Mumbai, Maharashtra

Mumbai, the capital city of Maharashtra is home to millions of people living in various slum pockets. Typically characterized by poor access to clean water, lack of food and proper nutrition and poor health and hygiene, children in most Mumbai slums suffer from malnutrition.

Govandi, located in eastern Mumbai, is comprised of migrant and daily-wage labourers. With illiteracy and no job security, these labourers often do not recognize the symptoms of malnutrition in their children.

An analysis of malnutrition among children under five in the shanty-town revealed staggering levels of stunting as high as 51% highlighting that every alternate child either has a low height for his/ her age or a low weight for his/her height. If left untreated, there will soon emerge a wholeeneration with the physical and mental symptoms of malnutrition: a huge risk to India’s economic growth and development.

Action Against Hunger conducted a nutrition survey in Govandi in 2015 in order to assess the levels of malnutrition in children under five years of age. The results were staggering with levels of wasting as high as 22.9%. One in every four children has low weight for his height, while every other child has low height for his age.

Poor maternal health, a high prevalence of infections resulting from proximity to the largest dumping yard in the country and lack of sufficient knowledge on child feeding practices are also some of the key factors contributing to high rate of under nutrition among children in the slums of Mumbai.

Key figures – 2022

1,09,698

People Reached

12,014

Under 5 children screened for signs of malnutrition

1,810

Malnourished children provided treatment

9,834

Pregnant and lactating women reached and supported

24,756

Home visits conducted

14,854

Phone based counselling sessions

458

Government frontline workers trained

793

Group discussions and demonstrations conducted

160

Anganwadis covered

6

Slum pockets covered

Palghar, Maharashtra

Palghar district of Maharashtra is dominated by a high tribal population and lies between the two major cities of Mumbai and Nashik. It consists of 7 talukas Vada, Vikramgad, Jawhar, Mokhada, Dahanu, Talasari and Vasai-Virar.

Agriculture is predominantly the main source of livelihood in this region. Unfortunately, owing to its hilly terrain, the yield season is restricted to the monsoon and seasonal migration for employment during the rest of the year is quite a common sight.

In November 2015, Action Against Hunger on request of Ministry of Health Maharashtra and UNICEF Maharashtra undertook a cross sectional survey called the SMART survey in Jawhar, Mokhada and Vikramgad blocks of Palghar district to explore the prevalence of undernutrition in children. The Jawhar and Mokhada survey highlighted startling figures with rates of stunting at 70.8 %, wasting at 40.4 % and 9.1 % of children under 5 years of age being severely wasted.

In response to the emergency emerging in Palghar, Action Against Hunger began its work in 2016 in Mokhada and later in Jawhar.

Key figures – 2022

63,985

People Reached

10,255

Home visits conducted

903

Malnourished children provided treatment

7,474

Pregnant and lactating women reached and supported

5,323

Under 5 children screened for signs of malnutrition

1,473

Group discussions and demonstrations conducted

459

Phone based counselling sessions

244

Anganwadis covered

0

Government frontline workers trained

200

Vegetable gardens planted

60

Vermicompost units installed

71

Villages covered

Amravati (Dharni), Maharashtra

Famous for its Tiger Reserve, Melghat region of Maharashtra is characterised by its vast forested timber tracks and tribal population. The land is very fertile, the regain suffers from an acute water shortage in summers, forcing the local population to nearby urban centres for paid labour work.

Nutrition insecurity, water shortage and lack of knowledge on health practises had made children susceptible to acute malnutrition, where children suffer 11 times the risk of mortality compared to a healthy child. Children are at a higher risk of dying every year.

human right to food, NAOS and Action Against Hunger collaborated in December 2017, to work together towards improving the health indicators in the community In a block called Dharni. This integrated project brings together components of nutrition & health, Water Sanitation & Hygiene (WASH) and Food Security & Livelihood (FSL).

Key figures – 2022

40147

People Reached

4,331

Home visits conducted

501

Malnourished children provided treatment

4,140

Pregnant and lactating women reached and supported

3,865

Under 5 children screened for signs of malnutrition

341

Group discussions and demonstrations conducted

0

Phone based counselling sessions

122

Government frontline workers trained

227

Vegetable gardens planted

9

Anganwadi Centres refurbished

65

Vermicompost units installed

100

Poultry units installed

60

Tippy taps and wello wheels provided

57

Anganwadis covered

39

Villages covered

Dhar, Madhya Pradesh

The state of Madhya Pradesh is home to a large tribal population and various unique cultures. Although tribals account for over 20% of the total population of the state, most of these tribes are characterised by low income, and low literacy rates.

