Page 29 - TRIF Annual Report 2021

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