Urban Nutrition Program: January 2013 Update

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Urban Nutrition Program Deep Griha Society, Pune Created by: Jaskeerat Bedi Created on : January 13th, 2013

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the Problem

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Image courstsey:http://footprintsworld.com/651

Malnutrition, a malignant problem

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% severity of Malnutrition

27%

Moderate Severe

Of which

Malnutrition, a malignant problem

73%

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The Organization

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Deep Griha Society + DGS is empowering Pune’s marginalized since 37 yrs. + Tackles 6 different social issues ( child care being one ) + Has centres in 3 slum areas- Tadiwala Rd, Ramtedki & Bibevadi + Employees up to ?? People + Impacts up to 325 children ( 6 months to 5 yrs )

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Programs in DGS

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The main centre of DGS is based out of Tadiwala Road, an area that houses slum community of around 35,000 people, many of whom are enrolled in DGS programmes. Deep Griha Society, Tadiwala Road, Pune

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Malnutrition, a malignant problem

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Children between the ages of 6 months to 5 years are looked after by the teachers at the crèche's at DGC. Children spend 9AM to 5PM in the centre from Monday to Saturday. •

With children cared for safely during the day, both parents can go out to work and older siblings are able to attend school. The children receive fully-rounded care, and emphasis is placed on working with parents and building positive relationships with the community.

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the Team

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me

Children from Crèche

Snap shots @ DGS

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Sunanda Team Leader Bibevadi

Team Leaders of Women & Child programs @ DGS

Ranjana Team Leader Tadiwala Rd

Poonam Team Leader Ramtedki

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Bismillah

Naidu Bai

Field Worker + Trainer

Field Worker + Trainer

The Laddo Team

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the Recipe

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Preparing the laddo’s

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Preparing the laddo’s

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the Process

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The 3 Step Process

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The 3 Step Process

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The 3 Step Process

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the Indicator

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The red line indicates that1/5 th( 46 of 213 ) children are severely malnourished as they fall below three median.

1/3rd ( 66 of 213) children are moderately malnourished as they fall between -2 & -3 median

Post nutrition analysis

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Training Program for Teachers Each teacher takes care of up to 30 children & spends more than 6 hours with them. If , they can be trained to take proper measurements & file it in a systemic manner, dependency on the volunteers will reduce drastically & the process might become cyclic( or perhaps embed ) in the calendar of DGS! Training Program for Teachers

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I developed forms in Marathi, for filling health indicators and distributed amongst all teachers, such that hence forth, all measurements could be taken in a homogenous fashion.

Training Program for Teachers

We also discussed the new WHO template and what the plotting indicates. This exercise helped clear a lot of doubts amongst the teachers Š Design Impact


Measuring Heights After handing out the forms and giving a demonstration of measuring height & weight, I asked each teacher to take the measurements of 5 other teachers. This created quite a flutter of activities as the ladies busied themselves, excited to get themselves measured! They often forgot to write down the name of the crèche & the date of measurement. Some even tried copying the measurements of others!

While measuring weights was fairly simple, it was difficult to get the right height measurements. It took some time for the teachers to understand the reading & the metric system, while keeping in mind the protocols of getting the accurate height. They also got confused in reading the English numerical. After many attempts, i think they have finally figured how to read the markings!

Training Program for Teachers

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Your height, my weight Teachers often blindly copied each others measurements, in order to complete five set of entries.

Training Program for Teachers

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the Awareness campaigns

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30 packet Learning +People were inquisitive about our project & came forward to support the cause. +We had some children too, whose facial expressions gave us an honest feedback on the rather unattractive colours of our laado’s +We also gathered a lot of feedback on how to make the branding of the project more visual & empathetic. +Some people also suggested to reduce the size of the laado’s as they seemed really heavy to consume

Selling at Ishanya Mall in Pre Diwali Mela

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People always pick up “free” information

Selling at Suzlon along with DGS products

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So, we have the laddo’s . Now what do we do?

We TALK The next step

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TALK..

Parents

NGOs

Funders

Govt.

The next step

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parents Awareness Week We want to make the parents of the children at DGS aware about the Health benefits that DGS is taking to make their children healthy.

Talking to Parents

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OBSERVATIONS •

Talking to Parents

In one of the group sessions with Community women, it was observed that we should generate awareness amongst parents about healthy food habits. Many parents that come to drop their children at DGS centre, hardly interact with the teachers.

We do not know if they are aware about the health status of their children?

Do they know about the healthy laddos that DGS provides to the children?

Do they see any health improvement in their children after in the past 6 months?

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Health Report + Awareness Brochure We wanted to create an awareness brochure that would: 1.

Inform the parents about their child’s health status ( Ht, Wt and Z-score ). In case the child is moderately/ severely malnourished, it will be brought to the parents notice.

2.

Find out about how much do the parents know about what food is being given at DGS, do the parents know about the laddos, would they be interested in knowing how to make them?

3.

Do they see any positive change in their child ?

4.

Collect fresh data of the parents, their occupation, where do they stay, involvement in child’s development etc.

Talking to Parents

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Distribution + Collection of Data

Teacher

Talking to Parents

Team Leader Doctor

•Teacher ( with the help of maushi + volunteer ) measures Ht/Wt of children

•Team Leader/ Doctor is notified if about a child if severely malnourished/ sick

•Fills the detail of the child in the form

•Counsel the parents about healthy food measures

Field Worker

Field worker Distribute the form To the parents when they come to collect their children, helping them fill the form and collect their feedback

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Implementation + PNA 3 Effective from 15th Jan 2013, the teachers and maushies have started measuring the children, as well as distributing the Health + Awareness Brochures.

