A New Approach to Fighting Child Malnutrition in India

very interesting model

India’s demographic dividend is often touted as one of the country’s strengths. More than half of its 1.2 billion population is younger than 25. In the coming decades, India is expected to be one of the few countries where the working population will exceed the number of retirees. Even so, India is struggling with a huge problem: The country has the world’s largest population of malnourished children. Each day, some 1,500 children die of malnutrition. A government report, titled Children in India 2012 — A Statistical Appraisal, notes: “48% of children under age five years are stunted … which indicates that half of the country’s children are chronically malnourished.” According to UNICEF, one in three malnourished children in the world is Indian. It is estimated that reducing malnutrition could add some 3% to India’s GDP.

The Indian government has been trying to address this problem through its Integrated Child Development Services (ICDS) program. Launched in 1975, the ICDS operates a network of daycare centers called anganwadis across the country. These centers are meant to provide supplementary breakfast and lunch, along with immunizations and pre-school education, to children ages 3-6, and cater to the health needs of pregnant and lactating women. Anganwadi workers are also responsible for going door-to-door to counsel mothers with infants aged less than 3 years. Some 1.3 million anganwadi centers sprawl across India; each typically caters to 30 children.

The anganwadi program is estimated to be the world’s largest child nutrition provider. But, as the state of malnourishment in India shows, the anganwadis themselves need a shot in the arm. That is what Indian Impact, an online platform that focuses exclusively on malnutrition, is looking to provide. Launched in November 2013, the Hyderabad-based nonprofit has a two-pronged approach. It offers individuals and corporations an easy way to help improve their nearest anganwadi center, and supports nongovernmental organizations (NGO) that are working to reduce malnutrition.

Bridging the Gap

Indian Impact lists the anganwadis in a given area and a checklist of essential items that each center needs. Individuals or businesses can go to the Indian Impact website, locate their nearest anganwadi center, see what it needs and make donations (only in kind) directly to the centers. Donors are required to share the details of their donations with Indian Impact, so members and volunteers can ensure that donated items are used for the benefit of the children and not pilfered.

Donors registered with Indian Impact can also adopt anganwadi centers and fulfill all of their requirements. In addition, Indian Impact has partnered with the Akshaya Patra Foundation, which runs centralized kitchens and distributes nutritious meals to government schools. Organizations can partner with Akshaya Patra through Indian Impact to distribute meals to their adopted anganwadi centers. At present, anganwadis listed by Indian Impact are limited to Hyderabad. In a year, once it has sufficient understanding of this space, Indian Impact plans to expand beyond Hyderabad to other cities and states. Indian Impact has obtained formal approval for anganwadi adoption from the state government’s department of women development and child welfare in Andhra Pradesh. Once it expands to other states, the organization plans to get approvals from other state governments as well.

Indian Impact also selects and lists on its website reputed NGOs that are doing effective and innovative work to reduce malnutrition, but need funds and manpower in order to scale. Individuals and corporations can donate funds or volunteer their services for any of these projects. NGOs are required to send regular status reports to their donors and also provide proof of utilization to the Indian Impact team.

“We are providing a go-to-market platform that gives instant results, as well as significant outreach,” says Ridhima Parvathaneni, president of Indian Impact. Parvathaneni first thought of working in the sector during her last year at college in March 2013 when she read an article on the alarming levels of malnutrition in India. She wanted to develop “an innovative solution to generate awareness [about malnutrition] and to bridge the crucial gap between those who want to help and those who are in dire need of that help.”

She put together a six-person leadership team with capabilities in different areas, including strategy, research, marketing, branding and web-development, and launched Indian Impact that November. Apart from this core team of six, who are involved with the strategy and creative aspects of the organization, Indian Impact has a monitoring team of 20.

