Maternal & Child Health
Urban Nutrition Initiative
“The first two years are forever… a thousand-days approach.”
It is an established fact nationally and globally, that malnutrition in the first two years of life negatively impacts the physical and cognitive development of children, eventually leading to irreversible damage. The first 1,000 days — the period during a women’s pregnancy and the child’s first two years of life — represent a crucial window of opportunity to prevent malnutrition.
The Urban Nutrition Initiative (UNI) is based on the premise of ‘optimal results with minimum resources’ and aims to reduce malnutrition by reaching out to children in the age group of 0-2 years, pregnant women and lactating mothers. It was initiated in September 2014 and is a low-cost, Public Private Partnership (PPP) between Rajmata Jijau Mother and Child Health and Nutrition Mission (RJMCHNM), TATA Trust and Committed Communities Development Trust (CCDT) who partners with other field NGOs working in the area of Maternal and Child Health and Nutrition. The project is being implemented in two phases in eight high-burden ICDS projects through four NGOs: CCDT (Mumbai), VACHAN (Nashik), Amhi Amchya Arogyasaathi (Nagpur) and ISSUE (Nagpur) with technical support from UNICEF and RJMCHMN.
Targeted Home Visits to identify those children between 0 -2 years of age who have never been weighed, to follow up with children who are ill and to refer children who are malnourished or show faltering growth patterns. These visits enable outreach workers to understand the nutrition and dietary intake of family members, to identify and refer pregnant and lactating mothers, as well as counsel individuals one-on-one.
Training of ICDS staff on Ante-Natal Care, Post-Natal Care, IYCF and prevention of illness during childhood.
Nutrition Education including dietary intake, exclusive breast feeding, dispelling myths and misconceptions on childcare and rearing practices and ANC, PNC and Infant care.
Counseling Mothers and conducting Mothers’ Group Meetings
Identification of high-risk mothers and children and referring them to appropriate, available services and government programs.
Children Under Two
“Reaching tribal women, children and adolescents on the fringes… going to the last mile.”
A partnership program with three NGOs uniting to reach the most deprived-tribal communities living in adivasi padas of Sanjay Gandhi National Park in Borivali and Aarey Colony in Goregaon, Mumbai. The program works to improve the health of pregnant women and lactating mothers, children between 0-6 yrs and adolescents between 12-18 yrs.
Monthly home visits, support group meetings, nutrition demonstrations, health camps for pregnant women, lactating mothers and parents of children between 0-6 years.
Service provision (supplementary nutrition, medical aid, transportation) to high-risk pregnant women and malnourished children: Community members are motivated to engage as cooks and trained on nutrition, hygiene and are instrumental in providing supplementary nutrition to malnourished children and high-risk pregnant women. Emergency support for transportation, medicines and diagnostic testing is also provided to pregnant women and malnourished children.
Training adolescents to function as peer educators on WASH and become WASH champions: Through interactive sessions, demonstrations, street play workshops, sports, transect walk, photography etc. children and adolescents build their understanding of the importance of hygiene and sanitation. They learn about hand washing, safe handling and storage of water and food, the disadvantages of open defecation etc.
“Advancing reduction in mortality & morbidity of mothers, neonates, infants and children living in urban slums.”
mMitra, is a m?health program (Mobile Health Messaging through Automated Voice Calls) to advance reduction in mortality & morbidity of mothers, neonates, infants and children living in urban slums. CCDT initiated the mMitra Program, in July 2014 with support from Armman.
Through the mMitra program, regular, timed and targeted information is provided to pregnant or lactating mothers through automated voice calls — on preventive care and simple interventions in case of emergencies. The voice calls are sent directly to women in their local language and contain information specific to a women’s gestational period or the age of the new born. mMitra covers R/North and R/Central wards of Mumbai Municipal Corporation, Mira-Bhayander area of Mira-Bhayander Municipal Corporation and Vasai, Nallasopara and Virar areas of Vasai-Virar Municipal Corporation.
mMitra Voice Calls: In a bid to maximize reach and give as many children as possible a healthy start to life, the enrolled women receive recorded voice calls every week, at the chosen time slot. The calls provide information specific to the week of pregnancy or the age of the child on preventive care and simple interventions.
Capacity Building of Arogyasakhis: The Community Health Volunteers (CHVs) and Link workers deputed as Arogya Sakhis are trained through monthly meetings on ante natal care, post natal care, neonatal care, nutrition, identification of high risk and intervention.
Screening for High-Risk followed by Focused Intervention: Identification of high-risk mothers and children and referring them to appropriate available services and government programs
Community Health Workers
Pregnant Women and Lactating Mothers