The Nutrition Mission in Ahmedabad District aims to combat malnutrition using information technology and community participation. A special team was formed to oversee implementation. Electronic baby weighing machines were introduced to monitor nutritional status. Over 144,772 children were surveyed and 3,773 severely malnourished children were identified. These children received medical treatment and a special high calorie diet plan for 15 days at anganwadis. Continuous follow-up showed that over 1,392 children gained significant weight. The program enhances interdepartmental coordination and is supported by various stakeholders through community funding.

1. NUTRITION MISSION
Monitoring & Combating Malnutrition by using
Information Communication Technology and
Community Participation - Developing an Effective
Model in Ahmedabad District
CATEGORY FOR NOMINATION : State Govt. Officers as a Group
Mrs. Anju Sharma IAS
Shri Banchha Nidhi Pani, IAS
Dr N.J. Patel, CDHO
Smt. Padmaja Joshi, PO, ICDS
Dr. Vijay Pandya, QAMO
CATEGORY FOR NOMINATION : State Govt. Officers as a Group
Mrs. Anju Sharma IAS
Shri Banchha Nidhi Pani, IAS
Dr N.J. Patel, CDHO
Smt. Padmaja Joshi, PO, ICDS
Dr. Vijay Pandya, QAMO
Prime Minister’s Awards for Excellence in Public Administration
Nomination for the Year 2012-13

2. Team Nutrition
INTRODUCTION
• We always make desperate efforts
for achieving the best possible
health status of each and every
citizen of our society. For the best
health status, the ‘nutrition level’ of
a person is very much important,
particularly those of women and
children.
• The District Panchayat, Ahmedabad
has undertaken a special initiative
‘Nutrition Mission’ for improving
the nutritional status of children
October 2011 as per the motivation
& guidance of Hon. Mission Director
NRHM.

3. of nutritional status in India.
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4. NFHS 2005-2006
* NNMB (ICMR)
** DLHS – 2008
*** CES, UNICEF – 2009
• 45% U5 underweight
• 50% Breastfed in 1st hr **
• 45% Exclusively breastfed **
• 56% start Compl. Feeding at 6-9
months ***
• 24% Get adequate Proteins &
Calories*
• 80% Anemic (6-35 m)
• 56% HHs use Iodized salt
• 56% Vitamin A supplement**
Nutrition Situation - Gujarat
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5. WHY MALNUTRITION ?
• The prevalence of malnutrition
has remained stagnant for over a
decade despite of number of
programs.
• Malnutrition has also been taken
as a Social Problem and given
priority in the ‘Swarnim Goals of
Gujarat’.
• Link Between Malnutrition and
Gutkha.
• Link Between Cultural Practice
and Colostrum
• Link Between Livelihood and
Anganwadi Attendance
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6. AIMS & OBJECTIVES To Identify Malnourished
Children(0-6 yrs) and to
Improve their Nutritional
Status
 To Identify and Treat
Their Medical Ailments.
 To Provide Health
Education and Counsel
the Parents regarding
Importance of Nutrition.
 To Increase the
Awareness in General
Population Towards
Nutrition
Date of Implementation : 11 / 10 / 2011Team Nutrition

