर मिठू-मिठू मैं कहता, मिठू-मिठू

दुनिया गोल बनाया -2 दुनिया गोल बनाया सल सलई सलई x2
हमको बनाया तुमको बनाया -2
दुनिया गोल बनाया-2
सल सालई सलई x2
ऊंचा बनाया -नीचा, बनाया
दुनिया गोल बनाया-2
सल सालई सलई x2
मोटा बनाया पतला बनाया
सल सालई सलई x2

एक छोटी मछली, पानी में फिसली पापा ने पकड़ा, मम्मी ने धोया, भैया ने पकाया सब ने मिलकर खाया

मछली जल की रानी है। जीवन उनका पानी हो, हाथ लगाओ तो भाग जाएगी, गहर निकालो तो सो जाएगी

मेरे दो बतख थे, पानी मे तैर रहे थे
चोंच गया पानी में, पुंछ गया ऊपर
मेरे दो बतख थे, पानी मे तैर रहे थे
चोंच गया पानी पुंछ गया ऊपर

मैं तो सो रही थी, मुझे बिल्ली ने जगाया
बोली म्यांव-म्यांव-म्यांव....
मैं तो सो रही थी, मुझे मुर्गे ने जगाया
बोला कुकड़ू-कुकड़ू-कुकड़ू ....
मैं तो सो रही थी, मुझे बकरी ने जगाया
बोली मैं मैं मैं .....
मैं तो सो रही थी, मुझे कुत्ते ने जगाया
बोला भौ -भौ -भौ ......

घो-घो रानी ...घो-घो-रानी
एडी भर पानी, एडी भर पानी
घो-घो रानी ...घो-घो-रानी
घुटना भर पानी, घुटना भर पानी
घो-घो रानी ...घो-घो-रानी
कमर भर पानी, कमर भर पानी
घो -घो रानी ...घो-घो-रानी
कंधा-भर पानी, कंधा भर पानी
घो -घो रानी ...घो-घो-रानी-2

Session 2–Childcare at Creche

Practices covered in this session
Assist children who struggle with feeding by sitting with them.
Promotes and encourages the mothers to be in the creche till the child gets adapted to the creche.
Interacts with children throughout the day with politeness, patience and love and avoid practicing any form of corporal punishment.
Responds promptly and sensitively to children’s toilet needs.
Attends crying children in the creche with care and sensitivity.
Physical handling of children like lifting, picking up, holding need to be gentle and proper.

Duration: 45 Minutes

Objective: Understanding the process of receiving and handing-over of child and managing multiple children in different activities of creche.

Materials Required:

1. Doll/dummy-6
2. Pictures of receiving children, Pictures of managing multiple children,
3. Video of receiving & handover children

Steps for facilitation

1. We will start an initial discussion by asking:

   • How will you receive children when they come to the centre (if they observed during exposure visit?)
   • What are the things to keep in mind while receiving a child?
   • How will you settle, take care and handle many children at the same time? - all the responses given by caregivers during the discussion will be noted by co-facilitator.

2. One or two caregivers to show the practice of receiving/handing-over/handling a child along with the facilitator. (A demo of receiving, hand overing and handling of children will be conducted with caregivers, they will use a dummy/doll to show the physical handling. The facilitator will show and give an opportunity to the caregivers to show.)

3. Then asked others if there is any gap? Is handling could be better?
4. Then the facilitator will emphasize proper handling of each child like- Hold with both hands, do not carry two children at a time, use both hands. (use dummy doll to show)
5. Facilitator will show an image of receiving and handing over and other activities- toilet, feeding, playing, sleeping, handwashing etc. of a child. If possible, a video of handling children while performing different activities could be shown
6. The facilitator will ask anyone/two caregivers to show the practice using dummy doll.
7. Once it is done, facilitator will give a demonstration of handling and receiving of a child and emphasize that mothers can be requested to do breast feeding just before handing over the child in the morning.
8. Facilitator will explain that during the other activities in creche, we need to take care of proper handling of each child. The detailed discussion will be done in the next two days’ sessions.

