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  1. 1. NOURISH TO FLOURISH REDUCING MALNUTRITION Aabhas Singh Thakur Divya Pant K.Rishabh Arushi Shukla Vineeth Balakrishnan Team Details
  2. 2. India ranks second worldwide in agricultural farm output and 10th in agricultural and food exports, yet1 • India is home to 23 Crore hungry people.3 • 33% of the world’s malnourished children live in India.4 • About 50% of childhood deaths are attributed to malnutrition. 5 • 48% of children under the age of 5 are stunted 6 • and 43% are underweight.7 The above facts emphasize that MALNUTRITION is attributed to not only food insecurity but various other social and health factors like: • Low intake of nutritional diet. • Adequate purchasing power. • Access to health services. • Availability of safe drinking water. • Sanitation and proper environmental condition. • Literacy and lack of awareness especially in women. • High levels of exposure to infection. • Inappropriate infant and young child feeding and caring practices. INVESTING IN NUTRITION IS INVESTING IN THE FUTURE OF A COUNTRY – IT CREATES STRONGER COMMUNITIES WITH A HEALTHIER, SMARTER AND MORE PRODUCTIVE POPULATION. Some concerning points regarding MALNUTRITION • Six of the eight millennium development goals are dependent on malnutrition • Adults who were malnourished as children earn 20% less on average than those who weren’t.8 • malnourishment hampers the physical and cognitive growth. • Improving nutrition is key to child survival. • malnutrition is costing the Indian economy 2.95% of its GDP annually.9 • The world has enough food for everyone. 43% 37% 33% 25% 46% 41% undernourished children (0-5 yr) women suffering from chronic energy deficiency total urban rural
  3. 3. OUR POLICY: ESTABLISHMENT OF NUTRTION-HEALTH CENTERS AND MOBILE UNITS Malnutrition is a widespread problem across INDIA and its eradication is a LONG TERM, CONTINUOUS PROCESS. Government schemes like ICDS, mid-day meal and other schemes like SABLA,NRHM etc. propose good model but the progress has been dramatically slow at an average rate of 0.6 % per year. POLICY OVERVIEW Establishment oh NHCs will foster already existing schemes of the government and end the vicious cycle. • Nutrition-Health Centers(NHCs) will act as both nutritional clinics as well as a monitoring body to curb malnutrition. • Bridge the gap between problem and treatment by recruitment of skilled workers • Conduct frequent awareness campaigns regarding all the aspects of malnutrition. • Assist and guide anganwadi centers lying in their area. • Proficient computer aided techniques to maintain nutritional health • record of all children and women. • Degree wise treatment of malnutrition will benefit pregnant women and severely acute malnourished children (19.2 % of children in India suffer from SAM).10 • Introduction of highly nutritious medicinal pants like “spirulina” and “moringa” -highly cost effective and beneficial. DISADVANTAGES OF EXISTING POLICY ADVANTAGES OF OUR POLICY Vicious cycle Unhealthy underweight child Easily prone to infection Suffer from diseases like diarrhea, anemia etc. malnourishment Malnourished mother • Mainly focus on universal food supplementation. • Overload on community workers- pregnant women and children (0-3 years), most vulnerable group gets neglected. • No proper records maintained. • Emphasize on other social factors like mother caring behavior breastfeeding, proper sanitation, education and awareness. • highly nutritional food supplement in mid-day meals and anganwadi - physical and cognitive growth of children enhancing their educational output and reducing school drop out rates. • increase in skilled workforce special attention to most vulnerable section. • Proper health report card and progress will be monitored.