7. STRATEGIES OF NUTRITION MISSION :
AT A GLANCE
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8. 1) Developing a
nutritional
surveillance system
using electronic baby
weighing machines
It was decided to develop an
innovative Nutritional
surveillance system by using
electronic baby weighing
machines. Through a long
drawn process, necessary
capabilities were built in the
electronic weighing machine
after the combined exercise
between the NIC, State Health
Statistic Officials, Mother &
Child Tracking System Officers
and an identified DGS&D
vendor.
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9. For developing an
effective strategy, the
sessions were held with
various experts of the
nutrition subject at the
state level. Mission
Director NRHM has
motivated the
Ahmedabad district team
to volunteer for
implementation.
2) Brainstorming
with experts to
develop strategy for
combating
malnutrition taking
Ahmedabad as a case.
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10. The project proposal was
formulated in an integrated and
holistic manner taking into
account all the multisectoral
issues which cause malnutrition.
This proposal was, then,
communicated to the Ahmedabad
district team to taken up the
project. The financial
arrangement was done by various
ways i.e. state NRHM fund, CSR
funds, District Panchayat fund,
Local Leaders, Local trusts etc.
3) Formulation
of the project
proposal for
Ahmedabad
nutrition
mission &
arrangement
for financial
support
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11. A special team comprising of
officers of all the related
departments i.e. Health, ICDS,
education, DRDA, mid day
meal etc was formed under
the chairmanship of the DDO,
district panchayat,
ahmedabad for better
implementation of the
project.
4) Establishment Of ‘Team - Nutrition’
At District Level
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12. 5) District level workshop
for policy making
A workshop was organized in
presence of well-known
nutrition experts for making out
the policy regarding how to
carry out the mission. The topic
was discussed in detail and the
framework was made up.
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13. 6) Development of
training module
A special module was
developed regarding
nutrition subject and
how to implement the
project.
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14. A special training (tot)
was organized in
which all the THOs,
MOs, TIECOos and
Taluka level program
officers of ICDS were
trained about nutrition
and nutrition mission
by the experts of
nutrition field.
7) District level
training for trainers
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15. Trained Officers, then,
trained all the Female
Health workers, ASHAs
and Anganwadi Workers
(Around 2700) at taluka
Level and sensitized them
how to carry out the
Mission.
8) TRAINING OF
HEALTH &
ANGANWADI
WORKERS
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16. 9) A special baseline survey and
identification of malnourished children
- After properly trained and sensitized, these workers carried out a
special survey and total 1,44,772 children were surveyed.
- All those children were weighed with a special electronic
weighing machine . height was also measured. By means of these
parameters, all the malnourished children were identified.
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17. 10) TREATMENT OF CHILDREN WITH MEDICAL AILMENTS :
Taluka
Children
Surveyed
Severely
Malnourished
Children
Treated
by MO
Treated by
Pediatrician
Bavla 15,271 559 559 46
Barwala 5,203 358 293 32
Detroj 6,575 171 171 7
Dascroi 23,182 998 456 138
Sanand 20,095 411 402 28
Dhandhuka 15,838 337 337 42
Ranpur 9,520 192 192 21
Mandal 6434 24 24 8
Viramgam 18253 270 270 23
Dholka 24401 453 453 32
Total 144772 3773 3157 377Team Nutrition

18. 11) MANAGEMENT OF MALNOURISHED
CHILDREN WITH SPECIAL FOOD PLAN
Out of 1,44,772 surveyed children, 3773
severely malnourished children were provided a
‘special nutritious diet’ as per a special diet plan
(feeding high calorie food 5 times a day for continuous 15
days) at Anganwadi after ‘Appetite Test’.
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19. SPECIAL FOOD PLAN FOR CHILDREN
8.30 am Rab made from Bal Bhog (With Milk)
1 bowl
(100 gms)
11.30 am Regular meal routinely given by Anganwadi
According to Food
quantity given by
Anganwadi
1.30 pm According to CDNC Guideline of Food Chart
(Illustrated in
next slide)
3.00 pm
Boiled Sweet Potato/Green Peas/Gram/Mung Dal (any
one from these on Alternate Days) and Banana /
Seasonal Fruits
20 gms
5.00 pm
Shira, Upama, Muthiya made from Amylase fortified
Flour used with Vegetables and local available
ingredients
100 gms
8.00 pm
Food Prepared on day to day basis at Home (Roti,
Shabji, Khichadi, Bhakhari etc.)Team Nutrition

20. Food Plan at 1.30pm
(For Children upto 1 Year age)
Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Day 8 Day 9 Day 10
Mixed
Veg.
Daliya
Dal-Rice
Udad
and
Masoor
Dal
with
Thepla
Mixed
Sabji &
Roti
Dal-Rice
Chana
Dal &
Thepla
Dal-Rice
Dal,
Rice &
Roti
Rotla
made
from
pearl
millet
(Bajri)
& Milk
Puran
Poli
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21. Food Plan at 1.30pm
(For Children between 1 to 6 Years)
Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Day 8 Day 9 Day 10
Mung
Dal &
Thepla
Dal -
Rice
Udad &
Masoor
Dal
with
Thepla
Mixed
Veg. &
Roti
Rajma,
Rice &
Salad
Chana
Dal &
Thepla
Dal -
Rice
Dal,
Rice &
Roti
Rotla
made
from
pearl
millet
& Milk
Puran
Poli
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22. 12. Results At The End of Food Program
Taluka
Severely
Malnourished
children
Children properly
completed 15 days
food plan
Children gained
significant weight
within 15 days
Bavla 559 291 177
Barwala 358 152 61
Detroj 171 171 153
Dascroi 998 970 429
Sanand 411 398 138
Dhandhuka 337 337 196
Ranpur 192 192 51
Mandal 24 23 3
Viramgam 270 268 67
Dholka 453 379 117
Total 3773 3181 1392Team Nutrition

