Lack of livelihoods, coupled with unavailability of wholesome nutrition due to limited range of agriculture has contributed to a high level of under-nutrition in children from the tribal community

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. Mokhada is the smallest and most backward tribal block of Palghar district.

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; 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 treatment program based on a CMAM model (Community based Management of Acute Malnutrition) in 2016, where assessment, treatment and prevention activities are designed and carried out together with communities, health services and governmental structures.

Screening a child for signs of acute malnutrition

Children learning the 6 steps of washing hands.


  1. Inpatient treatment of children who are severely malnourished and have a medical condition
  2. Outpatient treatment of children by providing them with therapeutic food
  3. Home based counselling for children who are moderately malnourished and linking them to Anganwadi Centres
  4. Extensive Community awareness campaigns on prevention of malnutrition


We are present in 59 villages and reach out to a population of 83,500 people. We have enrolled 1690 malnourished children in our program who are currently being treated and monitored.