Rural Livelihoods Approach and Health and Nutrition

Rural Livelihoods Approach and Health and Nutrition

Overview of the Rural Livelihoods Portfolio Leveraging Institutional platforms of the poor to deliver livelihood outcomes Specific Investments in Financial Inclusion Agriculture and livestock Health and Nutrition Agriculture/Livestock/Non-farm -Nutrition Linkage Monitoring, Learning & Measurement of Results Innovations & Partnerships ( Bihar and Maharashtra Innovation Forum )

Total IDA investments of $ 2.5 billion over the last 15 years. Investments worth $ 10 billion leveraged from other Government Programs and Banks Ongoing Projects State level Projects*: Bihar, Odisha, Madhya Pradesh, Rajasthan, Andhra Pradesh, Telangana and Tamil Nadu Regional Project: DONER (4 North Eastern States) National Project: Across 13 states (Uttar Pradesh, Madhya pradesh, Bihar, Jharkhand, Odisha, Rajasthan, Chattisgarh, Maharashtra, Assam, Gujarat, Karnataka, Tamil Nadu, West Bengal ) Presence across 19 states, nearly 200 districts, 2000 blocks, 100,000 villages and 15 million rural households

Building strong institutions of the poor such as SHGs, their village level and higher level federations essential to enable them to engage with State Markets ( credit markets, commodity markets, service delivery ) Institutions of the poor enable the poor to Access to resources through thrift, rotation of money, catalytic capital Exerting Accountability to improve delivery of public services : Health, Education, Safety nets ( Pensions & MGNREGA) Franchise model to improve access to public services : PDS, Sanitation, health & nutrition services, insurance, marketing of food products Building Producer Organization of the small holders Backward and forward linkages, and access to information, access to credit, technology, markets etc.

Typical sequence of critical activities Setting up autonomous State Missions Systems establishment Establishing District & Block Institution Building & Financial Mobilization, Teams capacity building Inclusion Livelihoods & Entitlement interventions Setting up dedicated societies Recruiting top notch professionals 0 to 12 months Modern HR Systems Recruiting District & block teams Initiating SHG & VO formation Facilitating access Finance & Establishing to credit from Procurement offices and commercial banks Systems equipping them CIF transfer 12 to 18 12 To 18 months months 18 24 months onwards Value chain intervention in Agrl, Livestock Health & Nutrition interventions Access to entitlements ( Food Security, DBT, Pensions 18 24 months onwards

Health and Nutrition

Preventive & Promotive Health Care Curative Care Financing and Service Delivery Human/Social Capital Health activist/asha Community Resource Person (CRP) Case Managers Microfinance Product for NUTRITION Health Risk Fund/ Health Savings Fixed Nutrition & Health Day (NHD) Water & Sanitation Making Services Work for the Poor Accessing PHCs & Area Hospitals Health Insurance Community-owned Pharmacy Nutrition Centers Community-owned Hospitals

Multiple Pathways to Improve Food and Nutrition Security Food and Nutrition Security Enterprise Approach to ensure availability of nutritious food in local stores Nutrition Sensitive Agriculture interventions Women s empowerment through the creation of the institutional Platforms ( SHGs and their federations ) Improving health, nutrition and sanitation behavior practices especially in the 1000 day cycle Community managed initiatives and access to safety nets and entitlements

Agricultural extension activities look at nutrition sensitivity as a key part of design selection of crops, promotion of kitchen gardens Nutrition counselling a key part of the dairy and backyard poultry interventions ( per capita milk, eggs, meat consumption increase) Setting up of nutrition/consumption field schools which enable women experiment with various ways of food preparation and other aspects related with nutrition. Building a brand of local and healthy food products so that a local market is created. Transforming Kirana stores to provide various nutrition relevant and health products at doorstep

Nearly 4,200 community managed health & nutrition centers ( CMHNC) in A.P and 82 similar centres in Bihar have been established reaching out to nearly 300,000 families 2.912 kg is the weight of a newborn in CMHNCs compared to the state average of 2.588. 10 per 1000 live births is the infant mortality rate in NDCCs (49 is the state average) 0.34 per 1000 is the maternal mortality rate in NDCCs (134 is the state average)