Session 3–Sleeping Protocol

Duration: 30 Minutes

Objective: To create a safe and conducive environment for children’s sleeping

Materials Required:

Pre setup for sleeping

• Mat-1
• Mattress -1
• Bedsheet -1
• Mosquito net (tie on wall) -1
• Dolls/ Dummy- 6, Need to put all the things at a place.

Steps for facilitation

1. The facilitator will ask two caregivers to prepare a setup in a corner of the training hall in order to help the children sleep after lunch and ask other caregivers to observe the process.
2. Bedding, assist children on bed, net- Let’s try to make the environment of sleeping for the kids, and ask other caregivers to provide input.
3. After this the facilitator will show the entire process that includes bedding and putting the mosquito net after the kids fall asleep.
4. The steps will include spreading and tucking bed sheets, bringing the children to sleeping area, politely respond and patting them gently to help them fall asleep, and finally putting up the mosquito net.
5. The facilitator will emphasize the position of a baby while asleep - a baby below one year should necessarily be on their backs. A firm mattress covered with a fitted sheet should be used. Soft surfaces should be avoided. We should keep the sleeping space free of soft objects, toys, pillows and loose bedding. These items may pose a suffocation risk.
6. The sleeping corner/room should be quiet, and the room should have adequate ventilation with fans or blankets provided as per the season. The Creche Caregivers should be vigilant while the children are sleeping or resting. In case a child has any difficulty in sleeping the Creche Caregivers should attend and comfort the child.

After the naptime/sleeping-

1. When a child completes his/her sleep, caregivers assist them to come out from bed.
2. Once all the children are awake, the net should be removed and placed safely.

*If possible, a video for demonstrating sleeping protocol can be shown.

Session 4–Breast Feeding

Duration: 30 mins

Objective: To promote breast feeding in creche and make a safe, clean & separate place for breast feeding

Materials Required:

1. Posters of breast-feeding quotes-1
2. Images of left-right breast feeding-1
3. Space/setup for breast feeding corner

Steps for facilitation

1. Initiate the conversation by saying, we all know small kids need mothers’ milk as well.
2. Ask caregivers, what can be done for mothers who leave children in creches and go to work? Discuss real-life cases and situations.
3. To make mothers comfortable we should maintain a corner (by showing the pre-set of the corner). The mother should feel comfortable that she has a place in the crèche and that a dedicated place has been made for feeding milk to the baby.
4. Also showing 1-2 big posters of mothers comfortably feeding kids (both left and right in two separate posters) and one with the points of benefit of breastfeeding.
5. Facilitator should emphasize the continuation of frequent, on-demand breast feeding until 2 years of age or beyond.
6. While summing up facilitator should emphasize on below points-

• Encourage daily conversation with mothers about feeding practices.
• Praise mothers who breastfeed regularly.
• Support mothers returning to work to continue breastfeeding.
• Ask caregivers to communicate positively, encouraging mothers to share feeding updates during pick-up and drop-off

Session 5–Hygiene & Cleanliness in Creches

Objective:

To create a hygienic place for children, prevent the spread of disease/ illness and promote hygiene practices.

Practices covered in this session
Wash the play materials twice a week to keep them clean.
Disposes the fecal matter of the children safely.
Cleans the toilet every day, flushes it after every use.
Clean all daily-use items such as utensils, handwashing bucket, tub, dining mats, and bibs after use.
Clean the kitchen slab, gas stove, and playing area, tables, doorknobs, daily, keeping all utensils in a fixed place.
Dusts mattresses, bedsheets, and mosquito nets before every use.
Wash bedsheets weekly and mosquito nets once in a month.
Wash hands before and after cooking and feeding children.
Wash / disinfects hands after cleaning a child’s nose and washes hands after assisting with toileting.
Use clean towels, handkerchiefs, bibs and aprons.
Grooms the child everyday by combing, Trim nails weekly.
Ensure children’s handwashing before and after meals.
Ensure the children washes their hands after toilet usage.
Ensuring no spitting inside the creches and its premises. Prohibits use of any tobacco and alcohol in and around the creche.
Dispose leftover food properly every day.
Maintain two separate bags: one for unused clean cloths and another for used ones. Disposes used nose-cleaning cloths daily.
Use dustpan and closed dustbin for disposal of waste material.
Drains out used water from the kitchen and from the wash area safely.

