CARE India’s experience BCC and Extension for Nutrition Security CARE India’s experience

CARE India Overview

MISSION CARE India helps alleviate poverty and social exclusion by facilitating the empowerment of women and girls from poor and marginalized communities PROGRAM GOAL 50 million women from the most marginalized communities are empowered, live in dignity and their households and communities have secure and resilient lives by the year 2020

Reach & Presence Direct Reach 25 million Indirect Reach 118 million 40 Projects Presence – 12 States covering 90+ Districts Staff – 2000 (on roll and contractual) Four Sectors: Health Livelihood Education Disaster Preparedness and Response FY2016-17

CARE International CARE Fighting global poverty Founded in 1945 Focusing on women and girls Active in more than 85 Countries Global Confederation Of 14 Members Organisations to End Poverty Working In 85 Countries, 890 Poverty Fighting Development And Humanitarian Aid Projects Reach - 65 Million People

Nutrition Programming @ CARE Focus on Dalit and Tribal rural women and their households Key impact groups - Child, pregnant and nursing mothers, adolescent girls, and women of working age Working across states - 8 ongoing/recent initiatives in 6 States (Bihar, Madhya Pradesh, Odisha, Punjab, Rajasthan, West Bengal) Working for over 25 years in India, with Integrated Child Development Services (ICDS) In the last 15 years the support has been to strengthen ICDS systems and capacities in select states and districts Key support during the early years of association included provision of imported food commodities to ICDS and helping to manage the supplementary feeding component of ICDS Working with>1000 collectives (including SHGs) in nutrition space 21-Aug-17

Nutrition Programming @ CARE Key intervention areas: Technical assistance to government flagship programs Building health and nutrition programming capacities among frontline functionaries, young professionals and local NGOs in the country Development of Knowledge Material - Training Modules, Videos, Technical Guidelines etc. A Participatory Learning and Action (PLA) approach to strengthen and mobilize existing women collectives to bring about positive change in their families and communities on Health, Nutrition and WASH Enhancing Behavior Change Communication (BCC) at community level through streamlining of Home-Contacts of frontline health functionaries and introduction of community volunteers Involving Community, Groups, Opinion makers and leaders and Panchayat representatives on a large scale Testing and scaling up models for community involvement in health and nutrition issues Periodic support for district level annual micro planning in NRHM, block and PHC for service delivery Integrating gender and nutrition in agriculture systems 21-Aug-17

BCC and Extension for Nutrition Security

Household Behaviour limiting Nutrition Security - Awareness on Nutrition Awareness of Nutrition Low priority to pulses, legumes and vegetables Non-consumption of certain foods Milk and dairy products rarely consumed

Household Behaviour limiting Nutrition Security - Market as a driver Price sensitivity : Limited/non-availability, Affordability Decreasing profitability changes crop profile. for ex. in minor millets Consumption of non-marketable produce Perishability and storage affecting production and consumption

Household Behaviour limiting Nutrition Security - Intra-HH Decision Making Men as decision makers - Food items, Crops, Varieties, Services, Marketing Limited mobility of women and Resource inequality Perception of ‘Prestige Food’ and ‘Poor Man’s Food’ Knowledge and linkage gaps

Household Behaviour limiting Nutrition Security - Cultural Practices and Norms Women attuned to eating last and least No supplemental diet to pregnant & lactating women Little attention to Food Deficit Amelioration Planning Dietary restrictions for women & adolescent girls

Transforming Household Behaviour for Greater Nutrition Security through Nutrition Education Healthy culinary practices and hygiene & sanitation Nutrition sensitive agriculture through Farmer Field School Awareness on nutritive value of food items

Extension and Collective Action for Greater Nutrition Security Awareness on Government schemes Ensuring core principles of collective action Agri-nutri inputs & services Financial linkage and Internal lending

Nutrition Sensitive Extension for Nutrition Security Provision of products, services, information through well trained agri-entrepreneurs to smallholders A cadre of trained Livelihood Service Providers (LSPs) serving farmers Farmers indent for seeds influences govt. Seed distribution Stress tolerant seeds multiplied by 100+SHGs benefits 5,000+ farmers 14 21-Aug-17 21-Aug-17

BCC for Greater Nutrition Security - Nutrition-Gender Tools

Role of Nutrition Gardens – Layering Nutrition over Agriculture Healthier family Diverse food groups More types & quantity of fruits, greens & vegetables Sale of surplus produce Less dependence on market Greater affordability More equitable distribution of food & nutrition Barter & gift of the surplus produce Year-round production

Role of Empowered SHGs Leadership development Nutrition messaging Capacity building Leadership development Nutrition messaging Equitable food distribution Knowledge sharing Labour saving technologies

Role of Empowered SHGs Food processing Improved storage methods Sale of surplus produce Aggregate marketing Fair Average Quality (FAQ)

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