Talking to Parents

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Small NGOs Health Seminar We want to share our knowledge about healthy laddos to smaller NGOs in and around Pune, such that they can also adopt a similar model in their organization

Talking to NGOs

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WHAT WILL IT COMPRISE?

WHO WILL ATTEND?

•Health Benefits of Laddos, a talk by representative of JCDC Director (Academics) •Dr Anuradha Khadlikar

•NGOs that are looking after child health, women health & empowerment

•Laddo making demonstration by DGS Staff

•Representatives from government schools wherein mid-day meal is being provided • •Self help groups that are willing to invest in new business opportunities

•Laddo tasting & Tea

•Anganwadi workers, crèches

•Eating Healthy ( presentation by Nutrition Officer: Mr. Vijay U Pande )

•Feedback & Discussions

30th Jan 2013 Health Seminar Talking to NGOs

Each Participating organization will be charged Rs 150/- by DGS for attending the work shop

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What

For Whom?

Content?

Available

Written Material ( RECIPE )

Participants

a. Ingredients with price and quantity b. Recipe c. Cost Break Up d. Health Benefits

Toolkit for Organizing Child Health Seminar

Talking to NGOs

Written Material ( MEASUREMENTS)

Participants

Handout

a. Measuring Ht/ Wt b. Form for data filing c. Digitalizing Data d. WHO Anthro Computing e. What data means?

Video

Participants

Feed back

DGS

Handout/ booklet

a.Doctor's advise: Dr. Anuradha Khadilar b. Parents speak c. Teacher speak about success stories

Video on site/ CD

a. Question about how effective the workshop was? b. Gauge their interest in implementing the project in their organization c. How can DGS help the organization implement the project?

Handout

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Big NGOs Collaborating We have already introduced the Laddo Project to India’s biggest NGOs that provide mid-day meals to 1 million children in India

Talking to NGOs

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Scope

Collaboration with Naandi

•NGOs like Naandi.org have been touching a million lives through its mid-day meal initiatives. •It caters to two different age group- (pre-school) and (school goers ) •In order to hit the root cause of malnutrition, we will have to target the laddos to PRE SCHOOL age group, such that children are given healthy diet early on. •Naandi caters to around 600 villages in India.

Talking to NGOs

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Challenges

Collaboration with Naandi ` 5/- per child

•Naandi has centralized kitchen system in Hyderabad where food item is prepared and then distributed to different villages. •For the product to be picked up by Naandi, INCREASING THE SHELF LIFE is a must by up to 6 days ( currently the Coconut laddo lasts only 3 days )

EXPLORING OPPORTUNITIES 1. Will I have to change the recipe? 2. Can I look at different packaging options to increase shelf life ? 3. Can refrigerating the laddos help?

Talking to NGOs

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Govt. Collaborating We are trying to convince the Ministry of Women & Child Development Food & Nutrition Board about the Healthy laddo’s by sending them: a. Laddo Sample for nutrition evaluation and quality check up b. Inviting them to DGS Child Health Seminar

Talking to Govt.

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Where are we Now? Small NGOs

Health Brochure

Tool kit

Parents

Workshop

Customizing recipe

DGS Big NGOs

Where we are now?

Health seminar

Tool kit

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Impact* The rosy picture ď Š

Health 5000 children* seminar

Up to Brochure 300 adults*

In 1 year

Small NGOs 325 children

Tool kit

Parents

Workshop

Customizing recipe

DGS Big NGOs

Where we are now?

Health

Tool kit

5,00,000 children* In 1 year

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Still to

Govt schools

explore

AnganWadi’s

S.H.G (Sustainable business)

Retail

325 children

DGS CSR Initiative

Where we are now?

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Collaborate.. DGS

Collaborate with Elephant Design

Elephant Design

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a. Developing Brand Identity for the Laddo Project ( logo, brand name , colors ) USER :: - Attributed towards mothers/ parents/ care giver/ providers - Attracts children, especially between the age group of 02-08 yrs - Catering to different stake holders such as - mensturating girls/pregnant, lactating women

b. Develop Packaging ideas for the Laddos ( simple packaging ideas, DIY kits, easily scalable )

IDEA 1:: - attributed towards corporate gifting , that can be shown to different corporate, SHGs, etc. - Contains 4 laddos: "Iron pack for a Week" concept - can be made easily by women, and cost-effective - contains Nutrition information about the laddos IDEA 2:: - for single laddo to be sold at small retail/kirana shops - something that can be picked up by school going children on their way back, or sold at school canteens.

Collaborate with Elephant Design

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Timeline •POST NUTRITION ANALYSIS 3 ( 6 months since the laddos are been given ) Scheduled from 15th Jan 2013- 19th Jan 2013 •HEALTH AWARENESS WEEK for Parents Scheduled from 21st Jan – 25th Jan 2013 •CHILD HEALTH SEMINAR for NGOs and SHGs Scheduled on 30th Jan 2013

Time line

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What next?

What Next?

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Thanks for your time. Would love to hear your feedback Contact: Jaskeerat Bedi Jaskeerat.bedi@d-impact.org www.d-impact.org

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