Duration: 135 mins

Materials Required:

• Checklist of hygiene & cleanliness-1
• Projector-1
• Hygiene related video of our running creches
• Handwashing video

Steps for facilitation

1. The facilitator will initiate the discussion with caregivers by asking the following –

   • Is cleanliness essential in our creches?
   • Have you all observed any process/aspects of cleanliness' during your exposure visit?

2. Facilitator will encourage caregivers to recall and respond.

3. We can also show a video and ask caregivers to observe various aspects of cleanliness shown in the video.
4. The co-facilitator will categorize their responses in six major areas as given below and write them on board/ chart paper.

It has six major areas:

• Caregivers level Hygiene
• Creche level Hygiene
• Outdoor Cleaning
• Floor Cleaning
• Utensils Cleaning
• Other items & Play material cleaning

5. The facilitator will first ask caregivers about the frequency of cleaning and then discuss the cleaning frequency of each below listed aspect-

   • Caregiver’s hygiene- Cloths, Aprons, Hair, Nails, Handwashing,
   • Creche level Hygiene- it will include Toilet cleanliness (use toilet cleaner), Mats, Clothes, Apron, Mattresses and Mosquito net washing, Bedsheets--- Use detergent
   • Outdoor Cleaning- it will include the outside area (courtyard, handwashing area, utensil washing area) (if applicable) and Fencing (Can use any cleaning liquid in water for moping)
   • Floor Cleaning- This will majorly cover - kitchen area and play area. Can use any cleaning liquid in water for moping. Can use any cleaning liquid in water for moping.
   • Utensils Cleaning- It will include the daily usage utensils and buckets etc. Can use detergent for utensil cleaning, Play material cleaning- Toys cleaning. Can use detergent for toys cleaning. Handwash- Will show a video of children's handwashing.
   • Water filter cleaning demonstration:

Step 1: Introduction and Interaction

Start with a few questions:

• “Have you ever used a water filter at home or in your crèche?”
• “What do you do when the water smells bad or tastes strange?”

Listen to their responses

Explain clearly:

• Using a water filter helps remove dust, germs, and impurities from drinking water.
• Regular cleaning and maintenance are very important—a dirty filter can make water unsafe again.
• Safe drinking water keeps children healthy and prevents stomach infections, diarrhea, and diseases.

Step 2: Demonstration

1. Demonstration Steps:

2. Show the Filter Parts:

   • Upper container
   • Filter candle
   • Lower container
   • Tap

3. Explain the Working:

   • Water is poured into the upper container.
   • It passes through the filter candle and collects in the lower chamber
   • The tap dispenses clean, filtered water ready for drinking.

4. Step-by-Step Demonstration:

   • Wash your hands before handling the filter.
   • Fill the upper container with clean water.
   • Let participants see how water passes through the candle.
   • Dispense water from the tap into a clean cup or glass.
   • Emphasize: “Always take filtered water directly from the tap—do not open the chamber.”

Step 3: Hands-on Activity (if time permits)

In Hindi

In English

1. Divide participants into small groups.
2. Give each group a water filter or model.

3. Ask them to:

   • Assemble the filter correctly.
   • Fill water into the upper container.
   • Dispense filtered water into a clean cup.
   • Practice cleaning one part (e.g., the candle or tap).

4. Take below given as reference for cleaning frequency.

5. Observe their technique and provide guidance or corrections as needed.

Below is a list of items and materials used in a crèche, along with a discussion of cleaning frequency. It is suggestive and also categorized into different levels. Some items are highlighted in the list those for which we should discuss the cleaning process in more detail.

*If time permits, we can divide caregivers into 5-6 groups to discuss this.

