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PANChSHEEEL: Participatory Approach for Nutrition in Children, Strengthening HEEE Linkage
PANChSHEEEL is an inter-disciplinary MRC (Medical Research Council) funded study, designed to bring together partners from the UK (UCL) and India (SCI, IIT Delhi and JNU) to explore the Health-Education-Engineering-Environment (HEEE) factors that influence Infant and Young Child Feeding (IYCF) practices and nutrition in India. The World Bank identified under-prioritisation of nutrition and health education as a barrier to progress while the 2016-2030 global strategy emphasises the need to integrate multisector enablers that address education, gender, sanitation, water, agriculture and nutrition. India faces a triple burden of childhood malnutrition: 48% (61 million) under-five's are stunted, childhood obesity is on the rise, and most have a micronutrient deficiency. The Government of India has been implementing key nutrition and behaviour change interventions through three cadres of frontline workers but barriers include outreach, variable levels of sanitation, social-inequity and the feasibility and effectiveness of localised integration. The PANChSHEEEL project sought to foster collaboration between its research team, local schools, Anganwadi Workers and communities to develop an integrated system that links HEEE solutions for optimization of ICYF in two villages of Banswara (Ghatol and Kushalgarh). PANChSHEEEL uses schools and Anganwadi centres as new innovation hubs for sustained community engagement, health promotion, and behaviour change. The formative research uncovered detailed information about factors across the Health Education, Engineering and Environment (HEEE) domains and tied them back to IYCF to determine priority areas for intervention from a socio-ecological viewpoint (individual, inter-personal, organizational, community and governmental levels). Following this formative phase, a socio-culturally appropriate, tailored, integrated and interdisciplinary HEEE package aimed at optimising IYCF (6- 24 months) in rural India was developed and the acceptability of the intervention was assessed through engagement and co-design with the community. Thanks go to members of affiliated organisations: Sanjay Sharma, Susrita Roy, Neha Santwani, Satya Prakash Pattanaik, Priyanka Dang, Hemant Chaturvedi, Namrata Agrahari, Ritu Chhabria (team inc Ritu Prakash), Dr Sai Lakshmi (team inc Ms Neeta Karal Nair, Mr Manoharan, Dr Sathya Jegannathan and Ms Benita), Dr. Nerges Mistry (team inc Dr Shilpa Karvande), Dr Nayreen Daruwalla, Dr David Osrin, and Prof. Anita Saxena. Thanks also go to members of the technical advisory board: Mr Anand Karve, Prof. V. M. Chariar, Prof. T. Sundararaman, Dr Ian Warwick, Dr Ramesh Mehta, Prof. Atul Singhal, John Pelton, Professor Sachin Maheswari, Dr Sofia Strummer, and Dr Amita Kashyap. Funding came from the MRC, AHRC, BBSRC, ESRC and NERC (£602,541).
3 Researchers
4 External Collaborators
  • Professor Rajib Dasgupta
    Jawaharlal Nehru University - India
  • Dr Rajesh Khanna
    Save the Children India - India
  • Dr Hanimi Reddy
    Save the Children India - India
  • Professor Virendra Kumar Vijay
    Indian Institute of Technology Delhi - India
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