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Process Documentation and Con-ceptualisation of Community Nutrition Gardens (CNGs) Model for ERADA in Madhya Pradesh

Under the Indo-German project, community-based horticulture plantations were piloted and demonstrated in 32 gram panchayats of Chhattisgarh under MGNREGA during 2017-19. The integrated model involved an MoU between Gram Panchayats and women Self-Help groups for maintenance of the plantation for 10 years, thus also giving the SHGs access to use the land for intercropping vegetables. This supported short term wage generation through MGNREGA and a longer-term livelihood creation through sale of vegetables in local markets. From 2019, the model was contextualized for implementation in five districts in Madhya Pradesh under another Indo-German Project, wherein women Self-Help Groups (SHG’s) are entrusted with the task of establishing the Community Nutrition Gardens (CNGs). The objective of these CNG’s is to enhance dietary diversity at the community and household level by providing economic independence to the women. The ERADA project focussed on documenting the learnings and success of this model so far, and look at conceptualising this as a further integrated model, exploring more areas such as the scope for integrating solar energy for water management, integrating aquaculture into the gardens, scope for value-chain based models and market linkages etc.

Endline Evaluation of Kanya Sampurna Project (KSP) in Cuddalore District, Tamil Nadu

KSP was a multi-sectoral intervention that focused on advancing health, education, and economic opportunities for girls/women in the age group of 0-35 years. It also focuses on enhancing leadership and life skills in children and adolescents (especially girls) in schools and communities. The project implementation period was for five years (2017-2022) and reached 89,242 individuals through different interventions. The Endline study was conducted to measure and report the outcome and impact of the key components of the intervention and analyse progress made against key areas of change at impact and outcome level of project logical framework. The results of the assessment contributed to the next phase planning of KSP. The study design followed a mixed approach of quantitative and qualitative data collection. Structured survey was conducted among Anganwadi workers, mothers of children (0-6 months&6-23 months), young women (18-35 Years) and primary school teachers. In addition, Girls Leadership Index (GLI) tool was administered among Adolescent girls (11-18 years) and EGRA tool and SRI tool among 'Children in the age group of 6-11 years' and 'Children in the age group of 5.5 to 6 years' respectively. FGDs and IDIs were conducted as part of the qualitative survey.

Assessment of Pradhan Mantri Arogya Mitra (PMAM) under PMJAY Scheme in 9 States

This was large scale assignment done in association with Deloitte with the purpose of assessingthe roles and performance of the scheme Pradhan Mantri Arogya Mitra (PMAM) for operational and programmatic efficiency. The study was done in 192 hospitals spread across 16 districts of nine states (Assam, Chhattisgarh, Jammu & Kashmir, Madhya Pradesh, Punjab, Rajasthan, Maharashtra, Tamil Nadu and Uttar Pradesh). A total of 5680 exit interviews were conducted with AB-PMJAY beneficiaries. In addition, 240 Hospital Observations for PMAM activities, 40 KIIs, Case studies and SWOT analysis were undertaken by the study team.

Impact Assessment of Reliance Nutrition Gardens (RNGs) established under Rajmata Jijau Mother & Child Health Nutrition Mission (RJMCHNM) program’ in Maharashtra

Reliance Foundation had provided technical support to Rajmata Jijau Mother & Child Health Nutrition Mission (RJMCHNM) to establish Reliance Nutrition Gardens in almost 12000 Anganwadi Centres across 16 districts of Maharashtra. The purpose of establishing Nutrition Gardens in AWCs was to ensure fresh supply of vegetables and fruits to children, the ultimate objective being to improve access to more nutritious diet and the nutritional outcomes of the children through their mid-day meals. After 4 years of implementation, CMSR Consultants undertook the ‘Impact Assessment Study’ to evaluate the role of these RNGs in improving the nutritional diversity in the midday meal served to the children. In addition, the study also assessed the growth monitoring and tried to compare child monitoring data from treated Anganwadi and control Anganwadi over the project period for the location. The study used mixed method; involving structured interview of anganwadi workers using CAPI techniques and through the qualitative methods (In-depth Interviews with supervisors, Focus group discussions with mothers of children below 6 years and Key Informant Interviews with DPO/CDPO and PHC/CHC).

Sitapur Eye Hospital Survey in UP and Uttarakhand for Deloitte

The survey was conducted with patient and non-patient respondents under 'Sitapur Eye Hospital Study’ in three locations of Uttar Pradesh namely Sitapur (BH), Laharpur (VC) and Naimish (VC) and two locations of Uttarakhand. The basic purpose of conducting the survey among the patients were to find out their level of awareness about eye care needs; their health seeking behaviour around eye care - what factors determine identification of an appropriate service provider (knowledge and beliefs; accessibility; affordability; quality of care etc); awareness and understanding of SEH services and brand perception and perceived feedback on quality of care received at SEH. The survey among the non-patient respondents primarily focussed on knowing how far the respondents were aware about SEH and its services and what would be their preference in case of routine illness episodes.

Study on Prevention and Control of Anemia among Adolescent Girls in Sitamarhi and Vaishali Districts of Bihar

The purpose of the study was to understand the barriers, social norm and behaviour related to nutrition and health among adolescent girls and also to assess their understanding of anemia, its salience and consequences with the objective to generate concrete and actionable ideas that would guide development of intervention program/strategy and implementation plan. The tasks performed by CMSR Consultants included IDI with adolescent girls and their parents, FGDs with adolescent girls, KIIs with front line workers at village level and several officials at the block, district and state level. In addition, there was Observation at household and school level on cooking and consumption practices and norms, hygiene, WASH facilities and behaviours that impact health of adolescent girls as well as Rapid Rural Appraisals (RRA) that included transect walk, daily activity schedule of households and seasonal calendar.

Pre-testing of pictorial health warning for Cigarettes, Bidis and Smokeless Tobacco to test their effectiveness

CMSR Consultants took up this study for Centre for Communication and Change-India to pre-test the pictorial health warnings for tobacco products to test their effectiveness” in conveying the message. The main task involved assessment of two sets of pictorial graphics each containing six types of packages with differences in the text and the picture which conveyed warning about the health hazards due to consumption of tobacco. The study was conducted through one-to-one interviews as well as focus group discussions among the smokers and non-smokers of cigarette and bidi and users and non-users of smokeless tobacco products in the broad age-group of 18-55 years, both in rural and urban areas and among males and females. A study protocol/format was developed in consultation with JHHU and WHO to seek responses of the participants of group.