• मोफत/सवलतीच्या दरात उपचाराबाबत माहिती व मार्गदर्शनासाठी.. साथी हेल्पलाईन 94 22 32 85 78

Previous Projects

Community Action for Nutrition – Previous Projects

Project Title
Strengthening Community action for nutrition to improve child health, nutrition services, and practices and reviving food diversity in the selected habitations of Junnar and Ambegaon block of Pune district

Project Period

15th June 2023 to 14th June 2024

Donor Agency

Mukul Madhav Foundation

Addressing undernutrition through intervention specifically focused on synergy between systems strengthening approach as well as improved household nutrition practices based on food diversity and follow-up of undernourished children approach while ensuring community involvement.

Broad Objectives

  • To strengthen health and nutrition services through community participation and awareness building, and to improve household nutrition practices focussing on the nutritional needs of children under six in selected villages of Junnar and Ambegaon blocks of Pune district.
  • To address undernutrition among children under six with active community involvement.
  • To promote Nutri-garden to address food diversity.

Project Title
Empowering Tribal Communities to improve nutrition & Strengthening Awareness on Nutrition related Services in selected tribal blocks of Maharashtra (Community Action for Nutrition)

Project Period

September 2018 to August 2020, extended upto July 2021

Donor Agency

Tribal Development Department, GOM

The Community Action for Nutrition (CAN) is a novel approach, which combines strengthening of government systems through active community participation, with improvement in household nutrition practices, to tackle the issue of malnutrition in Maharashtra. SATHI implemented this project as part of the ‘Nutrition Rights Coalition-Maharashtra’ — the State Nodal Agency.

The Tribal Development Department of the state of Maharashtra supports Community Action for Nutrition in 420 villages/habitations from 10 blocks of 7 tribal districts in Maharashtra — Nandurbar, Gadchiroli, Palghar, Nashik, Thane, Raigad and Pune.

Key processes are as follows–

  • Community Action for Nutrition (CAN) utilizes community-based monitoring for strengthening nutrition services. Awareness raising about rights and entitlements enables members of the community to identify gaps in nutritional services, and highlight them for improvement in services.
  • The CAN process combines rights awareness with a focus on improving household nutritional practices, through community dialogues and activities related to the nutrition services, and practices carried out at various levels village/habitation to block, district and state level.
  • CAN aims at ‘Convergence from below’. Convergence between line departments is essential to achieve success of the nutrition services, and Bharatratna Dr. A.P.J. Abdul Kalam Amrut Aahar Yojana. CAN process has initiated convergence from below by appointing ASHA workers and Anganwadi workers to coordinate in implementing the project. The convergence then extends to the block and district levels, during workshops and monitoring committee meetings. Ultimately, convergence is at the state level where all the issues highlighted at the various levels may be resolved through dialogue between line Departments.
  • CAN strives to ensure registration and regular growth monitoring of all children under the age of 6 years, focusing on children with growth faltering, Moderate Underweight (MUW) and Severe Underweight (SUW), Moderate Acute Malnutrition (MAM) and Severe Acute Malnutrition (SAM).

Project Title
Strengthening Community action for nutrition to improve child health, nutrition services and practices and reviving food diversity in the selected habitations of Junnar block of Pune district

Project Period

1st July 2022 to 30th September 2022

Donor Agency

Finolex Industries Ltd & Mukul Madhav Foundation

BackgroundThis project aims to address undernutrition through intervention specifically focused on synergy between systems strengthening approach as well as improved household nutrition practices based on food diversity and follow up of undernourished children approach while ensuring community involvement. In this project we have included systematic orientation about health & nutrition services; improvement in household nutrition practices; promotion and revival of food diversity; ensuring follow up and appropriate treatment of under six children in nearby health facilities by ASHA/Arogya-Poshan Saheli (village workers) with active involvement of mothers/caregivers of young children. Conducting community consultations for system strengthening is also an important strategy of this project. Which will help in addressing undernutrition among under six children.

Outcomes

  • At the end of the pilot project, undernutrition among under six children will be reduced upto 10%.
  • A child food corner (Bal Kopara) will be established in at least 25 households at the habitation level.
  • By the end of the initial 3 month period, around 8 to 10 Nutri-Gardens to address food diversity would have been established.
  • Awareness regarding Bharat Ratna Dr. APJ Abdul Kalam Amrut Aahar Yojana will be increased by up to 50% among pregnant and lactating mothers.

