Framework conditions

Jharkhand is one of the most backward states in India with a large rural and SC/ST population. Compared with other states malnutrition is wider spread here. Government schemes are working to make the curse out of state as well as India through various measures but somehow the programs are not reaching to the grass root due to lack of proper implementation planning. Though India has seen economic growth and poverty reduction in last few years but still the curse hindering a clear picture to the steady growth of India’s economy. In Jharkhand, nine out of every 10 children aged 6-23 do not get an adequate diet. The nutrition and health status of children in this State has been found to be “critically low” in comparison to the national standard. According to National Family Health Survey (NFHS-4, 2015-16) data, only 7.5% and 7.2% of children in Jharkhand respectively in this age group receive an adequate diet. So to address the problem out of 10 districts, Deoghar district of which Sonarythari block has been selected to make the change in selected 40 villages of the said block. Sonaraytharhi is a community development block that forms an administrative division in Deoghar district, Jharkhand state, India. It is located 25 km from Deoghar, the district headquarters. As per 2011 Census of India, Sona Rai Tharhi CD Block had a total population of 76,116, all of which were rural. There were 39.394 (52 %) males and 36,722 (48 %) females. Population below 6 years was 14,957. [Scheduled Castes and Scheduled Tribes numbered 7,291 and Scheduled Tribes numbered 8,244. Sonaraytharhi is a village with a population of 3,538 as per 2011 census.

These 40 villages will be prepared as a model to state, other districts, blocks and panchayats for replicating every measure, activities and steps to create a holistic development in those villages which will cover aspects of nutrition, WASH, farming system improvement and behavioral change of the villagers. Departments like ATMA, MGNREGA, HEALTH, ICDS, JSLPS are moving in their own way to make their specific objects achievable missing the integrated and mutual goal of linkage. One year progress report is to find out the limit of success through Multi stake holder initiation in bringing the objective to a mutual level.
Location :- Sonaraithari block
District :- Deoghar

Overall goal

The overall goal of the project is to sensitize the importance of multi sector approach to fight against hunger and malnutrition by facilitating better integration between agriculture, nutrition and WASH intervention.

Project purpose

The purpose involve in improving the overall food and nutrition security, health of women and children from vulnerable and food insecure families of the 40 villages and in building and transforming Government ongoing programs through NSMP and LANN PLA.

Project background

Jharkhand is one of the most backward states in India with a large rural and SC/ST population. Compared with other states malnutrition is wider spread. According to the National Family Health Survey (NFHS) 3 (2005-06), in Jharkhand about half (47.2%) of the children under three years are stunted or too short against their age, an indication of undernourishment. One-third (35.8%) children weigh too little for age (wasted), which results from inadequate recent food intake or a recent illness. 70% of women in age-group 15 to 49 and more than 67% of adolescent girls in age-group 15 to 19 are anemic.

The project design has been conceptualized through detailed discussions with the partners and local authorities. The baseline findings, evaluation reports and the ongoing implementation experiences of the aforesaid projects have been used to design the framework, mainly aiming at the mainstreaming and scaling up of the effective practices through capacity building and integration of the extension services of the government on agriculture, nutrition and WASH.An important goal is the further mainstreaming of an innovative, resilient and scalable governance model that addresses the direct and indirect causes of hunger and malnutrition in an integrated approach.

Activities from January – December 2018 Achieved targets
1. AKVO analysis : AKVO base line survey of random 217 household
89 % Household facing 2 month MAHFP in the month of August and September
Survey achieved
Target household : - 1395
Achieved Household : -281
Yet to specify by AKVO
Present status for MDDW is very poor where 94% of the women consume less than 5 food groups and only 6% consume more than 5 food group. Increase of MDD Wfrom 6% to 18% as they were supported with 6 food groups containing kitchen garden seeds
Only 4% household have own source of Animal produce 91% household depends on market 50% of the houseld will have their own source of Animal produce and percentage reduced to 20% in market dependency.
Only 10% of surveyed household have live kitchen garden of which only 5% have more than 4 crop diversity. Out of 1395 18% have their kitchen Garden and 18% have more than 4 crop diversity.
71% of the children between age group 6 month to 59 month don’t breast feed even don’t attain more than 4 food groups and only 29% attain more than 4 food groups The percentage reduced to 42% (71%- 29%) who attained the camp and have the practice of breast feedingof age 6M to 24 M and attains more than4 food group upto 59M of age.
13% of the children only have 4 or more times breast feed 70% increase of the children only have 4 or more times breast feed
94% of the families having toilet facility but they don’t use as they prefer open defecation. Only 4% of the household using safely manageable sanitation practices Percentage reduced to 50% for the project households not using toilets.70% household using safely manageable sanitation practices
Only 2% of the household using safe drinking water(improved sources in Dry and Rainy season and following7 or more practices 60% of the household using safe drinking water(improved sources in Dry and Rainy season and following or more practices
42.9% of the respondents demands for work and only 36.2% of the respondents get payment within 15 days 70% of the respondents will demands for work and 60% of the respondents get payment within 15 days

Details about the Nutrition camp :-

Government is trying to reduce the percentage of malnourished child through free treatment and nutrition support to the children by treating them in MTC centre for several days but that does not produce any behavoir change of the mothers. The PD camp letting the mother to acquire knowledge of malnutrition and also behaviour change toward sanitation, proper nutrition and knowledge of food. In 18 project villages i.e Kamradengal, Mungjoria, Dhorwa, Pindra, Dhamakunda, Parasboni A, Gordhwa, Parasboni B, Harikura, Kushmaha and Dasmariya, Kenkhepra, Singhni & Baisdih,Pokhariya, Palganjia & Bhatdih, Kasitand, Kusumthar, Dhorwa( molitola), Singhni (Jarka 2) and Jalhara of sonaraytharhi of Deoghar District was taken as a part of PD camp as much of the children between age group 6 month to 5 years face severe malnutrition due to lack of proper health education , hygienic practices, ignorance of food, lack of knowledge in food groups. Community participation in this camp brings a positive change towards the weight and health of the children who were categories according to necessity.

