Rural Health and Hygiene- The Key to India’s Resilient Future

The reality in rural India is often a harsh cycle of illness and undernutrition. People must walk long distances for water, only to find the source contaminated. Children who do not get safe water and proper hygiene are at higher risk of malnutrition, which weakens their immunity and makes them more vulnerable to disease. This constant struggle is fueled by a lack of basic hygiene awareness in the community.

At Action Against Hunger India, we saw this challenge not just as a health crisis, but as an opportunity for profound, sustainable change. Our focus is the powerful synergy of Water, Sanitation, and Hygiene (WASH), the key to building resilient communities and transforming daily struggles into a future of health, nutrition, and hope.

The Unseen Battle: Challenges in Rural India

Access to clean water and proper sanitation remains a daily struggle for many rural communities. In several villages, basic hygiene practices are compromised by limited infrastructure, scarce water sources, and inadequate sanitation facilities. For many, even the simple act of washing hands with soap is not easily accessible.

These challenges extend far beyond health, they affect school attendance, especially for young children, and limit opportunities for growth and development. Poor sanitation contributes to preventable diseases, while the lack of awareness around hygiene perpetuates a cycle of vulnerability. For families already facing socio-economic hardships, this unseen battle for cleanliness and dignity becomes an everyday reality.

Turning Challenges into Change

To break this cycle, Action Against Hunger focuses on practical, community-driven solutions that combine infrastructure with education:

Wello Water Wheels for Daily Convenience: In villages like Jawhar and Dharni, the Wello Water Wheel makes water collection easier and less tiring for women and girls. It reduces travel distances, saves time, and promotes fair sharing of household responsibilities.

Toilets in Anganwadi Centres: Sanitation facilities are built and improved to provide children and caregivers a clean, safe space that promotes health and dignity.

Tippy-Taps for Hygiene: Foot-operated handwashing stations are installed in schools and homes, making handwashing easy and fun while teaching children habits that improve health for the whole family.

Hygiene Awareness: Interactive sessions and demonstrations educate communities on handwashing, safe water handling, and other hygiene practices to prevent illness year-round.

Community Ownership: Local water committees are trained to manage and maintain these facilities, ensuring long-term sustainability and lasting positive change.

The undeniable link between health, water, and hygiene is clear. Let’s work to ensure that every village, no matter how remote, is empowered with the tools and awareness needed to own their health.

Project Ankur: A Step Towards Better Child and Maternal Nutrition

Action Against Hunger Foundation has launched Project Ankur in Andheri, marking a renewed commitment to improving maternal and child health outcomes in urban communities. The project focuses on the community-based management of acute malnutrition (CMAM) in children under five years of age through a comprehensive, multi-sectoral approach that also addresses maternal health, adolescent nutrition, and system strengthening.

Early Detection and Management of Malnutrition

At the core of Project Ankur is a strong emphasis on early identification and management of malnutrition. The strategy aims to strengthen community-based screening processes for timely detection of undernourished children.

Children identified with Severe Acute Malnutrition (SAM) are referred to Nutrition Rehabilitation Centers (NRCs) for further diagnosis and initiation of therapeutic food. Those diagnosed with Moderate Acute Malnutrition (MAM) receive continuous support through home-based counselling focused on dietary improvement and health monitoring.

Regular home visits are conducted as per organizational protocols to assess each child’s progress and to provide counselling on Infant and Young Child Feeding (IYCF) practices, Water, Sanitation, and Hygiene (WASH), and child-care. Every child remains in the program until full recovery or until exit criteria are met, ensuring long-term, sustainable health outcomes.

Focus on the First 1000 Days of Life

The first 1000 days — from pregnancy to a child’s second birthday — represent a critical window for a child’s growth and development. Project Ankur adopts a comprehensive and multisectoral approach to support pregnant women and mothers with children under two years.

Women are registered in the program and receive individual counselling, follow-up visits, and need-based referrals to health facilities. The project promotes:

  • Increased antenatal check-ups and adherence to Iron and Folic Acid (IFA) and calcium supplementation.
  • Early identification and referral of high-risk pregnancies.
  • Institutional deliveries and promotion of Kangaroo Mother Care (KMC) at both facility and community levels.
  • Strengthening Infant and Young Child Nutrition (IYCN) practices.

By ensuring the right nutrition and care during this period, the project seeks to lay a strong foundation for a child’s physical, cognitive, and emotional development.

Targeted Interventions to Reduce Anemia Among Adolescents

Recognizing the role of adolescent health in breaking the intergenerational cycle of malnutrition, Project Ankur also targets adolescent girls and boys in schools and communities. The initiative focuses on anemia screening, nutrition education, and IFA supplementation to promote better health outcomes.

Through partnerships with government departments, the project supports the regular organization of T3 (Test, Treat, Talk) camps and strengthens the supply chain of IFA tablets, ensuring that adolescents have access to essential micronutrients and preventive care.

System Strengthening for Improved Health and Nutrition Delivery

A key component of Project Ankur is system strengthening and capacity building. The project collaborates with ICDS and Municipal Corporation of Greater Mumbai (MCGM) to enhance the delivery of nutrition and health services.

Frontline workers (FLWs) receive training and handholding support to build technical knowledge, improve community engagement, and strengthen service quality. Joint review meetings, community-based events, and celebration of key health and nutrition days foster stronger convergence and reinforce collective accountability for improved outcomes.

Contributing to the Sustainable Development Goals

Through Project Ankur, Action Against Hunger aims to contribute meaningfully to SDG 2 – Zero Hunger and SDG 3 – Good Health and Well-being by addressing malnutrition at its roots — from adolescence to early childhood.

By empowering communities, strengthening systems, and promoting preventive healthcare, Project Ankur stands as a step forward in ensuring that every child not only survives but thrives.

JOIN THE FIGHT AGAINST HUNGER