Suggestive Hygiene & cleanliness checklist & its frequency (English)

Suggestive Hygiene & cleanliness checklist & its frequency (English)
S.no	Caregiver's Level Hygiene & Cleaning	Frequency
1	Aprons	Twice in a week
2	Hands	Before-after cooking, feeding of children, after using toilet, after cleaning nose, hand
3	Nail	Weekly
Child Level Hygiene & Cleaning
1	Child's running nose, mouth, hand, foot, etc.	Immediately
2	Bibs	Daily
3	Nails	Weekly
4	Handwashing	Before-after feeding of children, after using toilet
Creche Level Hygiene & Cleaning
1	Toilet cleanliness	After use and daily (deep cleaning at evening)
2	Corners	Daily (at the time of opening & closing)
3	Roof cleaning (jala)	Weekly
4	Kitchen slab	Daily after use
5	Dustbin	Daily
6	Dustpan	Daily
7	Changing Scrubber	Every 15 days change & after use put it in dry place.
8	Floor cleaning (mopping)	Daily before closing
9	Brooming	Daily in the morning & evening
10	Dispose leftover food	Same Day
Utensils Cleaning
1	Plate, Bowl, Spoon, Pan etc.	After use and wiping before use.
2	Drinking water storage tank (filter)	Every day (Rinse)
3	Water storage tank (Handwashing)	Weekly
4	Cooker whistle, rubber gasket	Daily
Outdoor Cleaning
1	Water logging	Once a week
2	Fencing area cleaning	Monthly, fortnightly in Manson, need based
Other items used in Creche
1	Mat	Dusting-wiping every day, Dari-Monthly, Plastic mat-fortnightly
2	Dinning mat	After use wiping
3	Mattress	Everyday dusting, put in sunlight (fortnightly)
4	Blanket	Everyday dusting-whenever use, Fortnightly
5	Bedsheet	Everyday dusting, Weekly cleaning
6	Mosquito net	Dusting everyday & Monthly washing
7	Toys	Cleaning with dishwashing liquid-Daily

सुझावात्मक स्वच्छता एवं साफ-सफाई चेकलिस्ट एवं उसकी आवृत्ति (Hindi)
क्र.	शिशुघर देखभालकर्ता की साफ़ सफ़ाई	Frequency
1	एप्रोन	हफ्ते में दो बार
2	हाथ	खाना बनाने से पहले और बाद में, बच्चे को खाना खिलाने से पहले, टॉइलेट इस्तेमाल करने के बाद, हर एक बच्चे का नाक साफ करने के बाद।
3	नाख़ून	हर हफ्ते
बच्चों की साफ़ सफाई
1	बच्चे का बहता नाक, मुँह, हाथ, पैर आदि	तुरंत
2	बिब्स (खाना खाते समय बच्चों को पहनाने वाले कपड़े)	रोज़
3	नाख़ून	हर हफ्ते
4	हाथ धोना	खाना खाने से पहले और खाना खाने के बाद, टॉइलेट इस्तेमाल करने के बाद
शिशुघर की साफ़ सफाई
1	टॉइलेट की साफ़ सफाई	हर बार टॉइलेट इस्तेमाल के बाद और प्रतिदिन (सेंटर बंद होने के बाद)
2	कमरे का हर एक कोना	हर रोज़ (सेंटर खोलते और बंद करते समय)
3	छत की सफाई (जाला)	हर हफ्ते
4	रसोई का स्लैब	हर दिन इस्तेमाल के बाद
5	कूड़ेदान	हर दिन
6	कूड़े का तसला	हर दिन
7	बर्तन घिसने वाला	हर 15 दिन में बदलना है और इस्तेमाल के बाद सुखा के रखना
8	पोछा लगाना	हर रोज़ (सेंटर बंद होने से पहले) और जरूरत के हिसाब से
9	झाड़ू लगाना	हर रोज़ (सेंटर संचालन से पहले और बंद होने से पहले) और जरूरत के हिसाब से
10	बचा हुआ खाना	उसी दिन
वर्तन की साफ़ सफाई
1	थाली, कटोरी, चम्मच, कड़ाही... आदि	इस्तेमाल से पहले और बाद, हर इस्तेमाल से पहले पोछना
2	पीने के पानी को रखने वाला जार (फ़िल्टर)	हर दिन (पानी से खंगलना)
3	हाथ धोने के लिए पानी रखने वाला जार (हैंड वॉशिंग)	हर हफ्ते
4	कुकर की सिटी और रबर गास्केट	हर दिन
शिशुघर के बाहर की साफ़ सफाई
1	जमा हुआ पानी	हफ्ते में एक बार
2	घेरान क्षेत्र की साफ़ सफाई	महीने में एक बार (बारिश के मौसम में 15 दिन में एक बार) और जरूरत के अनुसार
शिशुघर में प्रयोग होने वाले अन्य सामग्री
1	चटाई	झाड़ना और पोछना हर दिन, दरी को महीने में एक बार धोना, तिरपाल को 15 दिन में धोना
2	खाना खाते समय प्रयोग होने वाले चटाई	खाने के बाद साफ करना एवं पोछा लगाना
3	गद्दा	हर दिन झाड़ना, धूप में सुखाना (15 दिन में एक बार)
4	कम्बल	हर दिन झाड़ना या जब इस्तेमाल में हो, धूप में सुखाना (15 दिन में एक बार)
5	बिस्तर के लिए चादर	हर दिन झाड़ना (हफ्ते में एक बार)
6	मच्छरदानी	हर दिन झाड़ना और महीने में एक बार धोना
7	खिलोना	बर्तन धोने वाले तरल पदार्थ से हर रोज़ धोना और धूप में सुखाना

