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MALNUTRITION

MALNUTRITION. TEAM BUREAU-CRAZY Harsh Dixit Raghav Sharma Rishi Garg. Innovation Conference , LBSNAA Theme: Health. Outline. Introduction: Understanding Malnutrition Case Study Problem Analysis Solution Proposed Critical Factors/ Challenges and Risks Conclusion. Introduction.

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MALNUTRITION

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  1. MALNUTRITION TEAM BUREAU-CRAZY Harsh Dixit Raghav Sharma Rishi Garg • Innovation Conference, LBSNAA • Theme: Health

  2. Outline • Introduction: Understanding Malnutrition • Case Study • Problem Analysis • Solution Proposed • Critical Factors/ Challenges and Risks • Conclusion

  3. Introduction • What is Malnutrition? • Important aspect of malnutrition • Co-morbidity • Malnutrition as a ‘public health’ issue rather than just a ‘health care’ issue

  4. Case Study • Spate of malnutrition deaths in Roginagar • 395/900 underweight births • 65% Tribal population • 90% tribal mothers with anaemia • Tough terrain, connectivity issues • Health infrastructure: subcenters and doctors • ICDS in ‘shambles’ • Finances: February month You have been transferred to the district to devise innovative solution to tackle malnutrition deaths and live upto your reputation.

  5. Givens and Assumptions • District Medical College • Severe and acute malnourishment (SAM)-higher risk of morbidity and mortality • Tele-density and reliable internet connection • Political Support

  6. Problem Analysis • Failure on two fronts • Public service delivery • Specific disempowering characteristic of tribals

  7. Solution Proposed • MUAC STRIP • Screening, Detection and Monitoring

  8. MUAC data will be collected using mobile phone applications or swasthya slate and stored in central database (Matritva) • Data will help make decisions relating to which children need what administrative intervention • ADVANTAGES of MUAC • reliable in identifying children with high risk of death • very easy to use: minimal skills required, easy to train • cheap, non-invasive • can be used repeatedly for continuous tracking

  9. Solutions (contd.) • Stopping deaths in short term • Nutritional Rehabilitation Centre • Poshan Vahinis • Ready to use therapeutic food (RUTF) - a home based solution

  10. Solutions (contd.) • Medium to Long Term Solution • Convergence (e.g. NRLM and ICDS) • Multiple service through single platform (e.g. Anganwadi) • Single service though multiple channels • Food Fortification (PDS) • Countering Environmental Enteropathy (Sanitation, Drinking Water etc.)

  11. Bang Bang • How to create sustainable interventions • RESEARCH has shown that ordinary villagers and illiterate midwives can be trained to care for newborns where there is no doctor (barefoot doctors) • Home-based care of newborns • Aarogya swaraaj or health freedom • Dr. Abhay and Rani Bang

  12. Solutions (contd.) • A bit on Finance • MPLADS and MLALADS • BRGF and TSP • NHM Flexi Pool (Untied) • PPP (Gujarat example) • Partnership • NGOs (Awareness, Acceptability, Mobilization) • Corporate Social Responsibility (Tapping March Rush) • Focus on cost effective solutions (MUAC, Hand washing, IFA tablets, technology based tracking)

  13. Critical Success Factors/ Challenges-Risks • Reliable Data -key to effective decisions (SwasthyaSlate) • Incentive and motivation of FLHWs • Convergence of funds • Sustainability: only when there is attitude change • Cultural Resistance

  14. iNNovatioN "Elephant in the room" is an English metaphorical idiom for an obvious truth that is either being ignored or going unaddressed. The idiomatic expression also applies to an obvious problem or risk no one wants to discuss. (Wikipedia) • Image Source: www.successwithoutsacrifice.com

  15. Image Source: ww.lfslessonsasia.com

  16. Conclusion • Seeing the ‘whole’ elephant • Working on the ‘whole’ solution (holistic, systems approach)

  17. THANK YOU

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