2. India is home to 23 crores hungry people
Malnutrition can be defined as the insufficient or imbalanced consumption of nutrients.
The food production has increased many folds from about 108
million tons in the 1970s to about 260 million tons in the year
2010. Yet, the mean calorie intake in the country has actually
fallen by about 10% in the rural areas and 4% in the urban
areas.
CAUSES OF MALNUTRITION
•No proper access to clean drinking water,
sanitation facilities ,healthcare services.
•Lack of educational facilities.
•The marginalization of women in Indian
society .
•Not proper intake of nutrients in diet.
A malnourished population impedes the social and
economic progress of a nation. Productivity losses to a
malnourished individual are estimated to be more than 10%
of his/her lifetime earnings.
There is no official data to measure
malnourishment, as current statistics only
record hunger.
The nutritional status of people depends on not just the availability of food
grains but also the diversity in food consumption. The NNMB data shows
that 37.4% of adult males and 39.4% of adult females in 2001 suffered
from Chronic Energy Deficiency (CED).
3. Our efforts focus on delivering proven interventions and developing better tools and strategies for
providing nutritional value to the malnourished population.
SNAPSHOT OF SOLUTION
MALNUTIRTION : A
DRIVE TOWARDS HEALTHY
NATION
Volunteers are
graduate students,
retired defense
personnel & doctors .
Sustainable Development in
Health, Nutrition, Education and
Protection of Child, Adolescent
and Woman in need
IMPLEMENTATION
MODEL
Region wise collection and
analysis of data.
Volunteers work in
collaboration with
existing structures .
Nutrition, healthcare, education
are integral part of the model
ADVANTAGE OVER
EXISTING
Utilizes the existing
structures, more coverage
targeting and low cost.
More accountability to
ensure the implicacy of the
plan.
4. NETWORK OF VOLUNTEERS
Composition of volunteer group
6000 volunteer from among the
graduate students will be recruited
through online
2000 retired defense personnels.
1000 doctors
20 corporates.
Training
Awareness to be created in the
local languages to have more
impact so volunteers
composition should consist of
candidates from different regions
Additional help
Help from health
and Anganwadi
Centres.
5. KEY FEATURES OF PLAN
Prioritize the 1,000-day window
• 3.1 million children die every year due to malnutrition. We need to focus on nutrition of mothers and
hild e du i g a hild’s fi st ,
da s, a effo t that a ha e lo g-term consequences for growth,
health and intellectual capacity.
B i g gi ls’ health i to fo us
• If we prioritize the health of women and girls, we can boost general nutrition, reduce pregnancy
complications and boost fetal growth and development.
Expand reach through community health workers
• Community health worker programs offer a prime opportunity to increase already successful nutrition
p og a s’ o e age a d p o ide se i es to populatio s ho p ese tl la k a ess.
Align other sectors with nutrition goals
• It seems common sense that agriculture, social safety nets and other important sectors could also
play a role in advancing nutrition progress.
Devote funding to nutrition programs
• We must start prioritizing nutrition programs within their national budgets.
6. Analyze the current situation
We will reach out across all levels of Indian society from
door to door in the villages and slums as well as talking to
locally elected representatives.
We will create a database which would be centrally
monitored and locally administered.
Recruitment of volunteers
Online registration
Workshop to interact and discuss by retired
personnels about the social cause and asking for
their cooperation
Doctors to spare some of their time for
treating the malnourished
Complete district wise and block wise nutritional
requirement will be assessed.
Awareness Building
Campaigns will be conducted by our team in
which we will also invite corporates and
doctors.
Education programmes by graduates at
school.
Educating women at health centers.
Promotional posters and banners in regions
to ensure the message reaches at each level
7. Vitamin A Supplementation
Preventive zinc supplementation
Organic seeds & organic farming is
beneficial to farms as well as
human health .So distribution of
seeds free of cost to farmers to
encourage them to use these
seeds on farms as it enhances the
productivity and rich in nutrients.
