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Project :Promoting a Comprehensive and Rights Based Approach to Address Malnutrition in Maharashtra


Duration: November 2012 to Sept 2016

Funded by : Narotam Sekhsaria Foundation

Background

It is an accepted fact that nutrition is one of the most important determinants of health and well being of any population. This fact is especially relevant in the Indian context, not only in less developed states, but also in ‘developed’ states characterized by major inequities like Maharashtra where it has become clear that Maharashtra’s human development is not corresponding with its economic growth. A broad and comprehensive approach to malnutrition is needed for identifying not only immediate but also intermediate, underlying and fundamental causes, and hence the need for major changes at multiple levels including large scale socioeconomic changes. It is also imperative that whatever nutritional services Government is offering to tackle malnourishment should be accountable to the community if at all they should be effective.

General Objectives –
To create an enabling environment for the reduction of malnutrition in Maharashtra through making nutrition services accountable and responsive, through generation of appropriate knowledge, reshaping relevant policies and programs, and promotion of the Community monitoring approach for improving health and nutrition services.
Specific Objectives –
1. To promote community action towards making nutrition related programs [ICDS] accountable, responsive and effective in the intervention areas
2. To influence state level nutrition related policies and programs towards making these community oriented and responsive to accountability processes
3. To facilitate action research and innovations regarding approaches to improve nutrition at community level and to develop a contextualized understanding of the dynamics of food security and nutrition
4. To strengthen the discourse on Community Based Monitoring (CBM) of social services as a key mechanism to ensure social accountability of Public services, particularly Health care and nutrition

Key Activities

a. Accountability:
• Implementation of community based monitoring and action processes concerning nutrition related programs (ICDS and Jijau mission ) in selected areas in the first year of the project
• Capacity building of the activists of Partner organizations regarding CBMP of ICDS
• State level TOT workshop with activists for dissemination of guidebooks and training of the tools for assessment of Anganwadi
• Block provider's workshop in every intervention block to enhance the knowledge level and to build capacity of the local stakeholders like AWWs, ASHA, PRI members.
• Community mobilization and awareness in the form of street plays, AV, Posters, flip charts as well as meetings with members of various committees and local activists – with focus on women.
• Formation of the expanded body of village consisting of VHSNC plus School management committee (plus JFM / CFR where applicable) members as permanent invitees, who would be involved in monitoring Anganwadis.
b. Critical knowledge generation and Research:
• In the first phase Situational analysis of nutritional status of under-6 children will be done in the intervening areas.
• In the next phases some small research studies will be undertaken on emerging issues like Take Home Ration.
c. Advocacy
• State level workshop for advocacy with WCD and health departments to create a space for CBMP in ICDS.
• State level convention in collaboration with Right to food campaign will be undertaken.
d. Promoting CBMP as an approach to health and social services
• District / state level events for building social-political support for CBMP as an approach to make health and social services accountable and effective.

Anusandhan Trust

Anusandhan Trust, a public trust registered under the Bombay Public Trust Act, 1950, (Registration No: E-13480), runs two centres namely: CEHAT based in Mumbai and SATHI in Pune.
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