  4. 4. NUTRITION HEALTH CENTER CONTROL ROOM+DISTRICT CENTER ADMINISTRATIVE OFFICERS MOBILE UNIT SURVEY AND STATISTICS TEAM NUTRITIONAL HEALTH WORKER DATA BASE MANAGEMENT SYSTEM OPERATOR NUTRITIONAL HEALTH ANALYST 1 District or 25 lacs : 1 MU 5 HEALTH WORKER 5 HEALTH WORKER 3 OFFICIALS 5 MEMBER 2 IT OPERATORS  NHCs can be started up in any district government building or as a subsidiary department in any govt. hospital in a district.  Already existing AWCs can also fall under our workforce per district.  It will store Ready stock of highly nutritional food supplements(Spirulina + Moringa) to be distributed to respective AWCs by MU during their visit. DATA ENTRY OPERATOR 1 MEMBER
  5. 5. District Nutrition Officer •District head of this project •Preferably IAS officer Block Nutrition Officer •Block Head of this project. •State PCS officer. •Specialized Services involving professionals of this field. Nutritional Health Analyst •Contractual Ayurvedic/Homeopathic/ Paramedical staff. •To be employed in District Nutrition Center. Nutritional Health Worker • Contractual Graduate workers • To be employed in Mobile Units. Survey and Statistics Workers •Matriculated MNREGA workers. Database Management Operators •To be provided by contractual company. Mobile Unit Automobile Staff •Driver, helper etc to be provided by contractual company. RECRUITMENT & ADMINISTRATIVE SETUP RECRUITMENT ADMINISTRATIVE SETUP State Secretary Ministry Of Women & Child Development: Government of India Ministry Of Women & Child Development: State Government District Nutrition Officer Mobile Unit & Field Workers Block Nutrition Officer Anganwadi Workers District Control Room Staff
  6. 6. WORKING OF NUTRITION HEALTH CENTRE  Routine visit of Mobile Unit(MU) to their allotted blocks every four months.  Prior announcement of camp locations before arrival. Functioning of NHCs Block-wise Mobile Unit Visit Medical Examination Stats Collection & Analysis Actions Organize Awareness Campaign CONTROL ROOM MANAGEMENT STATISTICS COLLECTION DATA INTERPRETATION ANALYSIS & CURE  Data collection and online record maintenance(Height- Weight-BMI-Age-Specific Disease) by Survey team(along with the assistance of AWWs).  Creating a Photographic Database double-checked with Child’s Biometric Scan.  Automated receiving of data at the NHC Control room for analysis.  Medical analysis and automated Report formation using DBMS software.  Classification and highlighting of Targeted Individuals (Level of malnourishment, Married/Pregnant women).  Computing accurate nutritional content intake and diet schedule for each group/individual by Nutritional Health Analyst.  Distribution of High nutritious food supplements(Spirulina, Moringa, etc.)  Treatment of targeted groups.  Organizing campaigns; taking assistance from NGOs  Monitoring the entire policy at district level  Collaboration with various depts. such as Food & Civil supply for efficient working of targeted PDS, quality control by FCI after procurement.
  7. 7. Nutritious Food Supplements: Spirulina and Moringa SPIRULINA NUTRITIONAL CONTENT PRODUCTION/HARVESTING PACKAGING AND DISTRIBUTION  Aquatic micro-organisms(micro- algae)  Exceptionally high Protein content (60-70% of its dry weight)  Vitamin(B1) content : 34- 50mg/kg (0-3 yrs. child require 0.9mg)  Ironcontent:1.8mg/gm.(Most essentialforPregnantWomen; deficiencyleadstoanemia  1 gm. Spirulina=100 gm. Carrot=100 gm. Spinach  Climate Temp. : 35 ⁰C + Sunshine  Requires Growth tank(min depth=20cm) can be made from low costing materials.  1 tank(18 m2 ) produces 144 grams dry Spirulina.(Sufficient to feed 150 infants)  Growth medium can be prepared from any available fertilizers.  Promising small scale production.  Quality check is mandatory after procurement and before processing.  Mass production at certain regional production units(Having optimum conditions for productions).  Distribution through Govt. channels and State PDS.  Distributed in forms of Energy bars, Local made fortified Chikkis, candy. MORINGA NUTRITIONAL CONTENT PRODUCTION/HARVESTING PACKAGING AND DISTRIBUTION  Protein content : 27.1gm/100gm dry leaves + High Vitamin A content.  1 gm. =15 times Vit. A in carrot/17 times Calcium in Milk/25x Iron  48 gm. powdered Moringa leaves/day equates daily nutrition intake of breastfeeding mother.  Intake recovers pregnant mother from anemia and to higher birth weights.  Can tolerate extreme high temp and light frost.  Prefers well-drained sandy loom.  Leaves are harvested after 1.5-2 m plant growth (3-6 months).  Fortified seeds for additional micro-nutritional content.  Small scale industry can be developed in the village/Near AWCs.  Quality check is mandatory after procurement and before processing.  Distribution through Govt. channels and State PDS.  Distribution in form of powdered leaves.
  8. 8.  Mostly, children of illiterate mothers are malnourished  The most damaging effects of under- nutrition occur during pregnancy and the first two years of a child’s life.  Proper nutritional assistance to pregnant women and not allowing them to work.  Educate mothers on breastfeeding at initial age, prevention of diseases by adopting hygienic practices, and the use of safe drinking water. MOTHER CARING BEHAVIOUR PROPER SANITATION EARLY MARRIAGE AND FAMILY PLANNING SOCIAL EQUALITY  only 31% of India’s population is able to utilize proper sanitation facilities.11  one in every ten deaths in India is linked to poor sanitation and hygiene  diseases resulting from poor sanitation affects children in their cognitive development.  Fastening the process of government schemes like sulabh shauchalay abhiyan to foster proper public sanitation.  Urging people to use public toilets by teaching them its importance and benefits.  adolescent girls who are malnourished themselves and not yet attained physical and mental maturity EARLY MARRIAGE pregnancy and birth of undernourished children.  young people and their parents need to DELAY MARRIAGE AND DELAY FIRST PREGNANCY  Family planning to ensure at least 3 years gap between children and not having more than 2 children.  Gender inequality, rural- urban divide, rich-poor gap, social inequality, demographic and regional inequality – exacerbate situation.  Targeting girls and lower castes (who are at higher risk of under-nutrition).  Educating people that malnutrition can be fought only with an inclusive approach. Campaigns organized by Mobile Units ; can collaborate with Red cross, NGOs NSS, College students, activists and other volunteers. Can be made effective by showing DOCUMENTARIES in regional dialects involving celebrities. Panchayat and sarpanch need to be educated adequately regarding the causes, consequences and cures. Beneficiaries and incentives for the village progressing at the fastest rate against malnutrition.