NUTRITION
BANK
Multiple micronutrient
supplementation in pregnancy.
VITAPLUS Barfi, an innovative product of balanced
nutrition for the child at low cost.
Easy to prepare
Versatile -can be prepared in sweet (e.g. laddoos
barfi, halwa) and salty (e.g. upma) variants
•Low cost-one kilogram packet costs Rs. 12 only
•Is used in community and clinical settings
NUTRITION REHABILITATION CENTERS
Atleast 12 bed unit for undernourished children plus supportive care and capacity building of mothers/care givers
A mother is provided with accommodation, food and counselling support as her child is nursed back to health.
Health workers demonstrate and provide training on health and hygiene, breast feeding and complementary feeding,
home management of anemia, plus growth monitoring and promotion.
Parents , particularly fathers are also informed about the value of primary immunization and child care practices
8. CHIEF SUPERVISOR
Recruitment
Team
Recruitment of
volunteers through
all channels
Field staff
Door to door
various roles.
Block Level
Supervises and responsible whole
initiative
Health care
Team
Inspection Team
Finance Team
Treatment &
advisory
Monitoring ,follow
up &feedback
Allocating and
managing
funds
District Level
We will roll out our plan at two levels and our central monitoring system in place will ensure the efficacy of our efforts
and any improvements if needed
9. SCALABILITY OF SOLUTION
Community delivery platforms
for nutrition education and
promotion
• I p o e ates of fa ilit i ths
28%
• Dou li g of i itiatio of
breastfeeding within 1 hour.
• Su sta tial pote tial to i p o e the
uptake of child health and
nutrition outcomes among
difficult to reach populations
Reduction of financial barriers
• Poli st ategies to a elio ate
poverty, reduce financial barriers,
and improve population health
• P o ote i eased o e age of
child health interventions
• P o ou ed effe ts a hie ed
those that directly removed user
fees for access to health services
Integrated Management of
Childhood Illness (IMCI)
• I ludes oth u ati e a d
preventive interventions at
health facilities and at home
• Va ious e efits i health
services, quality, mortality
reduction, and health-care cost
savings
• Sig ifi a t i ease i ut ie ts
intake and comparatively faster
reduction in the prevalence of
stunting.
10. We will require INR 13 crores funding from government and corporates
Types Of Cost
Support of existing government structures
Without the support of government existing structures
Infrastructure cost
Nil
Rs.5 crores
Human resources cost
Within Rs.2 crores
Rs.5.5crores
Implementation cost
Rs.70 lacs
More than 2 crores
Miscellaneous expenses
Rs. 3 lacs
Rs. 7 lacs
Total
Approximately Rs. 3 crores
Approximately Rs. 13crores
We propose a plan where if we get support of existing government infrastructure and workers the fund required will INR.3 crores and we plan to
raise 50% fund from government, 30% from corporates and 20% from donations and nominal cost charged from people.
11. Proposed plan may face certain concept and implementation risks
Challenges and Risks
Mitigating factors
Concept risk-
•Funding from corporates & other sources.
•Awareness Campaign
•Tie-ups with healthcare & Anganwadi centres.
•Malnutrition is invisible in its early stages. Often,
neglected by care givers, family members.
•Call for increased investment and funding support
to end malnutrition.
•Striking the mindsets of rural & slum population
Implementation challenges•Rea hi g e e e ote lo atio of the ou t ’s
large geographical spread.
•Difficulty in integrating with existing government
infrastructure.
•Availability of Doctors and skilled manpower–
payment of salary and compensation
• E su e a hie e e t of go e
e t’s o
it e t to i ease
public spending on health from less than 1% to 3% of gross
domestic product.
• I p o e ualit , pe fo a e, effi ie , and accountability of
public and private health systems
• I t odu e poli a d legislati e ha ges to o tai the isi g
costs of medical care and drugs
• I ease a aila ilit of health se i es th ough di e t e pa sio
of public health services and by enlisting private providers of
allopathic and non-allopathic drugs