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

2. CARE India Overview

3. 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

4. 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 FY

5. 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

6. 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

7. 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

8. BCC and Extension for Nutrition Security

9. 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

10. 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

11. 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

12. 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

13. 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

14. 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

15. 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

16. BCC for Greater Nutrition Security - Nutrition-Gender Tools

17. 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

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

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

20. Thank You