Output

  • Awareness regarding child health and nutrition services and food diversity will be generated.
  • Village Nutrition Group formation process will be completed in all 10 habitations of the intervention area.
  • Enhanced capacity development of 10 Arogya va Poshan Saheli (Field Facilitator) and block coordinator.
  • Systematic documentation of around 5 success stories would be documented.

Project Title
Building Community Awareness and Action to Improve Child Nutrition Practices and Services in Tribal, Rural and Urban Areas of Maharashtra

Project Period

January 2019 to December 2020

Donor Agency

Bajaj Holdings & Investment Ltd

Background
In order to ensure adequate growth and development and break the inter-generational cycle of malnutrition, in this project interventions has been planned with the focus on first 1000 days of life, starting from conception to the end of the second year. This project would approach nutrition in such a way so as to emphasize prevention and early intervention at the specific stages, pregnancy and early childhood. This project will be implemented in overall 160 habitations in 3 blocks (one tribal and 2 rural blocks) and one urban area of Mumbai City.

The Objectives of this project

  • To reduce the percentage of Severe Malnutrition among under- 6 children in project areas, by up to 15%.
  • To reduce prevalence of growth faltering among children below 6 years by up to 20%.
  • In project areas, significant increase the activity of key grassroots stakeholders (Village Health, Nutrition, Water Supply and Sanitation Committee members / Mothers committee members (Under WCD) and PRI representatives towards improving nutrition services and entitlements in their habitations.
  • To reflect increased frequency of active involvement of village level committees and higher numerical participation in meetings; higher number of issues related to health and nutrition services being raised with public providers; and take action on services being taken at habitation level.
  • To improve quality of supplementary feeding by Anganwadi for 3 to 6 year old children, with upto 30%.
  • To improve nutrition practices among parents/caregivers of under-6 children in project areas, upto 30%
  • To enhance capacity development of 160 ASHAs/Poshan Sakhi, around 160 Anganwadi workers, 20 block facilitators and coordinators in project areas.
  • Systematic documentation of around 30 success stories and key lessons learned, along with proposed State level plan for appropriate scaling up of the emerging approach for all tribal, rural and urban areas of Maharashtra.

Project Title
Moving towards institutionalization of Community monitoring and action related to ICDS services, to promote adequate child nutrition in Maharashtra

Project Period

1st November, 2012 to March 2016 & 1st February 2017 to 31st January, 2018

Donor Agency

Narotam Sekhsaria Foundation

Background
The programme strives to make nutrition services accountable and responsive, through community based monitoring and planning, generation of appropriate knowledge and reshaping relevant policies and programmes. The programme was implemented by a consortium of civil society organizations and SATHI was the nodal agency for the programme responsible overall coordination and monitoring.

Goal
Institutionalization of the emerging model of Community accountability and participation, for improving child nutrition in Maharashtra

Objectives

  • Strengthening the discourse on the CBMA approach for nutrition related services at national level, contributing to its greater institutionalization and generalization
  • State level institutionalization of CBMA-ICDS process in tribal areas, along with civil society influencing key policy areas related to Child nutrition in Maharashtra
  • Systematic documentation of the CBMA-ICDS process in Maharashtra, with focus on the positive impacts and success stories
  • Consolidation and continuation of CBMA-ICDS activities in existing urban areas (Nagpur and Mumbai) while developing institutionalization of this approach in urban areas
  • Development of key elements of Information, Communication and Technology (ICT) based feedback system related to child nutrition services in the state, while moving towards its adoption by concerned departments in the state.

Key Activities of the project –

  • Organize consultation at state and national level for consensus building about Community Based Monitoring of ICDS.
  • Advocacy with Women and Child Development department, Tribal Development Dept. and Health Dept. for institutionalization of CBM of nutrition services.
  • Develop components of an ICT based feedback system (Voice messaging and SMS surveys) concerning child nutrition services, and advocating for its adoption by concerned departments in the state.
  • Build partnerships with Government, UNICEF and other organizations and institutions involved in this issue.
  • Research and documentation of the project process and other policy issues pertaining to advocacy.

