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
- 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.
- 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 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.