The district of Dhar, located in western Madhya Pradesh, consists of 13 blocks of which 11 are classified and tribal by the Government of Madhya Pradesh. Agriculture and forest produce, practised for generations, serve as the main occupation and have been consistently affected by low yield, resulting in low income. To cope with inconsistent income, in most families’ adults spend the entire day on the field or for paid labour while children are often left to fend for themselves. This coupled with poor child feeding practises and lack in diversity in local diet has resulted in a high prevalence of undernutrition among children.

National Institute of Nutrition (NIN), Hyderabad in its study found that the under-nutrition levels were as high 33% for wasting, 54% for underweight and 47% for stunting. Given the above figures, almost 50% of children under five within the district of Dhar are under nourished.

Key figures – 2022

1,38,332

People Reached

22,774

Home visits conducted

3,261

Malnourished children provided treatment

12,704

Under 5 children screened for signs of malnutrition

14,856

Pregnant and lactating women reached and supported

1,429

Group discussions and demonstrations conducted

3,597

Phone based counselling sessions

532

Government frontline workers trained

1

Anganwadi Centres refurbished

40

Vegetable gardens planted

378

Anganwadis covered

145

Villages covered

Baran, Rajasthan

Baran, a district in the southwest region of Rajasthan, India, consists largely of tribal population. Most of the tribal families here survive on small-scale farming, manual labour, or the sale of minor forest produce

While agriculture is rain dependent and therefore seasonal, manual labour and forest produce do not provide a fixed source of income either.

Some of the tribal communities, such as the Sahariya’s, tend to migrate as a community and thus suffer from nutrition and food insecurity. An acute lack of income and nutrition security owing to geographical and cultural reasons has resulted in children from these tribes falling victim to the vicious cycle of hunger.

Key figures – 2022

2,26,154

People Reached

53,589

Home visits conducted

13,163

Phone based counselling sessions

20,641

Under 5 children screened for signs of malnutrition

24,438

Pregnant and lactating women reached and supported

1,973

Group discussions and demonstrations conducted

3,614

Malnourished children provided treatment

391

Anganwadis covered

759

Government frontline workers trained

0

Anganwadi Centres refurbished

35

Vegetable gardens planted

299

Villages covered

Sabarkantha, Gujarat

The state of Gujarat harbours persistent pockets of high rates of undernutrition, with 38.5% of children under six years old estimated to be stunted and 9.5% severely wasted. Anaemia among women is a significant public health challenge at 55% and almost 70% among adolescent girls, neither of which has decreased in the last 10 years

The Government of Gujarat has taken several measures to address the challenge including launching the Gujarat State Nutrition Mission in 2012, with an integrated and holistic approach focusing on both preventive and curative aspects, through strengthening existing nutrition programs and 10 proven interventions. Data from 2006 to 2016 indicates that the state has seen positive movement in coverage of all nutrition specific interventions along continuum of care, but deep pockets of poor nutrition outcomes remain.

To address the persistent obstacles to good nutrition outcomes in Gujarat, CARE and Action Against Hunger (AAH) will support the Government of Gujarat (GoG) through the Gujarat Nutrition Program by increasing demand for nutrition services in communities and supporting the government frontline workers and functionaries in providing quality health and nutrition services.

The program will work closely with the Government of Gujarat (GoG) to strengthen its efforts to address the root causes of malnutrition in specific pockets and identifying an effective model of service delivery and demand creation that could be replicated in other contexts as well.

To achieve this goal, the program will work in depth in two high-burden districts of Gujarat – Bhavnagar and Sabarkantha and further explore adding two adjoining districts, that have high stunting rates, low coverage of quality nutrition services, and limited knowledge of good nutrition behaviours within their communities. Over a five-year period, it is estimated that the project will reach about 550,000 children under 6 and 45,000 pregnant and 350,000 lactating women in the two districts.

Key figures – 2022

1,17,985

People Reached

23,597

Pregnant and lactating women reached and supported

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    NGO Darpan ID

    MH/2017/0160436