ayscorporation

AYUSHKHARE BISHWADEEPROY DIVYAJHAWAR

KRITIMISHRA HIMANSHUMALVIYA

TEAM DETAILS

1. Unemployment: But, India has two decades of post-reform

economic growth and increase in

employments.

2. Shortage of food: But, there is a remarkable robust

agricultural productivity growth during the

last three decades, yields of food grains

have doubled since the early

3. Irresponsible government: But, there is no shortage of programmes in

India aimed at improving access to food

and alleviating malnutrition. ICDS is the

largest supplementation programme of its

kind in the world

Then why there is no significant reduction in

malnutrition? What are real factors?

LATIN

AMERICA

SUB-SAHARAN

AFRICA

SOUTH

ASIA PAKISTAN INDIA BANGLADESH

• India is home to 40% of the world’s malnourished children. • Every year 2.5 million children die in India, accounting for one in five deaths in the world.

WEAKNESSES OF CURRENT POLICIES:

1. Not enough attention is given in educating parents how to improve nutrition using the family food budget.

2. Lack of trained volunteers.

3. Service delivery is not sufficiently focused on the youngest children (under three). In addition, children from wealthier households participate much more than poorer.

4. The poorest states and those with the highest levels of under-nutrition still have much lower levels of program funding and coverage.

KEY FEATURES SHOULD BE ADDED :

1. Policy used social mobilization and relied on community-based primary health care as a delivery system for nutrition and health interventions.

2. Also focused on complementary interventions to address other determinants of child malnutrition, such as water and sanitation and education.

3. A strong monitoring and evaluation culture that provides a basis for incentives and correction of policy actions in the context of implementation.

•Integrated Child Development Services (ICDS);

•The Mid-Day Meals Program;

•The Public Distribution System (PDS);

•The National Old-Age Pension Program and the

•Annapurna Program.

All of these programs have potential, but they don’t form a comprehensive

nutrition strategy, and they haven't addressed the nutrition problem effectively so far.

Specialized care for 0 to 3 years children

Community based programs (CBP) for 3 to 6 years children

Ch

alle

nge

s

A common cause of inadequate child growth is poor feeding practices, Keeping a child well-nourished during the first 1,000 days prevents irreversible damage that can impact health and Productivity for a lifetime.

Families feed their children adequately using locally available foods, but they often do not know how to prepare or feed these foods in a way that will meet the needs of their children.

Solu

tio

ns

• Mobile Clinics (home services).

• Fortified food package distribution and

purified water supply.

•Weekly Medical Report.

• Compulsory Health Card.

•Information Sessions to discuss key issues

such as breast feeding and hygiene.

• Trained staff will conduct practical & information sessions. • Conducting monthly growth monitoring sessions. •Teach parent that they could use foods from their own gardens, to enrich their children’s meals.

Prevention not only protects children from lifelong effects, but it costs

far less than malnutrition treatment, which can be a burden for

households, communities, and health systems in low-resource settings

• Improving provider performance : Trainees will support improved feeding practices through counselling, home visits, cooking demonstrations, weighing sessions, health talks and mother support groups.

ADVANCED SOCIAL AND BEHAVIOR CHANGE COMMUNICATION PROGRAMS

• Promoting locally available foods and optimal feeding practices: We will conduct cooking demonstrations using available resources to promote more nutritious meals for children. Teach them that they could use foods from their own gardens, to enrich their children’s meal.

• Public-private partnership to encourage use of fortified foods.

ENHANCED COMPLEMENTARY FEEDING PROGRAMS

• Integrating nutrition : We will train agriculture extension workers to incorporate nutrition education into existing activities aiming to help families generate income from their gardens.

BROUGHT WOMEN'S & CHILDREN'S NUTRITION TO THE FORTFRONT OF AGRICULTURE

• Building supervision and support systems: We designed sustainable supervision systems and facilitated supportive supervision of trained health workers. Supervisors used our community-specific supervision checklists to follow up with trained health providers to measure knowledge and record their behaviours during counselling sessions.

Strengthened health systems for healthier mothers and children

To enhance follow up in the community and increase utilization of

health services, we will accomplish these four task:

• Children under 3 are only feed by the fortified food provided by the mobile clinics through home delivery.

• All requirements are provided by the these mobile clinics including medicines, vaccinations, drinking water and medical treatment.

Mobile Clinics

(3 to 4 vans per village)

• Children under 3 are compulsory to have weakly inspection done by medical staff.

• Health card is mandatory to maintain by parents which contains all the progress report of child.

Medical Staff

(10 persons per village)

• Trained staff will conduct practical & information sessions under the supervision of Health Inspector.

• Every village will have one Health Inspector which supervise the every event under project.

Health Inspectors

(1 per village)

Tota

l F

undin

g

Req

uir

ed

Organization Cost

Chief Controller

Central Team

Regional:

Logistic Cost

Transportation cost

Establishment Cost

Material Cost

Medical Cost

Food Supply Cost

Banners And Posters

INR 3 Cr per

annum

INR 1 Cr per

annum

INR 1 Cr per

annum

Volunteers Network Reach Impact

0.1Mn Health Inspector to be recruited.

0.3 Mn Medical Staff

0.1 Mn Volunteers

Programs will be for month, quarter, half-yearly and annual in 50 lakhs villages.

1.5 parents to be trained yearly across 500 villages.

5 Mn children to be inspected yearly across 500 villages.

Prevention not only

protects children from

lifelong effects, but it

costs far less than

malnutrition treatment.

Parents will be teach how

to nourish their children

using home made food

reduce economic burden.

Fortified Food and pure

water is provided which

reduce malnutrition.

Challenges

• Shortage of trained volunteers and medical staff for such large coverage.

• Difficulty in understanding mothers’ current practices, constraints, and beliefs around feeding their children.

• Uneducated parents.

Implementation

risks

• Government or corporate do not see the viability of funding this model.

• Volunteers enrollment minimal and key profession groups show no interest.

• Public distribution system has many problems including quality of stuffs and corruption.

• Usaid’s Infant & Young Child

Nutrition Project, 2012

• IFPRI : Accelerating progress toward reducing

child malnutrition in India, 2008

•The state of food Insecurity in the world:

Economic growth, hunger and malnutrition,

2012

•The World Bank Report: India,

Undernourished Children: A call for reform and

action, 2012

•Ideas for India Report: A national shame:

Hunger and malnutrition in India, 2012

•India UNICEF article : Under-nutrition - a

challenge for India