Health & Nutrition

Health & Nutrition
Term Full Form/Explaination
FSSAI Food Safety and Standards Authority of India 
SNF Safe and Nutritious Food 
IEC Information, Education and Communication 
CMAM Community-based Management of Acute Malnutrition
SAM Severe Acute Malnutrition
MAM Moderate Acute Malnutrition 
AWW Aanganwadi workers 
ANM Auxiliary Nurse Midwifery

Programme 1: Safe and Nutritious Food at Home and School

Background: Save the Children has rolled out a comprehensive project combining the aspects of quality nutrition and education for children in 40 schools of North Delhi. This project is guided by the framework of Food Safety and Standards Authority of India (FSSAI) under their flagship initiative [email protected] (Safe and Nutritious Food @School). The main goal of the project is to empower children in the targetted schools as 'Agents of Change' and to improve their health and nutrition status in 40 schools in North Delhi. 

Key Objectives:
  • To improve knowledge, attitudes and practices towards safe and nutritious food and healthy lifestyle among school-going children.
  • To strengthen structures and systems for delivering nutrition and healthy lifestyles, education, and services for children.
  • Generate evidence to identify gaps existing in school nutrition programmes and advocate for filling the identified gaps. 
Key Activities:
  • Training and development of health and wellness coordinators.
  • Prepare and disseminate Curriculum/Information, Education and Communication (IEC) and literature on health-related activities
  • Strengthening structures and systems for achieving sustainability in childrens' nutrition  

Direct Beneficiaries:
  • 18,000 children from ages 5 to 14 years
  • 13,806 mothers
  • 40 principals
  • 80 teachers
  • 20 Government officials from education and health department
  • 640 School Management Committee (SMC) members
  • 63 street vendors
Indirect Beneficiaries:
  • 21,670 family members
  • 36,000 children

Programme 2: Project Karuna

3 million children under the age of 5 die every year worldwide due to undernutrition. This can be avoided. Malnutrition during the 1,000-day-window between a woman’s pregnancy and her child’s second birthday causes irreversible cognitive and physical damage. Many reasons contributed to an increased rate of malnutrition in Jharkhand including the prevalence of anaemia among pregnant women and unawareness about the importance of taking iron and folic acid supplements. Malnutrition is often transmitted through generations.

About the Project: Karuna in an on-going project. The main aim of the project is to avoid medical complications which can result in death by identifying malnourished children and empowering communities to recognise the condition and refer for early care. The approach also enables a majority of the children to be treated at home. This also makes them less at risk of cross infection. Between May 2016 till December 2017, 200 children received Community-based Management of Acute Malnutrition (CMAM) services.

Scale-up Approach- The scaled plan is as follows:
  • Scale up to other CMAM project sites within Save the Children operations.
  • Scale up to other locations through other CMAM development partners.
  • Scale up through government systems by integrating the app in the existing smart mobile/tabs provided to Auxiliary Nurse Midwifery (ANM), Anganwadi Worker (AWW) of high burden districts.
Expected results:
Result 1:  Improved identification and referral of children with Severe Acute Malnutrition (SAM) at the community level.
Result 2: Improved availability & utilisation of medical and nutritional treatment at the community and facility level for children with Moderate Acute Malnutrition (MAM) or Severe Acute Malnutrition (SAM) without complications.
Result 3: Strengthened linkages between the community and facility level including follow-up of SAM children.
Results 4: Improved identification and counselling of children with MAM at the community level.

Proposed Reach:
  • 500 SAM children and 1200 MAM children will be reached through the project intervention directly in two blocks of two districts in Jharkhand.
  • Nearly 2,50, 000 people in the two identified blocks will be indirectly covered.

Programme 3: Ashakiran

Background: In March 2016, Save the Children implemented 'Project Ashakiran'  in rural Bangalore, Karnataka.

Project Objectives: The main objective of the project is to ensure improved access Health & Nutrition and Water, Sanitation, and Hygiene in the 11 intervention villages, Anganwadi centres, and schools. The project is also focussing on increasing community engagement.

Target Group: The project is targetting children, adolescent girls and boys, school teachers, Mothers' Groups, and pregnant and lactating mothers. It is also targetting frontline health workers including Aanganwadi workers (AWWs), Accredited Social Health Activists (ASHAs), Auxiliary Nurse Midwifery (ANMs), Panchayati Raj Institutions (PRIs), and Village Health, Sanitation and Nutrition Committee (VHNSC) members. Health, Women and Child Development, and Education departments are also being targetted at the Taluk and District-Level.

Key Achievements:
  • Formation of School Cabinets in all the 10 intervention schools
  • Provision of adequate hand washing facilities
  • Refurbishment and construction of toilets with running water in all the 10 intervention schools and AWCs
  • Set up 2 community-managed toilets and 3 water ATMs in the targetted areas
  • Organised mass awareness campaigns on the importance of maintaining hygiene and sanitation
Today, 2.1 billion people lack access to safely managed drinking water services. 4.5 billion people lack safely managed sanitation services. Unsafe hygiene practices are widespread. Child mortality rate is increasing at an alarming rate. More than 3,40,000 children under five die annually from diarrhoeal diseases. This is mostly due to poor hygiene and sanitation or unsafe drinking water. Our approach is to engage the people in the planning, management, and monitoring of health, nutrition, and sanitation services.

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