Page 28 - TRIF Annual Report 2021
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TRIF’s Health and Nutrition                   Focus of Our Health &                                                 Reflections 2020-21
                   program is focused on working                 Nutrition Engagement
                   with the community and public                                                                                     Integrating COVID-19 Prevention & Management and Health &
                   health care systems to bring                                                                                      Nutrition Development Agenda
                   about a paradigm change in the                     Enhance Capacities
                   Health outcomes in the Villages.
                                                                      of Public Service                                              As the pandemic crisis disrupted all systems, the public health service delivery in the rural
                   The interventions are focused on                   Providers and                                                  areas was focused on responding to the imperatives brought forward by the COVID-19
                   critical aspects that fundamentally                                                                               pandemic. However, this also posed a risk of lagging behind on other health and nutritional
                   intersect with other dimensions,                   Community Cadre                                                outcomes. TRIF’s efforts in its intervention blocks were geared towards continued support on
                   thereby impacting the opportunities                                                                               Health & Nutrition alongside strengthening a community response on COVID-19 prevention
                   available for improving the overall                                                                               and management.
                   quality of life. TRIF’s engagement in
                   intensive blocks is pivoted around                 Enhance Access                                                 TRIF and its partners trained and nurtured a cadre of community cadre
                   strengthening community health care                to Quality of Public                                           called ‘Badlao Didis’ who  were instrumental in promoting the adoption of
                   response on the ground. One such
                   focus area is the first 1000 days of a              Health Services                                                scientific practices around Health & Nutrition. This included promoting
                   child’s growth, which is a period for                                                                             practice of kitchen gardens, uptake of VHSND services and activation of
                   rapid physical growth and mental                                                                                  Village Health, Sanitation and Nutrition Committee (VHSNC).
                   development, and offers an
                   opportunity for building lifelong                  Facilitate
                   health and intelligence. TRIF engages
                   and trains a cadre of resource                     Partnerships                                                   Badlao didis were also trained in COVID-19 protocols and worked closely with the SHG and
                   persons, called the Change Vectors                 With Social and                                                their federations for community level interventions including providing support to Panchayats
                   (CVs) and Self-Help Groups to anchor                                                                              on management of quarantine and COVID-care facilities. With the help of our partner
                   the activities of the health and                   Private Enterprises                                            organization Chetna, we developed training modules focussing on integrated Health and
                   nutrition initiatives, through                                                                                    Nutrition aspects including lockdown measures, COVID-19 management & prevention,
                   structured community-level                                                                                        hygiene, nutrition, and identification of high-risk groups among other. These resource
                   processes. Our intervention with the                                                                              materials took centre stage in the agenda of the pilot blocks starting from the orientation of
                   public health delivery systems on                  Improve Adoption                                               the partner’s block staff to training of the front-line workers to the implementation at
                   strengthening the supply-side                      of Scientific and                                               community level.
                   includes building capacities of the
                   front-line workers and addressing                  Contemporary
 Enabling change from within the   Indians cannot afford a nutritious diet   gaps at the Primary Health Center   Pratices
                   (PHC) and Community Health Center
 socio-cultural construct of norms   leading to further worsening of health   (CHC) level.
 and behaviours for improving Health   indicators. Moreover, on average the
 nearest health facility from the center of the
 and Nutrition outcomes.  village is 9km, and around 31% of the                                                                    970                              2,231                                   8,937
 population has to travel more than 30kms to
 India has the highest prevalence of wasted   seek health care in                                                                                                                                            Front Line Health
 children under five years in the world,   rural India. These are only some of the                                                  Villages Reached                  Badlao Didis Mobilized                  Workers Supported
 which reflects acute malnutrition (Source:   many factors that have resulted in a higher
 Global Hunger Index 2020). Prevalence of   incidence of premature deaths,
 child wasting has worsened with 17.3% in   malnutrition, and a higher disease burden in                                                                                                                     Capacity Support to
 2015-2019, in comparison to 15.1% in   rural areas.                                                                               6,738                            1,284
 2010-2014. Further, three out of four rural   Promoting Contemporary & Scientific Nutrition Practices                                                                                                       5,051

                                                                                                                                   SHGs Taking up Health and         Village Health & Nutrition Day          FLWs on COVID-19
                                                                                                                                   Nutrition Interventions           (VHND) Regularised                      Response





      28   TRANSFORMING RURAL INDIA FOUNDATION                                                                                                                                                                   ANNUAL REPORT 2020-2021 29
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