Scaling Up and State Wide Implementation Support to Adolescent and Maternal Nutrition Program in All 27 Districts of Chhattisgarh State In Collaboration With The State Government of Chhattisgarh- Nutrition International (NI)
“An investment in adolescent girls is an investment in human capital,” said Joel Spicer, President and CEO of Nutrition International. “When girls have access to good nutrition they are better able to learn at and stay in school, safeguard their health, and work towards achieving their dreams. Supporting the power of young people, particularly girls, to make stronger choices with stronger voices is absolutely critical for building a more just and equitable world.”
“65 million, or half of all Indian children are chronically malnourished and malnutrition is a major factor in half of the 1.3 million child deaths that occur every year in India” Recent studies are showing that more than 4 in 10 young women enter pregnancy underweight and anaemic, and this is one of the reasons almost one third of Indian babies are born with low birth weight and at greater risk of new-born death. If we cannot find transformative solutions to India’s nutrition challenges, we cannot achieve global health goals.- Leith Greenslade, Vice Chair of the MDG Health Alliance.
In the light of these challenges, the Sustainable Development Goals, SDG-3 aims to ensure healthy lives and promote well-being for all children under its target 3.2 which is to end preventable deaths of new-borns and under-5 children by 2030. Target 3.2 is closely linked to target 3.1 to reduce maternal mortality ratio and target 2.2 to end all forms of malnutrition by 2030. Target 2.2 includes achieving by 2025 the internationally agreed targets on stunting and wasting in children under 5 years of age and also address the nutritional needs of adolescent girls, pregnant and lactating women and older persons. This has led to the developing of a “Global Strategy for Women’s, Children’s and Adolescent’s Health” in 2015.
According to UNICEF, water-borne diseases such as diarrhoea are one of the prime causes for child deaths in India. About 48 per cent of children are suffering from some degree of malnutrition in India. Anaemia is another serious public health problem in India, more seen among females and is primarily due to iron deficiency. Young girls’ iron requirements increase dramatically during adolescence and in India the prevalence of anaemia among adolescent girls is estimated at 56 per cent. Maternal anaemia results in higher perinatal morbidity, infant mortality, developmental delays, and reduction of placental weight, volume and surface area. As per NFHS III data, 68% of pregnant women are anaemic in Chhattisgarh.
Keeping to the commitments at the global level, several policies and programmes for improving the nutritional statuses of children, adolescents and women in the country have been implemented at the national level. This includes, among others, programmes like Vitamin-A supplementation in children for control of blindness, zinc and ORS programmes for treatment of childhood diarrhoea and the IFA supplementation programmes for women and adolescents.
In order to address the health and nutritional issues in Chhattisgarh, Nutrition International (NI) India has been working with government departments by providing technical support for strengthening the delivery of Vitamin-A supplementation and Zinc and ORS. It has been supporting with the implementation of programmes of weekly IFA supplementation (WIFAS) for adolescents and daily IFA supplements for pregnant and lactating women (M-IFA) under its “Right Start” program. The NI support for present coverage and future scale up plans of these programmes are as under:
Programme NI support present coverage NI support scale-up plan
Vitamin A and Zinc and ORS 27 districts 27 districts
WIFAS 9 districts 27 districts
M-IFA 9 districts 9 districts
Nutrition International (NI) and TRIOs Development Support (P) Ltd has signed an agreement for supporting implementation of adolescent and maternal nutrition program in the state of Chhattisgarh. Initially, TRIOs provided implementation support for a period of one year to the 9 selected districts of Chhattisgarh viz. Naryanpur, Kondagon, Kanker, Balodabazar, Durg, Bemetara, Sarguja, Surajpur and Balrampur for these Programs. The roll out support was mainly to strengthen the decentralized planning, implementation and monitoring of Adolescent and Maternal Nutrition program in these districts. Besides the rollout support, TRIOs also organized and conducted training of various government functionaries such as district and block level officials of WCD, schools and tribal departments, health and other associated field level staff. Thus implementation support along with capacity building and monitoring support enabled the state government to scale up the program state wide.
Through its support, it expects to improve:
The extent the caregivers seeks preventive services and ensure children have consumed VAS every 6 months
The therapeutic use of Zinc and ORS for treatment of diarrhoea.
Quality and timeliness of monthly data submitted by all departments
Consumption of at least 24 IFA tablets among adolescent girls by 2020 (Year 3 – 20% and Year 4 – 25% for existing 9 districts and Year 3 – 5% and Year 4 – 10% for scale up districts).
At least 80% of the schools and AWCs, SHC and PHC report no stock outs each month.
The reported consumption of at least 90+IFA during pregnancy from 28% to 42% by 2020. [Year 3 – 10% and year 4 – 15%]
20% increase in reported consumption of 180+ tablets of calcium during pregnancy by 2020