Fact Sheet: Pandemic, Poverty and People-Reality of the Urban Poor of Ahmedabad city, Gujarat during the lockdown. Read More

Sankalp

Sankalp

Period: September 2023 to March 2028

Geographical Area: Dang district, Gujarat

Villages in Subir block: Girmal, Burthadi, Davdahad, Jamla, Jamnyamal, Keshbandh, Kakshal, Nishana, Singana, Timbarthava, Biliamba, Zaran, Mokhamal, Jarsol, Hanvantpada, and Kangriyamal.

Current Health and Nutrition Situation in Gujarat, and The Dangs

According to NFHS-5 data, the percentage of stunted (low height-for-age) children is 35% nationally and 39% in Gujarat. The percentage of wasted (low weight-for-height) children is 19% nationally and 25% in Gujarat. The percentage of underweight (low weight-for-age) children is 32% nationally and 38% in Gujarat. In The Dangs, the situation is more severe, with 22.2% of children being severely wasted, more than double the Gujarat average of 10.6%.

Women with a Body Mass Index (BMI) less than 18.5% are considered undernourished. As per NFHS-4, 44.1% of women in Gujarat are undernourished compared to the national average of 22.9%. In The Dangs, 33.7% of women are undernourished.

The prevalence of anaemia among children and adolescents is extremely high. NFHS-5 data shows 77% of adolescent girls in The Dangs are anaemic, indicating a critical need for intervention.

The data from NFHS 5 and the situation analysis conducted by CHETNA in 16 villages of Subir block indicates the need for intervention to improve the health and nutrition status of women, children, and adolescents.

Key Objectives to fill the gaps

  • To improve nutritional status of women, children and adolescents of the intervention villages.
  • To improve access to maternal, child and adolescent health and nutrition services.

Prior to implementation of the programme children below the age of five years were screened to know their nutritional status (Weight for Age)

Activities and Actions Taken

  • Individual Level: One-on-one counselling for pregnant women, lactating mothers, adolescents, and parents of underweight children.
  • Community Level: Mass health and nutrition awareness activities such as Poshan Mela and Adolescent Mela.
  • Educational Sessions: Conduct sessions on various health and nutrition topics for women and adolescents.
  • Awareness Programs: Programs like Saas Bahu Samelan to raise awareness among women.
  • Sensitisation Programs: For Sarpanch (elected members) to ensure community support.
  • Training: For ASHA, Anganwadi Workers, and ANMs on health communication and counselling.

Expected Outcomes

  • Increased nutritional status of children under five, adolescent boys and girls, and women.
  • Improved rates of antenatal care.
  • Increase in early registration of pregnant women.
  • Higher rates of institutional deliveries.
  • Improved breastfeeding practices and complementary feeding.
  • Enhanced personal hygiene practices.
  • Regularized immunization and vaccination activities.
  • Increased access to government schemes related to maternal, child, and adolescent health.


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