23. NAME :- ROSHANIBEN MUKESHBHAI THAKOR
VILLAGE :-RAJODA.
TALUKA :- BAVLA.
WEIGHT :- EARLIER 9.300 KG. & AFTERWARDS 9.900 KG.
Photos of the children were taken before and
after providing the food plan.
Earlier Afterwards
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24. Name :- Devaraj Rajuji Thakor
Village :- Rampura,
Taluka :- Viramgam.
Weight :- Earlier 8.000 kg. & Afterwards 8.500 kg.
Earlier Afterwards
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25. Name :- Anitaben Dineshbhai Thakor
Village :- Rampura
Taluka :- Viramgam
Weight :- Earlier 5.700 kg. & Afterwards 6.300 kg.
Earlier Afterwards
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26. 10) Follow-up of The Severely
Malnourished Children :
Continuous follow up of
these children was also been
carried out for 2 months (on 15th,
30th, 45th and 60th day) by
health workers for nutritional
requirements as well as health
status monitoring.
11) Health Education &
Counselling :
Simultaneously, the
parents-guardians of these
children were educated and
counselled regarding importance
of nutrition and nutritious food.
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27. TALUKA SOURCE OF FUND AMOUNT
Bavla Donation by community Leaders 4,19,250
Detroj Donation by community Leaders and gov. employees 1,28,250
Dascroi Donation by Marketing Yard (APMC) 7,48,500
Sanand Donation by Ujamba Trust & Tata Nano industries 3,08,250
Dhandhuka Fund of District Panchayat 2,52,750
Ranpur Fund of District Panchayat 1,44,000
Mandal Donation by community Leaders 18,000
Dholka Donation by community Leaders and Govt. Grant 3,39,750
Viramgam Cairn India Ltd. 2,02,500
Barwala Govt. Grant 2,28,000
Rajlaxmi Logi. Ltd. For Baby Weighing Machines 20,00,000
State NRHM Fund for EWM & Capacity Building 11,00,000
Total Rs. 58,89,250
Funding With Community Participation
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28. Interdepartmental Coordination
The implementation of this project shown a very good
example of Interdepart Coordination of various sectors.
 ICDS(Integrated Child Development Services)
 Health branch
 District Rural Development Agency
 Education Dept.
 Food Supply dept.
 Mid Day Meal Program
 Ayurved branch
 WASMO
The Mission is also well supported by the Panchayati Raj
institutions, Sakhi mandals, Local Leaders, NGOs etc.
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29. Adolescent
Antenatal
Period
Delivery
Period
New born
& Infant
1 – 6 Years
School Age
 Weeky Iron Folic Acid Supplementation (WIFS)
 Sabla Yojna
 AFHS (Adolescent friendly Health services)
 Mamta Taruni Abhiyan
 Kasturba
Poshan
Sahay Yojna
 Universal
Immunization
program
 Iodine
deficiency
Disorder control
program
 Chiranjivi Yojna
 Jannani Shishu
Suraksha
Karyakram
 Janani Suraksha
Yojna
 Bal Sakha Yojna
 Vitamin ‘A’ supplementation
program
School
Health
Program
ICDS
Components
(Supplementar
y food , THR,
Nutrition
candy, Etc…) -
Mission Balam
Sukham
Convergence
as per Life-
Cycle
Approach
Convergence of
Health & ICDS
Schemes as per
Life-Cycle Approach
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30. Third Party Evaluation
The whole project was been
concurrently evaluated by a well-
known Public Health Institute –
Indian Institute of Public Health,
Gandhinagar.
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31. DOCUMENTATION & MONITORING
A web application ‘MATRA’ (malnutrition
tracking) was launched for the continuous monitoring .
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32. MATRA shows three type of data for Malnutrition
1. Underweight (It shows Age for Weight)
2. Stunting (It shows Age for Height)
3. Wasting (It shows Height for Weight)
It also shows Month wise, Genderwise,Geographical
location wise data as per requirement.
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33. Documentry Film
A Special Documentary film is prepared including
the different stages of the Mission. (Available on
Youtube videos)
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34. EDUCATIONAL CALENDARS
Educational calendars were also designed and distributed
illustrating importance of nutrition
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35. INSPIRING SCENARIO
(SOURCE – MONTHLY PROGRESS REPORT, ICDS)
Severely
Malnourished
Children
Moderately
Malnourished
Children
Normal children
Sept.
2011
May
2013
Sept.
2011
May
2013
Sept.
2011
May
2013
TOTAL 4626 1824 46348 29082 91926 117723
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36. Comparative Analysis of Key Result Area
2011
(Before the
Project)
2013
(Now)
Total Severely Malnourished Children 4626 1824
Total Moderately Malnourished Children 46348 29082
Total Children with Normal Weight 91926 117723
Child Mortality Rate 20/1000 LB 18/1000 LB
Prevalence of Anemia in Anganwadi
children
5.87% 2.57%
Prevalence of Worm Infestation
in Anganwadi children
2.67% 1.88%
No. of Trained Manpower - 2700
Number of Villages where Electronic
Baby Weighing Machine is available
00 550
Number of Anganwadi With
Adequate number of Utensils
720 1600
Number of Anganwadis
with Their Own Building
740 952Team Nutrition