Parvathaneni has also involved her family business, the Seaways Group — one of the largest shipping and logistics conglomerates in India — where she heads new business initiatives, to fund Indian Impact as part of its corporate social responsibility. “One could have chosen the traditional NGO approach, where you work on the ground in a specific locality,” she notes. “But the impact [would be] limited. The situation calls for a solution that will accelerate and magnify the rate of malnutrition reduction. Such a compounding effect is possible through our technological platform.”

Partnering for a Cause

Nilam Sawhney, principal secretary at the department for women, children, disabled and senior citizens for the government of Andhra Pradesh, is upbeat about the initiative. The department has formed a committee to assist firms adopting anganwadis through Indian Impact to help expedite the process, and also track adoption and the consequent improvement. According to Sawhney, this collaboration between her department, Indian Impact and corporations in India “will help create model anganwadis” that can be replicated across the region “for higher efficiency and success rate in reducing malnutrition.”

According to Rao, it is important for Parvathaneni and her team to understand the dynamics of the anganwadi system and why it has failed to deliver. Speaking at the launch, he noted that the anganwadi program is “highly politicized and highly unionized.” Pointing out that “in most of the states, the anganwadi jobs are auctioned,” Rao cautioned: “The union will not brook any interference. You have to be very careful.” Tata added: “Other than identifying what needs to be done, Indian Impact must get more deeply involved in the implementation of the solution.”

http://www.fairobserver.com/region/central_south_asia/a-new-approach-to-fighting-child-malnutrition-in-india-54891/

Treating waste water without chemicals

WATER & POLLUTION

* 70 % of industrial waste is dumped without treatment, polluting usable water supply

* India alone discharges 48,797 million cubic metres of waste water annually

* Each litre of waste water discharged further pollutes about 5 to 8 litres of freshwater

A city-based scientist has found an environment-friendly way to treat used water without mixing any chemicals so that it can be safely reused. Dr Rajah Vijay Kumar’s invention holds promise for effective waste-water recovery and management, especially when it is increasingly becoming a scarce resource worldwide.

Called the Fine Particle Thrombousthai Reactor (FPTR), the innovative technology also has the potential to effectively and economically treat waste water or effluents dumped by industries and reuse it.

“We have built a pilot FPTR reactor to process 25,000 liters of contaminated coffee-wash water in Kodagu district to reuse processed water, complying with relevant standards. The interesting thing is that the recovered water costs merely 3.6 paise per litre,” says Kumar, who developed the technology at the Bangalore’s Scalene Energy Research Institute (SERI).

HOW IT WORKS

According to Kumar, FPTR technology is an automatic computer-controlled multi-stage system which uses high-intensity short-wave resonance to get rid of impurities. But what is unique in this system is that it doesn’t need any chemicals and depends only on electricity for its operation, making it a cost-effective technique.

To start with, Kumar said they plan to target small polluters, like car service stations, small garment-dyeing units, small-scale plating industries, mass urban dwellings that are small but cumulatively the largest unaccounted-for polluters. Another area of application of this technology is to recover surface water from lakes and rivers contaminated by sewage and industrial toxins to provide drinking water at low cost.

The Photographs of Lewis Hine: The Industrial Revolution and Child Laborers

not directly related to India but this provides an interesting perspective

The Industrial Age that occurred after the Civil War created a demand for labor and many children were drawn into the labor force. Factory wages were so low that children often had to work to help support their families. According to the National Archives, the number of children under the age of 15 who worked in industrial jobs for wages climbed from 1.5 million in 1890 to 2 million in 1910.

Employers viewed children as a bargain: They worked in unskilled jobs for lower wages than adults, and their small hands made them more adept at handling small parts and tools.

Education was seen as a luxury, but one teacher would have a profound impact on our view of child labor. Lewis Hine, was a New York City schoolteacher and photographer, and he believed that a picture could tell a powerful story. He felt so strongly about the abuse of children as workers that he quit his teaching job and became an investigative photographer for the National Child Labor Committee.