Bold items will be discussed and highlighted during the discussion of frequency that how we should clean and process.

*Child’s running nose-

1. All crèches will ensure that clean cotton katran are kept in a box for cleaning children's running noses.
2. These scraps (katran) will be in small pieces, suitable for single use. Whenever a child's nose needs cleaning, caregivers will use a fresh cotton katran and place the used katran in a separate box. After cleaning the child's nose, caregivers will wash or sanitize their hands.
3. All the used katran will be disposed of on the same day in the evening.

*Bibs-

1. Each child in the crèche should have at least two bibs available.
2. The bibs should be fastened in such a way that they cover the child's chest and knees.
3. If the bib is made of cotton, it should be washed with detergent after every meal and dried in the sun.
4. If one side of the bib is coated with plastic, it should be wiped clean with a clean cloth and dried in the sun.

Dispose leftover food

1. If there is any leftover food at the crèche, it is essential that it is disposed of properly.
2. There should be a proper pit located 100-200 meters away from the center.
3. If leftover food is thrown near the crèche, cows, hens, goats, dogs, etc., will loiter around the premises.
4. It would be best to put the leftover food in that pit before the crèche closes.

Dispose of vegetables waste, eggs shells and dry waste

• We will use separate dustbins to keep waste of vegetables, peels and eggs shells.
• Dispose of eggshells and vegetable peels on a daily basis.
• We will put them in a pit some distance away from the center and cover them with soil.
• For dry waste, we need a fixed place where the waste can be managed. If a specific location near a center is already fixed, we can dispose of it there.
• If there is no fixed location then we can fixed a place for dump and ensure that no living beings or the environment are harmed.

Disposal of faecal matter waste: Toilets needs to ensure that the faecal matter must be disposed of into the toilet/into

5. Potty must be cleaned thoroughly and should be stored separately from food, utensils, and play materials.
6. Cleaning of soiled clothes must be carried out only in the designated defecation area/platform. They must not be washed in kitchens, food preparation areas, or near water sources.
7. Remove solid faecal matter from the clothes by shaking or scraping it directly into the faecal matter disposal pit or toilet.
8. Rinse the soiled portion of the clothing using water only in the designated washing area. Do not rinse clothes in open areas.

*Toys & Handwashing-It is included and covered in Hygiene & Cleanliness-II sessions.

Toilet Usage & Cleaning- Video of any creche Where toilet facilities are available, all children should be encouraged to use and practice using the toilet room. Since the crèche has children aged 7 months to 3 years, it's natural that some children might toilet on the crèche premises or in the playing area. In such cases, we should properly dispose of the faecal matter in the toilet or in a designated pit outside. If disposed of in a pit, it must be covered with soil.

• The frequency will be decided joint discussion through a checklist activity. (a suggestive frequency is attached in Annexure)
• If possible, will show hygiene related video of our running creches.

Session- 6 Child engagement & activities

Practices covered in this session
Engages in physical activities with children every day.
For example: walking, throwing balls, jumping, picking ball/ blocks etc.
Sings rhymes everyday with actions and expression. Preferably in local language.
Converse with the children using play materials - Example - Talking about & around the materials.
Narrates short stories with voice modulation, action and expression preferably in local language. Picture cards/puppets may be used for this purpose.
Distributes toys/play materials and engages children age appropriately.
Gives ample opportunities and encourages all children to participate in activities while keeping individual's pace and interest in mind.

