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PROJECT POSHAN Building Malnutrition Free Villages through Community Participation United Way Mumbai is a part of the 130+ year old United Way movement spanning 41 countries across the world. Our mission is to improve lives by mobilizing the caring power of communities to advance the common good. We work closely with a network of 400+ NGOs and a large number of corporates for their CSR programmes, workplace giving campaigns and other events. This includes designing of CSR policy and strategies, due diligence of NGO partners, programme implementation, employee volunteering, impact assessments and financial and programmatic reporting. Over the past 17 years, we have partnered with over 300 companies and over 1,00,000 individual donors investing close to INR 390 crore for community development projects. Our expertise lies in identifying, designing & implementing high impact projects in the areas of Education, Health, Income, Environment, Public Safety & Social Inclusion in both urban as well as rural communities across the country. United Way Mumbai creates, implements and monitors customized CSR programmes which are aligned with a company’s values, products and expertise. Our work encompasses 3 principle components – Design, Implement & Measure I. Design - Sector Research - CSR Policy & Strategy - Need Assessment - CSR Programme Design - NGO Partner Selection II. Implement - Programme Implementation - Grant Management - Employee Engagement & Volunteering - Payroll Giving Programmes III. Measure - Programme Monitoring and Evaluation - Impact Assessment - Financial & Programmatic Reporting - CSR Programme Audits This document and the contents hereof are confidential. This document is issued solely for the benefit of the addressee and, except with our express consent, is not to be transmitted to nor is it to be relied upon by, any other person, or for any purpose other than that set out herein. United Way Mumbai, 6th floor, C Wing, Mumbai Educational Trust, Gen AK Vaidya Marg, Bandra Reclamation, Bandra West, Mumbai 400050. Tel: +91 22 26567000 Website: www.unitedwaymumbai.org THE NEED Across the world, 1 in every 3 children under the age of 5 is undernourished. 1 in 2 children suffers from hidden hunger (micronutrient deficiencies). Malnutrition, today, is a global crisis and undermines children’s capacity to grow and live life to their full potential. In India, malnutrition is the primary reason What Malnutrition Does To Children behind 69% of deaths in children under 5. UNICEF’s State of the World’s Children 2019 Chronic malnutrition will have severe report highlighted that every second child in India consequences which affect a child for the rest of within this age group is affected by some form its life. of malnutrition. This includes stunting (low • Increased likelihood of premature death height for age) with 35% of children, wasting (low weight for height) with 17% of children and • Those who do survive are at much greater overweight with 2% of children. risk from a variety of afflictions including The Global Nutrition Report 2018 also reaffirmed heart disease, diabetes and kidney damage, the crisis of malnutrition in the nation by and are far less able to withstand infection. concluding that India topped the list of the most • Lower physical capacity and energy for work number of stunted children with 46.6 million as an adult, with associated economic costs. children being recorded as having low height for their age. India was followed by Nigeria (13.9 • Major long-term negative impacts on brain million) and Pakistan (10.7 million). The report and nerve development and function, further stated that India also accounted for 25.5 including on mental skills and activity, million children who are wasted, followed by physical movement and coordination and the Nigeria (3.4 million) and Indonesia (3.3 million). acquisition of social skills. • This damage tends to be reflected in lower The malnutrition crisis in India has far reaching IQs and poorer performance at school. implications. As a generation of children grow up without adequate nutrition, we put them at risk of • Those who were chronically malnourished as lowered IQ, poor health outcomes, diminished children can pass it on to the next generation capacity for work and greater susceptibility to in an ongoing cycle, as mothers with low illness. body weight in turn give birth to small babies. Fixing the crisis is now urgent and imperative. This document and the contents hereof are confidential. This document is issued solely for the benefit of the addressee and, except with our express consent, is not to be transmitted to nor is it to be relied upon by, any other person, or for any purpose other than that set out herein. United Way Mumbai, 6th floor, C Wing, Mumbai Educational Trust, Gen AK Vaidya Marg, Bandra Reclamation, Bandra West, Mumbai 400050. Tel: +91 22 26567000 Website: www.unitedwaymumbai.org THE PROJECT UNICEF’s widely accepted conceptual framework suggests that the underlying causes of poor child nutrition are lack of access to a nutritious diet, inadequate preventive and curative health and inadequate care including feeding, and each of these underlying causes in turn