on the details of
Mahoba district, UP, India
Thematic Intervention: Health and Nutrition
Kriti Shodh Sansthan (KSS), Gahrauli was established in 2000 by a group of active and vibrant youths having its office at Parmanand Tiraha, district Mahoba. KSS is a voluntary organization to form a happy, healthy & prosperous society for all-round development of children with the mission to bring about all round balanced development of Children in the Food & livelihood crisis facing drought affected area of Bundelkhand region of UP, India. KSS is non-profitable, non-Governmental civil society organization, which believes in participatory approaches and practices participatory methodologies for the community at large. The project holder is Mr Manoj Kumar, who is very well versed in thematic areas like Child Rights, Right to Education, Right to Food, Work and Livelihood, Women and Girls Rights, Networking and Advocacy. Over the year KSS has developed its own distinctive identity, which is directly related to the felt needs of the area and with the empowerment of the living conditions thereof.
Mahoba is one of the drought prone districts of Bundelkhand region in Uttar Pradesh. Recurring droughts in the district has led to serious impact on food and livelihood of people in the areas and people have migrated to different parts of the state and other states in search of employment to eke out a living. Lack of food and livelihood security coupled with distress migration has further increased the vulnerability of children in the intervention areas. In absence of household’s food security, communities have migrated to different places along with their children which is serious impacting children’s access to education, nutrition and protective environment. The organization is working in Charkhari block of Mahoba district covering 10 villages and 1253 households.
Nutrition status of children in the intervention area is very poor. Out of 769 children covered under growth monitoring, 20% children are malnourished out which severely malnourished children are as high as 7%. Recurring droughts, migration and issue of availability of adequate food at households level has impacted food intake of children in the areas. There are community level issues with regards to exclusive breastfeeding of children, proper supplementary feeding etc. Access to quality primary health care for mothers and children are major issue in this area due to lack of required trained human resource persons in existing hospitals, PHC, SC and CHC as per IPHS norm. Blood banks in district hospital are also not functional.
- Improve community understanding on issues related to child health and nutrition, behavioural aspect on child rearing practices which has led to enhanced nutritional status among children in intervention areas.
- Improve children's access to services under health care and nutrition related institutions. At least 50% related institutions on health and nutrition care are functional.
- Improve livelihoods and food security at family and community level to enhance nutritional intake of children and thereby reducing malnutrition among children.
Achievements & Impact in the Review Period
Through the year, the organisation has performed in various aspects like mapping of institutions with regards to health and nutrition, especially on functioning of ICDS centres, Sub Centres and Public Health Centre (PHC), Community Health Centre (CHC) in the ground level. As part of the process, the organisation also initiated monitoring the ICDS centres and health institutions against govt norms including parameters like infrastructure, safe drinking water, toilets, basic health facilities, weighing scales, staffing etc. The organisation conducted meeting with the community, Anganwadi workers, supervisor on their role and responsibility as well as issues at community level. Due to regular meeting with community and parents the members have started monitoring the functioning of Anganwadi in the villages. The organization with the help of the parents and adolescent girls group visited the households in the villages and gave the information to the mothers and the family members to give immunization to their children in the anganwadi center. With regards to the advocacy in child malnutrition issues, growth monitoring children under 0-5 years is now carried out and tracking of each and every child done as well as follow ups. The organization motivated the pregnant/lactating mothers, adolescent girls on nutritious food intake, regular monthly check up, awareness on child health and nutrition through regularizing Village Health and Nutrition Day (VHND).
Few highlights of achievements are:
- One Nutritional Rehabilitation Centre (NRC) sanctioned and become functional this year at Mahoba
- Village health and Nutrition days (VHND) have been regularised in intervention villages. There are significant improvement in participation of pregnant women, lactating mothers and adolescent girls in the meeting
- Adolescent girls are accessing free sanitary napkins and IFA tablets from Anganwadi centres.
- The organisation has followed up with regarding people’s access to ration as per norms under NFSA. Facilitated process for online application under NFSA. Prepared adherence report (with focus on components for children). Mid-day meal continuation was ensured during summer vacation in schools of project areas.
Focus 1: Improved Community understanding on issues related to child health and nutrition, behavioural aspect on child rearing practices has led to enhanced nutritional status among children in intervention areas.
- Organize capacity of the team members on the existing attitudes, practices and beliefs on child health and nutrition, care and treatment/ rearing of children in intervention areas
- Develop community specific strategy to address prevailing superstitions, myths on child health and nutrition. Appropriate messaging to develop for use at community level.
- Conduct meeting with the families by doing home visits and aware them about the problems which leads the children to the malnutrition.
- Community awareness meeting on child nutrition, issue related to nutritional deficiency among children, its impact on overall growth and development.
- Undertake home visits to families of malnourished children for discussion on the issues, feeding practices, home base care on malnutrition.
- Orientation of community on best food practice, Nutritional values of locally available food items, Supplementary Nutrition Products (SNP) and Take Home Ration (THR) through village meeting. Also make them aware about importance of kitchen garden, importance of locally available for and its nutritional values.
Focus 2: Children's access to services under health care and nutrition related institutions improved. At least 50% related institutions on health and nutrition care functional.
- Tracking of all children under 0-6 years in intervention areas. Analysis of children being registered under ICDS and children accessing benefits /services under ICDS.
- Motivation of community to send children under 3-6 years to Anganwadi centres to seek benefit under ICDS. Follow up at household’s level for registration of all children under 0-6ys. Awareness building of community on provisions under ICDS including six services.
- Periodic Mapping of all Anganwadi centres to assess status of infrastructures and services, children access to Anganwadi centres etc. and sharing the status report.
- Tracking of untied-fund under Village Health, Sanitation and Nutrition Committee (VHSNC) for its use for referral services of SAM children, organizing Sneha Shivir, advocacy at the district, state level.
- Facilitate referral services through local Anganwadi centre to Nutritional Rehabilitation Centre (NRC) Mahoba in case of medical complication as identified by ANM/Anganwadi workers. Follow up of Severely Acute Malnourished (SAM) case on regular basis.
- Continue awareness and sensitization of mothers committee member, pregnant women, lactating mothers on importance of immunization, Antenatal and Postnatal check up ( ANC and PNC), safe and institutional delivery, early initiation of breastfeeding/ colostrums feeding, exclusive breastfeeding for six months, supplementary feeding etc.
- Sharing of the child health and health care status report with Chief Medical officer, National Health Mission ( NHM), Directorate of Health and Family Welfare and its follow up on regular basis.
Focus 3: Improve livelihoods and food security at family and community level to enhance nutritional intake of children and thereby reducing malnutrition among children.
- Conduct meeting in the community and share the idea of Kitchen garden and motivate the community action. Discussion on importance of kitchen garden, how to improve nutritional intake to combat nutritional deficiencies among children.
- Identify deserving households who are not covered under NFSA and make them aware about the process of inclusion/ extend support to file online application for inclusion. Sharing of fact sheet through state level advocacy processes.
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