Implementation support to Strengthening Adolescent and Maternal Nutrition programs in the selected nine districts of Chattisgarh State in collaboration with the State Government of Chhattisgarh- Nutrition International (NI)
Anaemia is a serious health problem that affects the ability to work as well as health and wellbeing of an individual. It is one of the most prevalent nutritional deficiencies in the world, and more than half of the population in India is anaemic. It is a major public health problem in India and is primarily due to iron deficiency. Iron intake from foods and supplements for Girls increase dramatically during adolescence as a result of the expansion of the lean body mass, total blood volume and the onset of menstruation; these changes make adolescent girls more susceptible to anaemia, which has lasting negative consequences for them and for the survival, growth, development of their children later in life. In India- home to nearly 113 million adolescent girls– the prevalence of anaemia in adolescent girls is estimated at 56 per cent.
Similarly, Anaemia in pregnancy is associated with high maternal morbidity and mortality. Maternal anaemia is associated with poor intra-uterine growth and conceiving of low-birth-weight babies. This in turn could result in higher perinatal morbidity, infant mortality, developmental delays, and reduction of placental weight, volume and surface area. Iron deficiency anaemia may affect growth and development both in utero and in the long term. State specific NFHS III data showed that 68% of pregnant women are anaemic in Chhattisgarh.
In order to address the health and nutritional issues in Chhattisgarh, Nutrition International (NI) India has been working with government departments under its “Right Start” program, and supporting the state government on the following areas:
# Improve coverage and increase consumption of 52 weekly Iron Folic Acid Supplementation
(WIFS) by 15% from the baseline during program period.
# Facilitate adequate supplies of tablets upto end point so that at least 80% of the
schools, AWCs sub-centers and PHCs report no stock-outs of IFA in any month.
# Increase consumption of at least 90+IFA by 8% from the baseline during this program
# 20% increase in consumption of 180+ tablets of calcium by 2020
In order to roll-out the above programs in collaboration with the State Government of Chhattisgarh, Nutrition International (NI) signed agreement with TRIOs Development Support (P) Ltd. 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 Adolescent and Maternal Nutrition Program. The roll out support was mainly to strengthen the planning, implementation and monitoring of Adolescent and Maternal Nutrition program in the state. Besides the rollout support, TRIOs also organized and conducted training for various government functionaries such as district and block level officials of WCD, schools and tribal departments, health and other associated field level staff.
The success of this project lead to NI and state Government’s decision to scale up this project in entire state. This project has now been scaled up in the entire state to cover all the 27 districts of the state, where in TRIOs implementing it .