Mangesh Ramesh Medha and his family live in Tadachi Machi, a small tribal village in Jawhar taluka, Palghar district, with a population of 203. Their primary occupations are agriculture and labor. Mangesh’s daughter, Sakshi (name changed), was born weighing 2.5 kg. Due to the family’s financial struggles, Sakshi’s parents had to migrate for work, leading to inadequate breastfeeding and poor care, resulting in Sakshi’s malnutrition.

When the Navajivan project by Action Against Hunger Foundation began in Jawhar taluka, an initial screening between 6-59 months in Tadachi Machi, revealed Sakshi weighed 9.2 kg and was classified as moderately malnourished (MAM), with a height of 84 cm.

Anganwadi Tai and community organizer Jagdish Patil visited Sakshi’s family, where they explained the causes and consequences of malnutrition. They also educated Sakshi’s parents on proper home food, hygiene, and the importance of Take Home Ration (THR). Sakshi’s eating habits were monitored, and her parents were advised to replace processed snacks with fresh home-cooked meals.

Monthly visits included counseling, cooking demos, and handwashing education. A health check-up camp for MAM/SAM children was organized, where Sakshi received a pediatric consultation and treatment. Sakshi’s mother was trained in using MUAC tape, and she was encouraged to send Sakshi to the Anganwadi daily.

Due to financial constraints, Sakshi’s family could not afford fresh vegetables, but Action Against Hunger provided gardening training. They planted seeds, and the family began using homegrown vegetables in their diet, improving Sakshi’s nutrition.

As a result of these interventions, Sakshi’s weight increased to 10 kg, and her height was 86 cm. She moved out of the MAM category into the normal range. Sakshi’s parents were overjoyed, and they expressed their gratitude to the Action Against Hunger Foundation.

When Mehrun Sheikh (name changed) was enrolled in Action Against Hunger’s program, she weighed just 5.2 kg—classified as a child with Moderate Acute Malnutrition (MAM). Her family struggled to provide a balanced diet, unaware of the importance of diverse food groups and proper hygiene practices.

Through continuous counseling sessions by the team, her mother learned about nutritious food choices, the significance of WASH (Water, Sanitation, and Hygiene) practices. She also received guidance on reducing fast food consumption, ensuring Mehrun’s diet supported her recovery.

With dedicated intervention and her family’s commitment, Mehrun gradually regained her health and now weighs 6.5 kg. Today, she is healthier, more active, and on the path to a nourished future—one meal at a time.

The Makwana family, originally from Saurashtra, now resides in a rented house in Moraiya village, Sanand Block, Gujarat. Their experience of welcoming preterm twins in the seventh month of pregnancy was fraught with fear, particularly due to the loss of their first baby before birth. Upon the birth of the twins, concerns were amplified as both babies were born with low birth weights, with Raj (name changed) weighing 1.6 kg and Rahul (name changed) 1.4 kg. The twins were placed under doctors’ observation for 14 days following their birth.

Initial Registration and Early Support:

Community Mobilizer (CM) Nita Makwana registered the family in the maternal health program during the mother’s pregnancy. Nita made regular visits to provide essential counselling. Upon hearing about the twins’ birth, Nita immediately visited the family to offer support. She introduced Kangaroo Mother Care (KMC) and cross-cradle feeding techniques to the family, guiding them through the process for both twins’ recovery.

KMC Intervention and Weight Tracking:

Nita provided the family with KMC bags and educated them on how to implement KMC, a technique involving skin-to-skin contact that is particularly beneficial for preterm and low-birth-weight babies. The family, including the grandparents, worked together to ensure that the twins were receiving regular KMC sessions. However, the family’s challenge was balancing KMC with their financial responsibilities, as both grandparents and the father were employed as daily labourers in the GIDC (Gujarat Industrial Development Corporation).

Challenges and Guidance

As time passed, Raj’s weight steadily increased, but Rahul’s weight showed only slight improvements, raising concerns. Recognizing the need for consistent care, Akshay Kamble, Assistant Manager for Training and Capacity Building at Action Against Hunger, provided telephonic counselling to the family, stressing the importance of regular KMC. This intervention led to further home visits from Nita and the Advocacy Officer, who provided on-site guidance.

Impact :

Over the course of four months, CM Nita Makwana ensured that the family received continuous guidance, monitoring the twins’ progress and maintaining KMC sessions. Despite the family’s demanding schedule, their commitment to the twins’ care led to a significant improvement in both babies’ health. The weight of the baby during KMC bag usage was recorded as 1.8 kg and 1.7 kg, respectively, and increased to 4.9 kg and 3.3 kg when the KMC bag was taken back.