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  1. 1. Manthan Theme :Nourish to Flourish: Reducing malnutrition MALNUTRITION : A DRIVE TOWARDS HEALTHY NATION TEAM DETAILS: 1. Harshita Dwivedi( Lucknow University,MBA) 2. Amita Kanoujia ( Lucknow University,MBA) 3. Deeksha Trivedi ( Lucknow University,MBA) 4. Shrishti Jain ( Lucknow University,MBA) 5. Lalit Gautam ( Lucknow University,MBA)
  2. 2. India is home to 23 crores hungry people Malnutrition can be defined as the insufficient or imbalanced consumption of nutrients. The food production has increased many folds from about 108 million tons in the 1970s to about 260 million tons in the year 2010. Yet, the mean calorie intake in the country has actually fallen by about 10% in the rural areas and 4% in the urban areas. CAUSES OF MALNUTRITION •No proper access to clean drinking water, sanitation facilities ,healthcare services. •Lack of educational facilities. •The marginalization of women in Indian society . •Not proper intake of nutrients in diet. A malnourished population impedes the social and economic progress of a nation. Productivity losses to a malnourished individual are estimated to be more than 10% of his/her lifetime earnings. There is no official data to measure malnourishment, as current statistics only record hunger. The nutritional status of people depends on not just the availability of food grains but also the diversity in food consumption. The NNMB data shows that 37.4% of adult males and 39.4% of adult females in 2001 suffered from Chronic Energy Deficiency (CED).
  3. 3. Our efforts focus on delivering proven interventions and developing better tools and strategies for providing nutritional value to the malnourished population. SNAPSHOT OF SOLUTION MALNUTIRTION : A DRIVE TOWARDS HEALTHY NATION Volunteers are graduate students, retired defense personnel & doctors . Sustainable Development in Health, Nutrition, Education and Protection of Child, Adolescent and Woman in need IMPLEMENTATION MODEL Region wise collection and analysis of data. Volunteers work in collaboration with existing structures . Nutrition, healthcare, education are integral part of the model ADVANTAGE OVER EXISTING Utilizes the existing structures, more coverage targeting and low cost. More accountability to ensure the implicacy of the plan.
  4. 4. NETWORK OF VOLUNTEERS Composition of volunteer group 6000 volunteer from among the graduate students will be recruited through online 2000 retired defense personnels. 1000 doctors 20 corporates. Training Awareness to be created in the local languages to have more impact so volunteers composition should consist of candidates from different regions Additional help Help from health and Anganwadi Centres.
  5. 5. KEY FEATURES OF PLAN Prioritize the 1,000-day window • 3.1 million children die every year due to malnutrition. We need to focus on nutrition of mothers and hild e du i g a hild’s fi st , da s, a effo t that a ha e lo g-term consequences for growth, health and intellectual capacity. B i g gi ls’ health i to fo us • If we prioritize the health of women and girls, we can boost general nutrition, reduce pregnancy complications and boost fetal growth and development. Expand reach through community health workers • Community health worker programs offer a prime opportunity to increase already successful nutrition p og a s’ o e age a d p o ide se i es to populatio s ho p ese tl la k a ess. Align other sectors with nutrition goals • It seems common sense that agriculture, social safety nets and other important sectors could also play a role in advancing nutrition progress. Devote funding to nutrition programs • We must start prioritizing nutrition programs within their national budgets.