37. PRESS NOTESPRESS NOTES
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38. SALIENT FEATURES OF THE PROJECT
Coverage
• The project has covered a huge number of children as
bebeficiaries in a ‘Mission Mode’. Total 1,44,772
children were surveyed in scientific manner.
• Out of which, 3,773 severely malnourished children
were identified. 3157 children with medical disorders
were identified and treated by MO. 377 children were
given secondary care by the specialist doctors at
special camps.
• In addition, the parents of those children were also
targeted and were convinced that they would now
continously keep watch over the nutritional status of
their children to prevent future complications.Team Nutrition

39. Inovativeness
• 1st time in Gujarat, customised electronic baby
weighing machines were used for weighing the
children.
• 1st time in Gujarat, such baby elecronic weighing
machines are made available at 310 anganwadi
centers throughout the district, which cost
(around 20 lakh) was contributed by a private
agency.
• This project took the support of local
community leaders, marketing yard, NGOs,
TATA NANO industry, govt employees fund etc
in addition to government grant. This was an
effort to fight against malnutrition as a
‘”People’s Program”.
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40. Inovativeness
• It is an example of well-coordinated and integrated
approach including various departments like Health,
ICDS, DRDA, Education, Water, MDM, Civil supplies etc
among themselves as well as with Non-government
stakeholders.
• The capacity building of around 2500 workers of health
and ICDS department was done through quality
resourse material, audiovisual aids, calender etc. The
trainings were seminal in nature.
• All the data are in digital form. The childwise data has
been prepared and assessed through a special
‘Malnutrition Traking’ Website (MATRA).
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41. Replicability
• Since the training materials and
documentary are ready to be used,
methodology of the project is easy
and documentation has already
been made, it is easy to carry out
such project in scientific manner by
any district.
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42. Sustainability
• Once the health and nutritional status of the
child is improved, the parents can easily keep
watch over their health for rest of the period.
• Once the child comes out ot the malnutrition,
even, Civil Society, Village Health Committe
and ASHA/Anganwadi Workers can do
counselling of parents which will be the
mainframe of continuous nutritional
surveillance.
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43. Less Expense - Maximum results
• Small fund was utilized for the project and large
number of children are benefitted.
• As the nutrition is not only about food but about
healthy lifestyle by following good habits, all
different schemes of various government
departements are converged for maximum
results.
• In addition, it can be understood that once the
health status of children is improved fully, their
status can be continuosly kept at the best level
by local health system. Thus, without any major
expense, much benefit was achieved.
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44. Way Forward…
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A New Beginning

45.  Continuous Supervision by
‘MATRA’.
 Mass Awareness by means of
Audio- visual aids, Posters,
Hoardings, Tablo etc.
 Trained & Sensitized Health
Workers, AWW, ASHA will surely
work as ‘Change Agents’.
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Way Forward…

46. Team Nutrition