*For the handwashing activity, before lunch show the demo of handwash by using soap and water with explaining each step. Caregivers will also jointly do this activity.

Duration:105 mins

Objective: To give ample opportunity to each child to play and enjoy at creche.

Materials Required:

1. Chalk for lining-2
2. Buckets-2
3. Sari/scarf-2
4. Balls-6

Steps for facilitation

1. Facilitator will start this session by saying, we all know that children love to play. But before talking about children, should we all also play some games?
2. Ask caregivers to come forward and tell them- now we will play some physical games.
3. As per below listed activities, facilitator will initiate the games and encourage all the participants.

*Make sure the comfort of caregivers by asking if anyone is not comfortable can skip.

• Physical activities- - it will include demo of physical activities like- walking on straight line, zig-zag line, jumping, picking ball, passing ball, holding ball, throwing ball on a bucket, squeezing of rubber toys.

4. The facilitator will ask some of the caregivers to join in these activities and then for each activity give chance to join each one of them. Facilitator should emphasize that these activities should be conducted in outdoor premises of creche like courtyard, if possible.
5. After the physical activities, ask caregivers to now sit in a circle/ as per the space.

• Rhymes and Stories - A Demonstration will be done by facilitator on rhymes, stories, then caregivers will demonstrate.

*We can take any other rhyme/story as well but that should be short.

• Play materials- Demonstration of each play material and its multiple uses. We have multiple toys. Now we will show how to use these toys with small children (less than a year) and above. We can show a demo with one group of Caregivers (they will act as children under 1 year) by giving vegetables-fruits toys(rattles) to them, can use rattles, squeezy balls for attention of children and the rest of them will get other toys like blocks, making towers etc.

6. While showing the play materials, facilitator should talk about each toy and its safe usage like- as per age, as per space. Facilitator should also emphasise that play with children or with toys makes a child engaged and happy and we should encourage each child.

Sample Story

*Story Sample-1 : * चिड़ियाँ की कहानी मेरे गाँव में एक बड़ा सा पेड़ था| उस पेड़ में एक माँ चिड़ियाँ दो छोटी चिड़ियां रहती थी, चिड़ियां चीं-ची-चीं करती थी। छोटी चिड़िया का नाम रिया और दूसरी का प्रिया था | दोनों पेड़ की डाल पर फुर्रर्रर- फुर्रर्रर उड़ रही थी | थोड़ी देर बाद फुर्रर्रर-फुर्रर्रर करके माँ चिड़ियाँ खाना लाई | सभी मिलकर ची-ची' करके खाना खाए और सो गए |

Story Sample -2 : कौआ की कहानी मेरे घर के पास एक बड़ा सा पेड़ में कौआ रहता था | कौआ कांव-कांव कर रहा था | एक दिन क्या हुआ उस कौआ को बहुत ज़ोर से प्यास लगी, तो वह पानी को खोजने उड़ गया | कांव-कांव-कांव-कांव, कौआ तालाब पहुँचकर पानी चू-चू करके पीने लगा, पानी पीकर वह आकाश में उड़ गया, कांव-कांव-कांव....

Session- 7 First Aid in creche

Duration – 60 mins

Component 1 – First Aid

Objective: Enable caregivers to provide immediate first aid for common injuries and emergencies before professional medical help arrives.

Materials Required:

• First aid kit
• Visual posters
• ORS packets, bandages, gloves for practice

Steps for Facilitation

Step 1: Introduction

1. Ask caregivers:

• “What is the first thing you do in a health emergency?

2. Let caregivers share experiences.
3. Explain:

• First Aid is the help given immediately before a doctor or health worker arrives.