Link for past projects http//www.sathicehat.org/index.php/our-projects/past-projects/nutrition-rights-programme

Project Title
Pre-project activities for drafting proposal by Nutrition Rights Coalition (NRC) on Developing Community Action for Nutrition (CAN) to improve Childnutrition services and practices in Tribal areas of Maharashtra

Project Period

15th December 2016 to 15th March 2017

Donor Agency

Rajmata Jijau Mother – Child Health & Nutrition Mission, Government of Maharashtra

Background
Keeping in view the continued problem of child malnutrition in tribal areas of Maharashtra, as well as the positive experiences of the pilot phase of Community monitoring and action for child nutrition, now the NRC would undertake a large state level project in collaboration with the Tribal Development Department and UNICEF on ‘Developing Community Action for Nutrition (CAN) to improve child nutrition services and practices in Tribal areas of Maharashtra’.

In this context, certain pre-project activities are being proposed to Rajmata Jijau Mission to ensure preparation of an appropriate proposal for a large scale project on community action to address child nutrition, to be implemented across all tribal districts of Maharashtra.

ObjectiveTo develop an evidence-based and socially anchored project proposal, with effective and realistic strategies for community accountability and action related to nutrition, which could lead to significant positive impact on nutrition of tribal children across Maharashtra.

Project Title
Promoting a comprehensive and rights based approach to address malnutrition in Maharashtra

Project Period

November 2012 to September 2015

Donor Agency

Narotam Sekhsaria Foundation

Background
It is an accepted fact that nutrition is one of the most important determinants of health and well being of any population. This fact is especially relevant in the Indian context, not only in less developed states, but also in ‘developed’ states characterized by major inequities like Maharashtra where it has become clear thatMaharashtra’s human development is not corresponding with its economic growth.

A broad and comprehensive approach to malnutrition is needed for identifying not only immediate but also intermediate, underlying and fundamental causes, and hence the need for major changes at multiple levels including large scale socioeconomic changes.

It is also imperative that whatever nutritional services Government is offering to tackle malnourishment should be accountable to the community if at all they should be effective.

General Objectives
To create an enabling environment for the reduction of malnutrition in Maharashtra through making nutrition services accountable and responsive, through generation of appropriate knowledge, reshaping relevant policies and programs, and promotion of the Community monitoring approach for improving health and nutrition services.

Specific Objectives

  • To promote community action towards making nutrition related programs [ICDS] accountable, responsive and effective in the intervention areas
  • To influence state level nutrition related policies and programs towards making these community oriented and responsive to accountability processes
  • To facilitate action research and innovations regarding approaches to improve nutrition at community level and to develop a contextualized understanding of the dynamics of food security and nutrition
  • To strengthen the discourse on Community Based Monitoring (CBM) of social services as a key mechanism to ensure social accountability of Public services, particularly Health care and nutrition
Key Activities

Accountability

  • Implementation of community based monitoring and action processes concerning nutrition related programs (ICDS and Jijau mission) in selected areas in the first year of the project
  • Capacity building of the activists of Partner organizations regarding CBMP of ICDS
  • State level TOT workshop with activists for dissemination of guidebooks and training of the tools for assessment of Anganwadi
  • Block provider’s workshop in every intervention block to enhance the knowledge level and to build capacity of the local stakeholders like AWWs, ASHA, PRI members.
  • Community mobilization and awareness in the form of street plays, AV, Posters, flip charts as well as meetings with members of various committees and local activists – with focus on women.
  • Formation of the expanded body of village consisting of VHSNC plus School management committee (plus JFM / CFR where applicable) members as permanent invitees, who would be involved in monitoring Anganwadis.

Critical knowledge generation and Research

  • In the first phase Situational analysis of nutritional status of under-6 children will be done in the intervening areas.
  • In the next phases some small research studies will be undertaken on emerging issues like Take Home Ration.

Advocacy

  • State level workshop for advocacy with WCD and health departments to create a space for CBMP in ICDS.
  • State level convention in collaboration with Right to food campaign will be undertaken.

Promoting CBMP as an approach to health and social services

  • District / state level events for building social-political support for CBMP as an approach to make health and social services accountable and effective.