Hine believed that if people could see for themselves the abuses and injustice of child labor, they would demand laws to end it. He often tricked his way into factories to take the pictures that factory managers did not want the public to see. He would tell factory owners that he wanted the child laborers in the photos to show the size of the modern machinery.

The National Child Labor Committee was formed in 1904, with a goal to end child labor. The organization received a charter from Congress in 1907. It hired teams of investigators to gather evidence of children working in harsh conditions and then organized exhibitions with photographs and statistics to dramatize the plight of these children. The Children’s Bureau became a federal information clearinghouse in 1912 and i 1913, the Children’s Bureau was transferred to the Department of Labor.

Lewis Hine died in poverty but his photos live on as a reminder of the horrors of child labor and, frankly, the dangers to all workers found in Industrial Age workplaces.

http://ehstoday.com/galleries/photographs-lewis-hine-industrial-revolution-and-child-laborers-photo-gallery?NL=QMN-01&Issue=QMN-01_20140411_QMN-01_240&YM_RID=anant.r.jani@gmail.com&YM_MID=1460304&sfvc4enews=42&cl=article_6

Underweight and Stunted Children: The Indian Paradox

The Union Cabinet recently approved a multi-sectoral nutritional programme proposed by the Ministry of Women and Child Development to reduce under-nutrition in 200 districts across India. The 1,213 crore initiative will incorporate several schemes to curb malnutrition among children below the age of 3 years, and tackle anaemia in young girls and lactating mothers. 

This nutrition initiative comes against the backdrop of several recent statistics and debates in the media on high levels of child malnutrition in India. In January 2012, Prime Minister Manmohan Singh released the “HUNGaMA Survey Report 2011”prepared by Naandi Foundation that covered 112 districts across India. According to the report, 42.5 per cent of children under five years of age are underweight (low weight for age); 58.8 per cent are stunted (low height for age), and 11.4 per cent are ‘wasted’ (low weight for height).

The alarming figures led Prime Minister Singh to call it a “national shame”. In the “Global Hunger Index 2013”, India scored 21.3 on the level of hunger, placing itself in the category of “alarming levels” of hunger. Apart from India, Haiti and Timor-Leste are the other two non-Sub-Saharan African countries that fall under this category. The report also highlights that South Asia is home to the largest number of hungry people in the world, followed by Sub-Saharan African countries.

Bangladesh that showed high rates of malnutrition until recent times has taken significant steps to improve nutrition, and quantity and quality of food intake. Progress has been made in cereal and non-cereal food production to ensure food security. Educational campaigns on exclusive breastfeeding and hygeine have helped the country to tackle malnutrition. In addition, Bangladesh is one of the 42 countries that are part of the “Scaling up Nutrition” (SUN) movement to implement nutrition specific approaches and interventions to curb malnutrition. India is not a part of the SUN movement.

Thus, what was previously dubbed by researches as the “Asian Enigma” to refer to the phenomenon of South Asian countries falling behind in standards of child growth despite economic growth, now seems to be modified into “Indian Enigma” or the “Indian Paradox” to reflect upon the phenomenon of India having a large number of under-weight and stunted children despite a growing economy.

The UN has estimated that about 2.1 million Indian children die before they reach the age of five years from preventable illnesses such as diarrhoea, malaria, typhoid, pneumonia and measles.

Stunted children are susceptible to infections due to a weak immune system. When they grow up to adulthood, they are likely to have a risk of obesity, diabetes, high blood pressure, and heart disease. Stunting also results in impaired cognitive ability, fatigue, loss of interest and curiousity, and failure to learn motor skills, which results in stunted children falling behind their healthier counterparts, and eventually dropping out of school.

Child malnutrition is directly related to malnutrition among women, says a study titled “Child Malnutrition and Gender Discrimination in South Asia” by Santosh Mehrotra, who is a former Regional Economic Advisor for Poverty (Asia) for UNDP. Poor health of a woman during her infancy, childhood and teenage years leads to low birth-weight of her child. Consequently, children who are born with low birth-weight often experience poor health during their infancy and childhood.