  6. 6. Analyze the current situation We will reach out across all levels of Indian society from door to door in the villages and slums as well as talking to locally elected representatives. We will create a database which would be centrally monitored and locally administered. Recruitment of volunteers Online registration Workshop to interact and discuss by retired personnels about the social cause and asking for their cooperation Doctors to spare some of their time for treating the malnourished Complete district wise and block wise nutritional requirement will be assessed. Awareness Building Campaigns will be conducted by our team in which we will also invite corporates and doctors. Education programmes by graduates at school. Educating women at health centers. Promotional posters and banners in regions to ensure the message reaches at each level
  7. 7. Vitamin A Supplementation Preventive zinc supplementation Organic seeds & organic farming is beneficial to farms as well as human health .So distribution of seeds free of cost to farmers to encourage them to use these seeds on farms as it enhances the productivity and rich in nutrients. NUTRITION BANK Multiple micronutrient supplementation in pregnancy. VITAPLUS Barfi, an innovative product of balanced nutrition for the child at low cost. Easy to prepare Versatile -can be prepared in sweet (e.g. laddoos barfi, halwa) and salty (e.g. upma) variants •Low cost-one kilogram packet costs Rs. 12 only •Is used in community and clinical settings NUTRITION REHABILITATION CENTERS Atleast 12 bed unit for undernourished children plus supportive care and capacity building of mothers/care givers A mother is provided with accommodation, food and counselling support as her child is nursed back to health. Health workers demonstrate and provide training on health and hygiene, breast feeding and complementary feeding, home management of anemia, plus growth monitoring and promotion. Parents , particularly fathers are also informed about the value of primary immunization and child care practices
  8. 8. CHIEF SUPERVISOR Recruitment Team Recruitment of volunteers through all channels Field staff Door to door various roles. Block Level Supervises and responsible whole initiative Health care Team Inspection Team Finance Team Treatment & advisory Monitoring ,follow up &feedback Allocating and managing funds District Level We will roll out our plan at two levels and our central monitoring system in place will ensure the efficacy of our efforts and any improvements if needed
  9. 9. SCALABILITY OF SOLUTION Community delivery platforms for nutrition education and promotion • I p o e ates of fa ilit i ths 28% • Dou li g of i itiatio of breastfeeding within 1 hour. • Su sta tial pote tial to i p o e the uptake of child health and nutrition outcomes among difficult to reach populations Reduction of financial barriers • Poli st ategies to a elio ate poverty, reduce financial barriers, and improve population health • P o ote i eased o e age of child health interventions • P o ou ed effe ts a hie ed those that directly removed user fees for access to health services Integrated Management of Childhood Illness (IMCI) • I ludes oth u ati e a d preventive interventions at health facilities and at home • Va ious e efits i health services, quality, mortality reduction, and health-care cost savings • Sig ifi a t i ease i ut ie ts intake and comparatively faster reduction in the prevalence of stunting.
  10. 10. We will require INR 13 crores funding from government and corporates Types Of Cost Support of existing government structures Without the support of government existing structures Infrastructure cost Nil Rs.5 crores Human resources cost Within Rs.2 crores Rs.5.5crores Implementation cost Rs.70 lacs More than 2 crores Miscellaneous expenses Rs. 3 lacs Rs. 7 lacs Total Approximately Rs. 3 crores Approximately Rs. 13crores We propose a plan where if we get support of existing government infrastructure and workers the fund required will INR.3 crores and we plan to raise 50% fund from government, 30% from corporates and 20% from donations and nominal cost charged from people.
  11. 11. Proposed plan may face certain concept and implementation risks Challenges and Risks Mitigating factors Concept risk- •Funding from corporates & other sources. •Awareness Campaign •Tie-ups with healthcare & Anganwadi centres. •Malnutrition is invisible in its early stages. Often, neglected by care givers, family members. •Call for increased investment and funding support to end malnutrition. •Striking the mindsets of rural & slum population Implementation challenges•Rea hi g e e e ote lo atio of the ou t ’s large geographical spread. •Difficulty in integrating with existing government infrastructure. •Availability of Doctors and skilled manpower– payment of salary and compensation • E su e a hie e e t of go e e t’s o it e t to i ease public spending on health from less than 1% to 3% of gross domestic product. • I p o e ualit , pe fo a e, effi ie , and accountability of public and private health systems • I t odu e poli a d legislati e ha ges to o tai the isi g costs of medical care and drugs • I ease a aila ilit of health se i es th ough di e t e pa sio of public health services and by enlisting private providers of allopathic and non-allopathic drugs
  12. 12. APPENDIX References http://hdr.undp.org/en/reports/global/hdr2010/papers/HDRP_2010_15.pdf www.one.org/us/2013/06/.../6-steps-to-reducing-global-child-malnutrition http://icds.tn.nic.in/to_reduce_malnutrition.html www.ifpri.org/.../accelerating-progress-toward-reducing-child-malnutrition www.idrc.ca/.../India-Reducing-Malnutrition-in-India's-Agriculture-Hots http://www.thelancet.com/series/maternal-and-child-nutrition