Out of 725 screened childrent, Total 346 children (SAM and MAM) were selected from the population by measuring their weight according to age, height, MUAC and Odema. Selection criteria were to select that child who could be improved through nutritive healthy food in the camp and by feeding Nutimix and make their family learn how to make the process a sustainable one, water and sanitation part has been kept in prime focus for families to give them a concept of proper hygine and safe potable water consumption. All the villages selected for PD camp was new so it was a challenge for the team to make the community understand along with the village head who was quite confused at the initiation of the program. The result shows improvement of some children after the camp conducted. Grade change marked of 109 children was showen a positive change after attaining the camp in the said villages. Following data shows the number of children taking part in the camp:

Nutrtion Camp Data of 18 villages :-

S.No Village Panchayat Children screened Children in PD camps (SAM+MAM) No. of child Absent, if any Camp Period
1 Parasboni B Magdiha 129 25 2 11/6/18 – 25/6/18
2 Gordhowa & Parasboni Brahmotra 50 20 0 11/6/18 – 25/6/18
3 Harikuda Brahmotra 24 14 0 08/6/18 – 22/6/18
4 Dasmoriya Sonaraithadi 29 16 1 18/6/18 – 02/7/18
5 Kushmaha Khijuriya 23 17 0 11/6/18 – 25/6/18
6 Mungjoria Magdiha 47 21 2 16/03/30 – 30//6/2018
7 Pindra Jarka 2 33 18 0 16/03/30 – 30//6/2018
8 Dhamakunda Sonaraithari 49 24 1 16/03/30 – 30//6/2018
9 Dhorwa Khijuria 32 20 3 16/03/30 – 30//6/2018
10 Kendkhapra Doundiya 28 17 0 17/8/18 – 01/9/18
11 Singhni & Baisdih Binjha 41 25 0 18/8/18 – 01/9/18
12 Pokhariya Jarka 2 24 17 1 21/8/18 – 04/9/18
13 Palganjia & Bhatdih Magdiha 25 19 0 28/8/18 – 12/9/18
14 Kashitand Magdiha 36 18 1 11/6/18 – 25/6/18
15 Kusumthar Kusumthar 83 28 0 28/11/12 – 12/12/18
16 Dhorwa (Mouli Tola) Khijuriya 25 15 0 30/11/18 – 14/12/18
17 Singhni Jarka 2 34 18 1 13/12/18 – 27/12/18
18 Jalhara Magdiha 13 09 0 13/12/18 – 27/12/18

The average weight gain of children in this 18 camp is where all the villages selected for PD camp was new so it was a challenge for the team to make the community understand along with the village head who was quite confused at the initiation of the program. The result shows improvement of some children after the camp conducted and handholding support through live nutrition gardens.

About 281 household with malnourished children of the Nutrtion camp camp were supported with kitchen garden. The families were supported with different vegetables and plants to make a unique kitchen garden in their plots. Specific crops covering tricolour concept was generally promoted for kitchen garden which helped to increase the dietry diversity of the families (MDDW and MDDC). Lentils, green vegetables, spices, medicinal plant, tuber and fruit plants are the major food crops supported with seeds for their kitchen garden. Some pictures of the kitchen garden and their produces. The kitchen garden which has been supported is totally organic and the practice for preparing organic bio fertilizer and pesticide for their organic garden. Total 18, village level farming training was organized to make them learn about the process of organic farming to give rise a healthy produce from their organic nutrition garden.

Some activities to create mass awareness on sanitation/ nutrition and agriculture were carried out during project intervention in different project villages of sonaraithari Block.

Mass awareness in 18 villages on prohibition of Open defecation, safe potable water consumption, child health was done through Nukkar Natak which provides enormous effect on the community to restore a health and hygienic lifestyle. Picture during the Road show

Preparation of Hand washes station individual level to create the habit of hand wash before several activities. Total 65 household in 4 villages till now having the facility of hand washing. In community level intervention through soak pit in different hand pumps whose extra output water causing pollution and problems in villages. We have constructed 8 soak pits in 4 villages as a trial basis to check the water stagnation and pollution. Some picture showing the activity.

It is decided to aware the project village on Nutritive agriculture, WASH, Adolescent girl Nutrition through wall painting campaign which will cover slogans, wall painting on above topics to aware the villagers on concept of POSHANN. Some pictures on village walls where wall painting has been done.

Assessment and perspectives of attaining the project objectives

Currently PRAVAH is focusing on nutritional input to the families and behaviour change of VWSC committees in the villages to improve WASH facilities in the villages. AKVo gave a overall understanding of the project villages about what measures to be taken in priority. Block departments liaison is a success and they are also interested to be part of the project.

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