results from multiple factors. Successful elimination and prevention of malnutrition thus requires a multifactorial and concerted response over an extended period of time. United Way Mumbai’s Project Poshan works on this premise and aims to make villages and communities malnutrition free. The interventions are envisioned with a geographic focus, i.e. a village, and for a period of minimum three years. The project will be implemented in villages of Raigad district. Raigad and Palghar are amongst regions with the highest incidence of malnutrition in Maharashtra. While Palghar has received much greater attention, the communities in Raigad have been neglected. Villages within Raigad will be selected in consultation with government authorities and gram panchayats. A participatory rural appraisal will be undertaken in the identified villages to understand issues related to health and resources available within the community. The project has three key strategies: Helping undernourished children fight malnutrition We will do this by providing medical care and nutrition support to undernourished children through home based interventions. Preventing further incidences of undernutrition in the village We will do this by focusing on the first 1000 days of a child’s life and improving the health of mothers and women in child bearing age. Creating an enabling environment for children to grow We will do this by building capacities of local stakeholders such as anganwadi workers and encouraging community ownership. Each of these has been elaborated further below. This document and the contents hereof are confidential. This document is issued solely for the benefit of the addressee and, except with our express consent, is not to be transmitted to nor is it to be relied upon by, any other person, or for any purpose other than that set out herein. United Way Mumbai, 6th floor, C Wing, Mumbai Educational Trust, Gen AK Vaidya Marg, Bandra Reclamation, Bandra West, Mumbai 400050. Tel: +91 22 26567000 Website: www.unitedwaymumbai.org I. HELPING UNDERNOURSIHED CHILDREN FIGHT MALNUTRITION The project will commence with a baseline assessment of children using anthropometry. Anthropometry is a widely used, inexpensive and on invasive measure of the general nutritional status of an individual or a population group. The three commonly used anthropometric indices are Weight for Age (WFA), Height for Age (HFA) and Weight for Height (WFH). Based on median scores of the reference population, children can be identified as suffering from Severe Acute Malnutrition (SAM), Moderate Acute Malnutrition (MAM) or borderline undernourished. While the ICDS maintains its own records of nutrition status, the project team will verify these records through an independent assessment of height, weight and mid upper arm circumference. Targeted interventions will then be planned for the SAM, MAM and borderline undernourished children in addition to efforts made for all children in the villages. A. Complementary Feeding Children who are SAM, MAM and borderline undernourished will be offered complementary feeding through nutrition supplements. These nutrition supplements will be designed by the project’s nutritionist based on learnings from the field and recommendations of the state’s Nutrition Mission. This will also be based on the Dietary Recall undertaken with children and their parents in the identified villages. The nutrition supplement will be FSSAI certified / healthy foods which provide a minimum of 250 Kcal to the child in addition to their regular diet. This supplementation will be provided for 6 months of the year (August – January) and may be extended if a child does not show sufficient progress. The Project Poshan team will distribute these supplements to each identified household on a weekly basis and ensure parents make it available to the children. B. Community Based Management of Acute Malnutrition (CMAM) Children identified as SAM and those who have a medical condition are treated in government run intensive care inpatient facilities known as Nutrition Rehabilitation Centres. These centres have been set up by the government at district level and require children and their caregivers to stay there for the entire duration of treatment. This is sometimes a deterrent for parents as it means loss of wages. Children in need of such intensive care will be referred to the centres and efforts will be made to mobilise parents. In cases where such as approach is not required, an outpatient treatment programme (CMAM) will be undertaken. CMAM offers SAM children the opportunity to be treated at home, rather than in a centre, with family and community support for recovery. These children will be administered Ready-to-Use This document and the contents hereof are confidential. This document is issued solely for the benefit of the addressee and, except with our express consent, is not to be transmitted to nor is it to be relied upon by, any other person, or for any purpose other than that set out herein. United Way Mumbai, 6th floor, C Wing, Mumbai Educational Trust, Gen AK Vaidya Marg, Bandra Reclamation, Bandra West, Mumbai 400050. Tel: +91 22 26567000 Website: www.unitedwaymumbai.org
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