The program, designed by Grameen Foundation and Freedom from Hunger India Trust (FFHIT) reached 30,000 people, the vast majority in vulnerable tribal communities. A second program in West Bengal and Jharkhand has reached 178,000 women, greatly improving their knowledge of the causes of anemia and preventative action.
“These results offer hope for Indian women, more than half of whom suffer from anemia, which can be devastating for mothers and their babies,” said Mr. A.R. Nanda, Board Chair of FFHIT. “Simple solutions such as nutrient supplements often fall short. But we have found a cost-effective, holistic approach to solving India’s crisis of rural malnutrition.”
Anemia is a leading cause of maternal deaths in India. It raises the risk of premature and low-birth-weight babies, and of neonatal death. In adults, it causes fatigue, lowered productivity, and confusion. In young children, anemia and other forms of malnutrition can irreversibly damage physical growth and brain function. In India, half of children under three are either stunted or underweight due to malnutrition, and 79 percent are anemic.
New heroines: Community Nutrition Advocates
Research conducted early on for the Rajasthan Nutrition Project found that the greater women’s’ decision-making authority in a household, the greater their food security: 39 percent of women classified as having a high degree of autonomy were food secure, versus only 12 percent of women with low autonomy.
“We concluded that any efforts designed to improve food security and nutrition had to aim to improve women’s autonomy and decision-making within the household,” explains Kathleen Stack, Executive Vice President of Grameen Foundation. “To do so, we built on the strength of women’s self-help groups, millions of which exist across the country.”
Grameen Foundation and FFHIT, with Ahmedabad-based training partner, CHETNA, developed an innovative, pictorial-based curriculum to train a new type of local leader: Community Nutrition Advocates (CNAs). Partnering with two local organizations, PRADAN and Vaagdhara, they trained 1,250 mostly illiterate women as CNAs. The women became experts in nutrition, health practices, local health resources, and household financial management. The CNAs in turn trained 8,131 women, reaching 30,000 family members. They also linked women to partners, including government agencies and health providers.
Noting that the government should replicate the success, Dr. Arun Panda, Mission Director, National Health Mission, said, “We need to learn from the community… simple and cost-effective solutions can easily be understood, adopted and sustained.”
Husbands and wives participated in gender dialogues to improve decision-making on food security and nutrition. As a result, joint decisions by husbands and wives–rather than by men alone–became more common. For example, joint decisions on food purchases increased from 27 to 55 percent, while husband-only decisions went from 69 to 28 percent.
“Women gained more decision-making power within the home, and more freedom of movement outside the home,” said Saraswathi Rao, CEO of FFHIT. “And with this, they began to change the crops they grew, what they ate and fed their children, how they treated common childhood illnesses like diarrhea, and when and where they sought health care.”
To evaluate the program’s impact, researchers conducted in-depth interviews with 400 program participants at the beginning and at the end of the project. Among the findings:
Food security increased for female heads of households (from 21 to 53 percent) and for children (from 23 to 53 percent).
Dietary diversity increased by an average of three additional foods a day, especially milk, vegetables, and roots and tubers–now grown in home gardens.
The percentage of new mothers who breastfed their infants within the first hour of birth went from 47 to 83 percent.
More than half of women (52 percent) reported setting aside more savings in the past six months, and those saving for health increased from 65 to 80 percent.
The number of women accessing the government’s Integrated Child Development Services increased by 30 percentage points.
Meanwhile, the Maa aur Shishu Swasthya (Mother and Child Health) Program tackled anemia in West Bengal and Jharkhand, where rates have remained unchanged for the past ten years. Grameen Foundation, Freedom from Hunger India Trust, and RESULTS Educational Fund brought together two microfinance institutions, Aikyatan Development Society (ADS) and Bandhan to reach 178,000 women. The program delivered anemia education along with financial services to microfinance clients and women’s self-help groups. A study following the training showed that consumption of foods high in iron and in vitamin C (to aid iron absorption) improved by up to 35 percentage points.
About Grameen Foundation
Grameen Foundation is a global nonprofit organization that uses the latest technology to help women in the world’s poorest regions succeed at the very thing they are already determined to do: better their own lives, feed and educate their children, and protect their families’ health. Working with local partners, Grameen programs innovate to end poverty through: Financial Services for Women; Health Financing and Access; and Digital Innovation for Agriculture. In October 2016, Grameen Foundation and the global nonprofit Freedom from Hunger joined forces to form one integrated organization. Freedom from Hunger India Trust and Grameen Foundation are close partners, working together toward common goals in India.
About Freedom from Hunger India Trust
Freedom from Hunger India Trust is a registered Indian public charitable Trust based in New Delhi. FFHIT staff oversee health, nutrition, financial inclusion, vulnerable youth and savings group methodologies, and provide expert advice on learner-centered curriculum design. FFHIT’s goal is to achieve nutrition and food security, reduce poverty and improve economic and social status of poor and marginalized women and their families through increased integration of financial services with other essential services such as health, nutrition and livelihood opportunities. FFHIT is also an active member of National Coalition of Food and Nutrition Security. FFHIT and Grameen Foundation are close partners, working together toward common goals in India.
MEDIA KIT: Photos and background materials:
Photographs of Community Nutrition Advocates and women’s self-help groups.
Profile of a Community Nutrition Advocate.
Towards Gender Transformative Food Security for Tribal Rajasthan. Grameen Foundation. March 2017.
Research Brief on the Mother and Child Health Program (Maa aur Shishu Swasthya) in West Bengal and Jharkhand. Grameen Foundation. June 2017.
Policy Brief and Technical Guide: Nutrition, the Way and the Destination. Freedom from Hunger India Trust. June 2017.