Completed Project

Concurrent monitoring, validation, and evaluation of activities in Phase 2 of project POSHAN in Rajasthan India

Agency : The Global Alliance for Improved Nutrition (Gain)

Team D K Mangal, Laxman Sharma, Shobana Sivaraman

Malnutrition is a manifestation of poor child growth and development, poor dietary intake, lack of muscle strength, and lack of vitamins and minerals. Malnutrition and poor dietary intake are the leading cause of the increasing global burden of disease. Child and maternal malnutrition contribute to disease burden mainly through increasing the risk of neonatal disorders, nutritional deficiencies, diarrhea diseases, lower respiratory infections, and other common infections.
To combat the mounting issues of malnutrition, the Government of Rajasthan has rolled out community-based management for Acute Malnutrition called POSHAN (Positive and Optimum care of children through a Social Household Approach for Nutrition). It is India's first government-led program to treat severely malnourished children. Under POSHAN, the government of Rajasthan adopts Weight for Height z scores (WHZ) and/or Mid Upper Arm Circumference (MUAC) (<11.5 cm = SAM, >12.5 cm not less than 11.5 cm =MAM) as basic measurements to identify the Moderate Acute Malnutrition (MAM) and Severe Acute Malnutrition (SAM) children under 5 years. It is supported and co-funded by development partners: GAIN, UNICEF, ACF, Tata trusts and follows the global guidelines for implementation. Under POSHAN 2 IIHMR, Jaipur in association with GAIN conducted a concurrent monitoring and validation study at Ajmer, Baran, Udaipur, Rajsamand, and Jaisalmer districts of Rajasthan. The objective of the study was

  • To undertake concurrent monitoring and validation of community-based intervention for management of acute Malnutrition, POSHAN 2 in Rajasthan
  • To evaluate the impact of POSHAN 2.0 on the nutritional status of under-five children of Rajasthan

The study covered 1105 samples between 6 to 59 months and 40 POSHAN centers in five districts of Rajasthan. The data collected was analyzed using the WHO Anthro and SPSS. The findings show that POSHAN 2 was found to be significantly effective in treating SAM children at the community settings in Rajasthan.