Step 2: Demonstrate Basic First Aid Kit

1. Show a simple creche first aid kit and explain contents:

• Cotton & antiseptic – for cuts
• Bandages – to cover wounds
• Dettol – to disinfect
• Scissors & tape – for bandaging
• Burn cream – for minor burns
• ORS – for dehydration

2. Emphasize:

• Keep the kit in a fixed, clean, accessible place
• Check expiry dates regularly

Step 3: Demonstrate Management of Common First Aid Situations

1. Minor Cuts & Wounds

• Wash hands / wear gloves
• Apply pressure with clean cloth or gauze for 2–5 min
• Rinse gently with clean running water
• Apply antiseptic
• Cover with sterile cloth or bandage

2. Nosebleed

Steps:

• Make child sit upright and lean forward
• Pinch soft part of nose (below bone) for 5–10 min
• Place a cold cloth or pack on nose bridge
• Once bleeding stops, rest quietly for 10–15 min
• Do not tilt head back or lie down

3. Burns

• Remove child from heat source
• Cool area under clean running water for 20 min
• Pat dry gently with clean cloth
• Apply burn ointment if mild
• Cover loosely with sterile cloth
• Do not apply butter, toothpaste, or ice

4. Diarrhea / Dehydration

• Mix ORS as per packet in clean water
• Give small frequent sips every few minutes
• Continue breastfeeding/feeding
• Keep child clean & note urine/stool output
• Inform parent and monitor for dehydration

Step 4: Do and Don’t

• Do- Wash a wound, cool a burn with water, give ORS for diarrhea.
• Don’t- Apply mud or toothpaste in a wound, rub oil or ghee on burn, wait until child becomes weak.

Step 5 Recap – ABC Rule of First Aid

• A – Airway: Is the child breathing?
• B – Bleeding: Stop bleeding gently
• C – Consciousness: Is the child awake?
• Emphasize: “Stay calm. Give care. Call for help.”

Tips for Resource Persons

• Demonstrate each first aid step clearly.
• Encourage hands-on practice with real materials.
• Avoid technical terms; use local words/phrases caregivers understand.
• Show a real first aid kit, explain why and when to use each item.
• Emphasize keeping the kit clean, labelled, and accessible.
• Use Do’s and Don’t chart for reinforcement.
• We should clearly mention if any major injury happen caregivers should immediately inform parents/supervisor/health worker. It will also include chocking or any other health issues.

Component 2 – Preparation of ORS

Objective

Enable caregivers to prepare and give ORS correctly to children with diarrhoea to prevent dehydration and weakness.

Materials Required

• ORS packets
• Clear measuring container (1 litre)
• Spoons and glasses
• Poster/flipchart showing preparation steps
• Handwashing materials

Steps for Facilitator

Step 1: Introduction

1. Ask caregivers:

• “What do you do when a child passes loose motion?”
• “Why do children get weak during diarrhoea?”

2. Explain in simple terms:

• “During diarrhoea, a child loses water and salts, making them weak. ORS replaces lost water and salts and prevents dehydration.”

Step 2: Demonstration of ORS Preparation

1. Show a standard ORS packet.
2. Explain: ORS is not a medicine, it rehydrates and saves lives.
3. Wash hands before preparation.
4. Tear the ORS packet open.
5. Use 1 litre of boiled and filtered water.
6. Pour the entire packet into the water and stir until dissolved completely.
7. Explain that ORS is ready to use and should be consumed within 24 hours.
8. Emphasize:

• Do not use half packets or make too strong/weak solutions.
• If the child vomits, give small sips.
• Discard unused ORS after 24 hours.

Step 3: Hands-On Practice

• Divide caregivers into small groups.
• Let each group prepare ORS using real packets.
• Observe and correct techniques as needed.

Step 4: Dos and Don’ts

Dos:

• Use clean, boiled water.
• Use the full packet in 1 litre of water.
• Store in a covered container.
• Use within 24 hours.

Don’ts:

• Do not use dirty or unboiled water.
• Do not mix half packet or too much water.
• Do not leave ORS open or uncovered.
• Do not reuse leftover ORS the next day.

Tips for resource person

• Use local terms and respect their experience.
• Avoid technical or medical jargon.
• Break complex ideas into short, clear sentence.
• Show what you mean- e.g preparing ORS, feeding practices, hygiene techniques.
• Use pictures, posters or role plays to make your message clear.
• Focus on hands-on learning.
• Use the tell, show, do and repeat method.