A BMI of less than 18.5 is an indicator of chronic energy deficiency. The study states that 36 per cent of Indian women fall short of that number.  The study further says that on average 52 per cent of Indian women suffer from mild, moderate or severe anaemia which is the underlying cause of maternal mortality and perinatal mortality.

“It is important to target women not only when they are pregnant, but otherwise as well,” said Dr. Amit Sengupta from Delhi Science Forum. “Women are discriminated right from birth, so by the time they reach adulthood, they are already malnourished,” he said.Santosh Mehrotra says in his study that in most poor households, women and young girls eat the leftovers after the males in the family have eaten their meals.

Another cause for stunting and under-weight children in India is aruged to be a consequence of a larger sanitation problem of open defecation. Dean Spears, a visiting researcher at the Delhi School of Economics, has argued that stunting as a phenomenon among Indian children could be linked to open defecation. Spears says that children are exposed to the germs in faeces when those germs are released in the enviornment during open defecation. This exposure to the germs causes children to suffer from diarrhoea and environmental enteropathy (causing chronic changes in the intestines of the children and preventing the body to absorb and use nutrients). Thus, leaving the children stunted.

In his study titled “Open Defecation and Childhood Stunting in India: An ecological analysis of new data from 112 districts”, Spears says that according to the 2011 Indian census, 53 per cent of Indian households did not use any kind of toilets. He further says that Bihar has had a higher rate of open defecation in the past ten years than any other country, and that Uttar Pradesh alone is home to 12 per cent of all the people worldwide who openly defecate.

He argues that the rate of open defecation in India has been higher than that of Congo, Ethiopia, Angola, Zambia, South Africa, Rwanda, Kenya, Ghana and many other Sub-Saharan African countries.

Dr. Vandana Prasad from Public Health Resource Network said, “Many factors contribute to child malnutrition. Lack of food, lack of good quality and diverse food, lack of child care services, malnutrition among the mothers, open defecation… but it becomes problematic when one reason is highlighted as the primary reason.”

newsclick.in/india/underweight-and-stunted-children-indian-paradox

How India can leapfrog to the future

The combination of cheaper devices, easy connectivity and the high aspirations of the population could help India leapfrog development in several areas. Broadband internet can transform primary and secondary schooling by bringing the best teachers and techniques into every classroom. In Reimagining India: Unlocking the Potential of Asia’s Next Superpower, edited by McKinsey & Company, digital educators Salman Khan and Shantanu Sinha argue that “replicating for hundreds of millions of aspiring learners what a few thousand previously experienced in the lecture halls of Harvard, MIT or Stanford would require an absurdly large investment. But now, this information is available to anyone with a cheap laptop and a broadband connection.” Indeed, today, Indian students are the largest users of massive open online courses from MIT and Harvard.

Healthcare offers similar possibilities. Cheap devices (GE’s X-ray costs $50), sensors and broadband connectivity will open up access to healthcare, and at lower costs than the standard brick and mortar solutions (often at a fiftieth of the comparable U.S. cost). Swasthya Slate (a tablet device for patients to perform self-diagnostic tests including electrocardiograms, blood sugar, blood pressure, and heart rate readings) and “m-steth” (mobile stethoscope to transmit heart data) are smart, affordable substitutes for over half of all doctor visits. This is life-changing in a country like India, where the doctor to patient ratio is a meager 1:1,700 (compared with 1:400 in the United States).

The same breakthrough is possible in access to all government services, retail services, banking and financial inclusion, agriculture, medical care, education at all levels and in many other fields that we haven’t even thought of yet, and may help India to drive faster inclusive development for its population. In true Indian tradition, the potential for technology to leapfrog is enormous – and so are the barriers. As experience shows, progress may be fitful, but when India can imagine, mobilize, and leapfrog, ten years can change almost anything.

http://globalpublicsquare.blogs.cnn.com/2013/12/29/how-india-can-leapfrog-to-the-future/