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Community-led solutions help tackle child malnutrition in India

An innovative programme that combines community engagement with research across three UCL faculties is designing interventions to tackle child malnutrition in India.

SDG Case study G2.2 Monica

8 October 2020

Aprogramme of participatoryinterdisciplinaryresearchto tackle malnutrition(PANChSHEEEL*) brings togetherschools, front line health workersand communities in two villages in IndiawithacademicsfromUCL’sGreat Ormond Street HospitalInstitute for Child Health(ICH), Institute of Education(IOE)andUCLCivil, Environmental and Geomatic Engineering(CEGE).

“A recent surveyin Indiashowed thatonly one in ten children aged 6 to 23 months receivesa nutritionally adequate dietand undernutrition contributes to almost half of deaths in the under-fives,”explains Professor MonicaLakhanpaul(UCLICH), project lead.

In 2017, with supportfromUCL’s GlobalEngagementOffice,ProfessorLakhanpaulvisited IndiawithcolleaguesDrPriti Parikh (CEGE) andProfessorMarie-CarineLall (IOE). Theyset out to buildpartnerships with community organisations andinstitutions todevelopan integrated approach that looks at feeding practices in a wider context.

“To address what some refer to as India’s silent epidemic, we neededtoconsidernutrition, sanitation,hygieneand parent-child interactionsin the first 1,000 days of life,”ProfessorLakhanpaulexplains.

Sincethen,the UCL team hasbeen working closelywithcolleagues attheIndian Institute of Technology,Delhi,Jawaharlal Nehru University, New Delhi,Save the Children Indiaandcommunity organisationsand schoolsin Rajasthan.

Theyassessed the environmental and engineering factors affecting nutritionandfound that clean water,safe sanitation systems, clean kitchen utensils and availability of soaphavea vital role to play.“We also found that other key factors such as mothers having adequatetimefor childcare, andconsideration of other infection risks,such as family animals was also necessary,” says ProfessorLakhanpaul.

“Togetherwithourpartners in Indiawe developedintegratedinterventions that link health, education, environment and engineering, to optimise infant and young child feedingpractices.”

The collaborative teamtrainscommunity champions to engage with their communities, via schoolsandrural healthcare centres to ensureproposedinterventionsareacceptable to thepeoplethey aredesignedto help.

“PANChSHEEEL provides avitalplatform to link expertise across diverse disciplines,” adds ProfessorLakhanpaul.“Itenablesus to hear local voices and develop solutions together to address global challenges with global partners.”

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*Participatory Approach for Nutrition in Children: Strengthening Health, Education, Environment and Engineering Linkage