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Highlights

Over 74,000 youth trained till March 31, 2016

Development of 250 schools as Right to Education compliant

Our Vision

To be a leading institution for the promotion of inclusive growth in India by contributing to the key enablers required for widespread participation in economic opportunities in the country.

Our Mission

We will promote inclusive growth in India through focused initiatives in the identified areas including primary healthcare, elementary education, skill development & sustainable livelihood, financial inclusion and rural development.

Primary Healthcare

Strengthening Convergent Action for Reducing Child Undernutrition

Overview
Recognising the urgent need to improve the situation with regard to child health and nutrition, since November 2011, ICICI Foundation for Inclusive Growth, in partnership with the Department of Women and Child Development (DWCD), Government of Rajasthan, is implementing a pilot project in Baran district to improve the nutritional status of 0-5 year olds through a three-pronged, comprehensive approach of prevention, management and  treatment of undernutrition.
The project was launched on a pilot basis in 253 Anganwadi Centres (AWCs) of Shahabad and Kishanganj blocks in Baran district and has subsequently been scaled across the two blocks covering 502 AWCs.
We have been working with the state government to strengthen the Integrated Child Development Services (ICDS) system in Baran, a remote district where Rajasthan’s sole Primitive Tribal Group (PTG) i.e. Sahariyas reside. High levels of child undernutrition and mortality have been reported and the state government is keen to accelerate development efforts here. The project has been developed after analysing the situation on child health and nutrition in detailed consultations with the state and district officials who have identified improving ICDS service delivery and generating community awareness on child health and nutrition as a priority.
The initiative works to strengthen the delivery of services under ICDS and National Rural Health Mission (NRHM) with a focus on supplementary nutrition, growth monitoring, referrals, health and nutrition education and health-checkups, as appropriate, for adolescent girls, pregnant and nursing mothers and 0-5 year old children.
Approach
The key components of the intervention include:
Promoting Mother Child Health and Nutrition (MCHN) Day
As part of the National Health Mission, MCHN day has been designed as a mechanism to deliver health and nutrition services under one roof on a fixed day at a fixed site, viz. Anganwadi Centres, on a monthly basis. MCHN day is important as it is the only convergence mechanism at the AWC level for joint delivery of health and nutrition services. However, the process suffers from a fractured system of service delivery and low attendance due to which services are not offered under one roof as envisaged, resulting in poor access of key services by target population.
Our intervention emphasised institutionalising MCHN day on a fixed day at a fixed site to increase the quality and reach of health and nutrition services to every household.
Strengthening Growth Monitoring
Growth monitoring is the foundation of ICDS programming as it involves not only the identification of children with undernutrition but also involves the need for follow-up services such as referral to the Malnutrition Treatment Centre (MTC) or Primary Health Centre or additional food supplementation. However, this process suffers from several inefficiencies for reasons such as lack of accurate scales, incorrect measurement, under-reporting of undernourished children, very low attendance on Mother Child Health and Nutrition (MCHN) days.  
To overcome these gaps, our intervention focuses on strengthening the process of growth monitoring through  strategies to improve weighing efficiency & quality of growth monitoring and promotion as well as improving the process of identifying and tracking undernourished children.
Management of Severe Acute Malnourishment (SAM)
Our intervention strategy focuses on identification, referral, treatment and follow-up care of severely acute malnourished (SAM) children.
Despite the existence of Malnutrition Treatment Centres (MTCs), large numbers of children with severe acute malnourishment remain untreated in Shahabad and Kishanganj, possibly contributing to the high child mortality rate in the two blocks. Hence, under-utilisation of the MTC was a grave concern and thus the project focused on improving utilisation of services provided at 4 MTCs for severely undernourished children in the intervention area.
Capacity-building of all ICDS and relevant NRHM-staff (such as those related to MTC) for improved service delivery
The project aims to develop a system of need based, context sensitive and skill oriented training on child undernutrition for all cadres – Anganwadi Worker (AWW), ICDS Supervisor known as Lady Supervisor (LS), Child Development Project Officer (CDPO), Malnutrition Treatment Centre (MTC) Staff, Auxiliary Nurse Midwife (ANM), ASHA Sahyogini (the ASHA – Accredited Social Health Activist – as known in Rajasthan) ,Block ASHA Facilitator and Village Health, Sanitation, Water and Nutrition Committee (VHSWNC).
Eleven model AWCs have been upgraded and developed to act as a demonstration site and resource for other AWCs in the catchment area. These AWCs function as nodal centres for holding monthly review and capacity building activities for front line workers (FLWs), operating as ‘learning labs’. This ensures standardisation of delivery of all key services envisaged under the ICDS viz. growth monitoring, provision of supplementary nutrition, pre-school education, referral and Nutrition and Health Education (NHED).
Supportive Supervision to Anganwadi Workers (AWWs)
Lack of supervision of AWCS and the ICDS staff at the community level has been identified as a major gap in ensuring efficient delivery of services. Inability of the supervisory staff to undertake ‘supportive supervision’ is a major constraint in ensuring proper functioning of AWCs. Hence, the project includes the objective to improve monitoring and supervision of AWCs through Lady Supervisors and CDPO. 
Strengthening community participation
Lack of community participation in the ICDS programme has been in large part responsible for the limited impact of the programme on undernutrition. The project seeks to generate such participation by increasing community awareness about undernutrition amongst their children – its causes and impact, positive health and nutrition practices and community entitlements under the ICDS programme.
Our intervention focuses on operationalisation of VHSWNCs and engagement of community volunteers to improve access to health and nutrition services by the target beneficiaries and monitor the delivery of services.
 
 

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