WHY FIRST 1000 DAYS?
  • The first 1000 days of a child’s life not only impacts child survival but also physical & cognitive development for their entire life. It also affects the child’s educational ability and life-time economic productivity, forcing them into a vicious cycle of ill-health and poverty.
  • Inadequate growth in height with age (stunting; a form of malnutrition) beyond 2 years of age is irreversible. (UNICEF)
  • Adoption of a few key practices (colostrum feeding, early and exclusive breastfeeding, immunization etc.) can significantly reduce child deaths & malnutrition (UNICEF/LANCET).
  • Lack of effective ways of knowledge dissemination is a major contributor as to why these practices are not followed. Poor literacy levels of ASHAs, lack of monitoring & evaluation of practices followed at community level etc. signify the need for innovative approaches in last mile delivery.
WHAT WE DO?

We believe that bridging the knowledge gaps related to the first 1000 days can improve the health outcomes substantially. We educate mothers & communities on key practices in a participatory approach to bring necessary behavioral change. This is because we strongly believe in the latent will of the mothers to ensure healthy growth of their children.

Key Practices that we promote

  1. Full ANC (Ante Natal Care) for Pregnant Mother
  2. Nutritious Diet for the Pregnant Mother
  3. Institutional delivery & Usage of supporting Government services
  4. Colostrum Feeding within 1 hour of birth & Exclusive Breastfeeding up to 6 months
  5. Complementary Feeding along with Breastfeeding from the 7th month
  6. Kangaroo Mother Care
  7. Complete Immunization of the child
HOW DO WE DO IT?

In each village, we empower a local woman - Swaasthya Saathi (SS), generally an ASHA worker–with a tablet loaded with highly impactful videos. We use the power of ICT (Information and Communications Technology) towards robust monitoring & evaluation, and for effective scaling-up. We sustain the change by building capacities of various community institutions like VHSNC (Village Health Sanitation and Nutrition Committee).

 

Our approach can be understood better through the 4-Step Model below:

Educate:

Disseminate knowledge at doorstep through SS using tablets

Analyze android app reports for robust monitoring & evaluation

 

Organize:

Organize women into Mother's Groups

Facilitate participatory learning and action

 

 

Change:

Change practices using wider community mobilization involving traditional tribal heads and other key influencers

 

 

Sustain:

Sustain the change through community empowerment ensuring transfer of knowledge and practices from one generation to the next

 

IMPACT MEASUREMENT

Baseline vs. Quarterly surveys of knowledge levels & practices of communities will be done to monitor our progress, by comparing the following indicators between intervention & control villages. We aim to bring 30% improvement towards adoption of key practices in 3 years of our intervention.

OUTPUTS:

  1. Reach: Number of villages & the population impacted
  2. Number of Swaasthya Saathis trained
  3. Number of Pregnant women & Lactating mothers educated about the key practices in the first 1000 days
  4. Number of (other) women educated about the key practices in the first 1000 days
  5. Number of men educated about the key practices in the first 1000 days
  6. Number of hours of learning (all categories of women & men)  that has been facilitated

OUTCOMES:

  1. Effective Knowledge reach
    1. % of Pregnant women & Lactating mothers who scored >90% during evaluation
    2. % of (other) women who scored >90% during evaluation
    3. % of men who scored >90% during evaluation
  2. Changes in key practices
    1. Pregnant women who received full Antenatal care (%)
    2. Pregnant women who consumed IFA tablets for ≥100 days (%)
    3. Institutional Deliveries (%)
    4. Newborn fed with Colostrum within 1 hour of birth (%)
    5. Infants exclusively breastfed for the first 6 months (%)
    6. Infants who received complementary feeding from 7th month onwards (%)
    7. Children who received Kangaroo Mother Care (%)
    8. Children who were fully immunized (%)
  3. Long Term Goals:
    1. % decrease in neonatal mortality rate
    2. % decrease in IMR
    3. % decrease in mortality in the first 1000 days
    4. % decrease in U5MR