  9. 9. ORGANISATION BUDGET LOGISTICS BUDGET FOOD SUPPLEMENTS COST (spirulina+murin ga) TECHNOLOGICAL BUDGET  Transport=55x1000x671x6=22.14 Crores  Maintenance = 15 Crores  Survey = 45 Crores  Establishment=671x1.25x12=100.65 Crores  Admin officers = Existing Govt. Officers  Health workers=10000x12x671x10=80.5 Crores  IT operators=10000x12x671x2=40.26 +  Data Entry Operator=44.26Crores  Survey team = 40 Crores  Production = 70 Crores  Packaging = 5 Crores  Distribution : Via existing PDS  IT hardware = 30 Crores  IT software = 50 Crores  Biometric = 5 Crores 182.79 Crores 164.76 Crores 75 Crores 85 Crores FUNDING GOVERNEMENT FUNDING (STATE AND CENTRAL) PRIVATIZATION-BIG CORPORATE HOUSES (CORPORATE SOCIAL RESPONSIBILITY) INTERNATIONAL AGENCIES LIKE WORLD BANK , UNICEF. Economically Competent Policy Nationwide Budget : 507.55 Crores
  10. 10. CHALLENGES MITIGATIONS Making Labor intensive society realize intensity of this issue. Legislative reforms regarding Physical Labor of Pregnant women. Vast Administrative Setup Whole system being Bureaucratic leads to efficient Administration. Maximum Contractual workers increases competency. Funds generations from Corporate houses. Luring Corporate houses for CSR by means of Tax rebate and appreciation awards. Recruitment of skilled personnel. Unemployed Paramedical staffs and inclusion of moderately skilled MNREGA workers. Inadequate Drinking water and Sanitation. Linking with CSR and subsidies for mass availment. Negligence of child care in urban working class. Awareness via Media and relaxation of working norms for Mothers with young children. IMPACT Total children(0-6years) = 158.8 million12 Malnourished children= 41.16%= 65.36million13 Severely malnourished=3.33%= 5.28804 million14 OUR POLICY WILL DIRECTLY EFFECT ALL THE SEVERELY MALNOURISHED CHILDREN. EMPLOYEMENT GENERATION 10 health workers + 2 operators +5 survey team + 10 helpers =27(per district) Total district in India= 671; total direct employment generated= 18117 Indirect generation of employment: production and packaging of spirulina and muringa.
  11. 11. REFERENCES 1. Economic Survey 2012-13 2. 924:tackling- malnutrition-in-rural-and-urban- areas&catid=123:policy&Itemid=139 3.Deolalikar, A. (2012, July 23). A national shame: Hunger and malnutrition in India. Ideas for India. Retrieved from 4. UNICEF. (n.d.). Nutrition. Retrieved from 5. Ibid 6.Ministry of Statistics and Programme Implementation. (2012). Children in India 2012 –A Statistical Appraisal. Retrieved from •
  12. 12. 7.Ministry of Statistics and Programme Implementation. (2012). Children in India 2012 –A Statistical Appraisal. Retrieved from 8.S Grantham-McGregor et al (2007) ‘Development potential in the first 5 years for children in developing countries’, The Lancet, 369:60–70 9.Food and Agriculture Organization. (2012). Economic growth, hunger and malnutrition. Retrieved from 10. A-Life-Free-From-Hunger-Summary-Africa1.pdf 11. 12.
  13. 13. 13. TF-8&gws_rd=cr&um=1&ie=UTF- 8&hl=en&tbm=isch&source=og&sa=N&tab=wi&ei=esYoUvzaO8q- rgf9mIHYDA&biw=1024&bih=622&sei=fcYoUtCAAcTprQfBn4GoDw#facrc=_&imgrc=MPEREz 1jjr33%252Fcag_gujarat_is_the_most_improved_state_with%252F%3B1863%3B2442 14. e=UTF-8&gws_rd=cr&um=1&ie=UTF- 8&hl=en&tbm=isch&source=og&sa=N&tab=wi&ei=esYoUvzaO8q- rgf9mIHYDA&biw=1024&bih=622&sei=fcYoUtCAAcTprQfBn4GoDw#facrc=_&imgrc=MPEREz 1jjr33%252Fcag_gujarat_is_the_most_improved_state_with%252F%3B1863%3B244214.