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-Program.jpg) The
Program aims to reduce malnutrition in children in Mumbai’s slums. This model follows
the cycle of prevention, early identification and treatment by improving feeding
practices of young children amongst mothers and establishing Day Care Centres where
severely malnourished children are treated.
It partners with the existing Govt Integrated Child Development Scheme (ICDS) that
runs Anganwadis which addresses malnutrition in children under 6 years.
IMPACTS
- 13,871 houses mapped under micro planning
- 3500 under 3 kids in Dharavi identified
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220 lactating mothers identified
- 60,000 population in 2 Dharavi beats completed
through a micro-planning and screening process
- 5000 children analysed and mapped
through real-time data received on a daily basis and analysed.
- 3 day care centres currently operational.
- ICDS has now started following
the WHO growth standards of monitoring children under 3 based on their weight and
height. This is a major advocacy achievement for SNEHA.
CASE STORY - Heet ki jeet
Heet hails from a Gujarati Family settled in Dharavi, Mumbai for the past 10 years.
Heet was a low birth weight baby and comes from a very economically poor family.
Heet’s father is a tailor and occasionally gets work. His mother is a house wife.
Hansa, Heet’s mother got married when she was 18 years of age and delivered her
first baby at the age of 1 year Heet is the second child
Heet was admitted to our centre when he was 18 months of age and was severely underweight
with repeated infections. When Heet was admitted to the centre, his mother was very
worried about Heet falling prey to repeated infections and his stagnant growth.
Heet had many problems adjusting to the DCC environment and mingling on with other
kids in the centre of same age. Heet stayed in a joint family with one of the family
member suffering from TB. He also showed delayed milestones and was not speaking
full sentences and uttered only simple and small words. He also kept getting continuous
boils, rashes and fungal infections. Even after a month’s stay in DCC Heet was not
gaining weight and so Program officer did a home visit and discussed at length about
Heet’s health and infections with his family members. During the course of the discussion
they also shared that Heet often banged his head and seemed to enjoy it.
As part of our visit we referred him to psychiatric ward of Sion hospital and immediately
his treatment was started. Heet was also referred to Sion hospital for Mantoux test
to negate tuberculosis. Test for TB came to be negative, but doctors advised to
double his micro nutrients content which we give through ICDS. Our Hon Paediatrician
screened him during all the visits and his infections were also identified earlier.
He earlier used to eat lots of outside food, but slowly with our interventions it
reduced. Immunization and prophylaxis was incomplete which was provided by bringing
them to Health post. We employed his mother to prepare tea for our Day Care Centre
Staff and that brought a behaviour change.
There had been a weight gain recorded from 8 Kg to 10.500 Kg. And after 6 months
he has graduated into normal weight category. His family and mother are very happy
with his growth. He was followed up for 6 months after discharge from the centre
and he is doing well.
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