- To bring about a reduction in acute malnutrition in children 0 - 36 months of age
by 25% after improving the Infant and Young Child Feeding (IYCF) practices, Promotion
of Immunization, addressing illnesses, and uptake of Integrated Child Development
SNEHA is piloting the first Community Management of Acute Malnutrition (CMAM) in
Dharavi. It's a unique and innovative health and nutrition program with the objective
- Ensuring growth (reducing wasting and improving weight gain).
- Improving the health and nutritional status of 0 - 36 month old children through
behaviour change of care givers.
This program is in collaboration with the government namely, Integrated Child Development
Scheme (ICDS). The Child Health and Nutrition Program called AAHAR has been able
to combine technology, research and scientific knowledge to demonstrate an intensive
and holistic approach to managing acute malnutrition.
How We Work
AAHAR works in Dharavi and has adopted a life cycle approach to tackle malnutrition
addressing the adolescent girls, pregnant / lactating mothers and 0 - 3 year olds.
- The main activities of the program include monthly screening of acutely malnourished
children in the community where all children in the age group of 0 - 3 years are
weighed and lengths / heights measured along with the ICDS staff (Anganwadi sevika
- The children screened as acutely malnourished are followed up on a regular basis
to monitor their nutritional status and the mothers are provided counseling through
individual home visits and community events.
- Severe Acutely Malnourished (SAM) children and vulnerable Moderate Acutely Malnourished
(MAM) children are brought for community health check ups where they undergo an
appetite test to start therapeutic feeding called Medical Nutrition Therapy (MNT).
- Children in the age group of 15 months to|36 months are also referred for enrollment
in our Day Care Centers that are staffed with a Teacher and Helper.
- All children below six months and pregnant and lactating mothers are also followed
up on a regular basis for home based care.
- The other activities of the project include training the Community Organisers (the
grassroot health workers at SNEHA) and the ICDS staff on various Maternal and Child
Health and Nutrition issues.
- Screened 6460 children until 31st March 2013 (1st April 2013)
under 3 years of Age.
- Presently 4529 children in the age group of 0 - 3 years in our database in the month
of March 2013 Carried out anthropometry (weight and height measurement) for 70%
of the children.
- SAM brought down from 5% in October - December 12 to 3% in March 13 and MAM 12%
in October - December 12 to11% in March 13.
- Overall reduction in acute malnutrition from 15.6% to 10.4% in 6 months.
Read our "Stories of Change"