SNEHA Centre

SNEHA operates 20 integrated community health centers (SNEHA Centers) in the highly vulnerable M/East and L Wards of Mumbai. SNEHA Centers offer a package of integrated services, spanning family planning, maternal and neonatal health, child nutrition and health, and prevention of violence against women and children.

The SNEHA Centres project is a randomized controlled trial where in health indicators will be compared among 20 areas with SNEHA centers interventions with those in 20 similar unmatched areas. The outcomes will be assessed through a household census to be completed in 2015, after 2 years of intervention. A process evaluation is currently underway to complement the census findings.

What We Address Through SNEHA Centers

Primary Outcomes

  • Unmet need for family planning in women aged 15 to 49 years.
  • Complete immunization of children under 5 years of age.
  • Wasting (weight for height ) of children under 5 years of age.

Secondary Outcomes

  • Number of consultations for violence against women or children.
  • Institutional deliveries for births.
  • Adolescent pregnancies among women under 19 years of age.
  • Stunting (height for age ) of children under 5 years of age.
  • Underweight (weight for age ) of children under 5 years of age.
  • Proportion of children who received child development support from ICDS centers.
  • Initiation of breastfeeding within 1 hour of birth.
  • Exclusive breastfeeding under 6 months.

The Model

The concept of SNEHA Centers revolves around effective delivery of bundled interventions addressing inter-generational cycles of poor health in urban slums. SNEHA Centers work with infants, children, adolescents, mothers, and men and women of reproductive age. The ultimate goal is to create "SNEHA families" – model families whose members demonstrate optimal and informed health-seeking behaviors within vulnerable communities. The physical base within vulnerable slums are expected to improve the frequency and quality of interaction between the community and SNEHA staff, improving SNEHA’s ability to tackle the problems faced by the community.

From the Field

Nazma, 18 year old Hindu girl from Uttar Pradesh, fell in love and married a Muslim man. Due to the fear of their families, they ran away from the village and came and settled in Mumbai. Nazma was pregnant and had a premature delivery in her 7th month of pregnancy. The baby weighed 1.03 kg and was kept in an incubator in Sion Hospital for three weeks. At the time of discharge, the baby weighed 1.6 kg. SNEHA Centre Community Organizer, with the support of Medical Officer and Pediatrician, counseled and guided Nazma to take care of her fragile child. They regularly followed up about the child’s health and ensured that she follows doctor’s advice on medication, breastfeeding and Kangaroo care. Gradually, the child gained weight and at two months his weight was 2.1 kg.