NOURISH - ANNADA

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Association for nutrition and development action HIGH IMPACT, SCALABLE HEALTH AND NUTRITION PROGRAMS NOURISH TO FLOURISH ® September’20 Confidential - Not for Circulation | 1 A PROFILE

Transcript of NOURISH - ANNADA

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Association for nutrition

and development action

HIGH IMPACT, SCALABLE HEALTH AND NUTRITION PROGRAMS

NOURISH TO FLOURISH®

September’20 Confidential - Not for Circulation | 1

A PROFILE

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Malnutrition - a crisis with grave long-term National impact

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Source: CNNS 2016 – 21 | NFHS 4 2015 -16 | SRS 2016 | The Hindu Business Line | Harvard Study

September’20

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What can change with adequate nutrition?

HEALTH Improved Mother and child health. Reduced morbidity & mortality. Increased immunity to fight life threatening diseases

EDUCATION Adequately nourished children have better cognitive abilities. This means they can be better focused to attain their educational goals

LIVELIHOOD Nourished children grow to become stronger adults who are capable of attaining gainful employment to defeat poverty and contribute to the nation

NATION 45% of Indians are under 25 years of age. We can leverage this strength for economic growth only if we fight malnutrition and eradicate hunger

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Source: SRS Statistical Report 2018

September’20

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We have resolved to end malnutrition & eradicate hunger

ANNADA is a PLANET group section 8 NFP organisation that works to catalyze the SDG goal of Zero Hunger by leveraging innovative food solutions, integrating with communities, fostering collaborations and engaging technologies to deliver high impact, sustainable health & nutrition programs

VISION

MISSION

GOALS

To realize the ‘hunger free’ and nourished India

To impact 1 mn lives by 2025 through safe & sustainable mass feeding solutions

Aligned with WHO global nutrition targets 2025

STUNTING 40% reduction in the number of children under-5 who are stunted

WASTING Reduce and maintain childhood wasting to less than 5%

LOW BIRTH WEIGHT 30% reduction in low birth weight

CHILDHOOD OVERWEIGHT No increase in childhood overweight

ANEMIA 50% reduction of anemia in women of reproductive age

BREASTFEEDING Increase the rate of exclusive breastfeeding in the first 6 months up to at least 50%

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We have achieved 50% average reduction in cases of malnutrition across our projects

1,01,583 beneficiaries

5,91,373 lives impacted

900+ Locations

6 9

States

Districts

11 million+ meals served

1 million+ COVID relief meals

447 TONNES

Fo

od

de

liv

ere

d

1,712

81

14,998

897 Villages 589

92%

8%

AW

C’s

S

cho

ols

Program Locations

68%

32%

Ch

ild

ren

&

Mo

the

rs

Sch

oo

l st

ud

en

ts

Nutrition Project

Beneficiaries

96%

4%

Ru

ral

Urb

an

Beneficiaries

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Some of our initiatives

10,134 meals/day

800 meals/day

1,937 meals/day

4,200 meals/day

1,512 meals/day

1000 meals/day

801 meals/day

300 meals/day

@ 190 AWC’s in ICDS Jawhar, Palghar with JSW

@22 AWCs in ICDS Roha & Govandi with Project RISE, SCIL and KInSS

@376 AWCs in ICDS Panvel, Karjat & Mumbai with UWM

@ 43 Schools in Shahapur with Mukand & MSMPL

@29 AWCs in ICDS Wada Project with SP Group

@25 AWCs @ Bhiwandi in Project KHUSHI with PSSIPL

@26 AWCs in ICDS Manor Project with KMCT

@Children’s Observation Home, Mumbai with JSW

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To ensure adequate nutrition: • Assess nutrition needs & native preferences • Define menu, logistics & implementation plan

for simplified & cost effective execution • Ensure food quality, safety and compliance

from sourcing to last mile

NUTRITION ASSURANCE

To ensure simplified, safe & consistent operation: • Design and deploy SOPs and manuals • Train and empower community based execution

partners with skill-set, mindset and toolset • Deploy Fit to purpose infrastructure enhancements

CAPACITY BUILDING

To maximise and sustain impact: • Educate and rally community to increase

participation • Collaborate with govt, non-govt stakeholders for

program support

COMMUNITY INTEGRATION To measure and stay focussed: • Monitor and verify performance and impact

assessment of program outcomes as per global benchmarks

• Leverage data and insights for program management and continuous improvements

MONITORING & ASSESSMENT

To build trust and advocate: • Align, engage and involve donor partners • Ensure transparent, time bound communication

reporting & review

DONOR ENGAGEMENT

To create holistic impact: • Implement other relevant non-food

activities that compliment health and nutrition

• Collaborate with domain experts to provide implementation support

BEYOND FOOD

ANNADA IMPACT MODEL ®

Our impact model is a comprehensive and adaptable framework to guide the design, development and execution of collaborative evidence-based and outcome-driven health and nutrition programs

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Nutrition Assurance Nutrition requirements of target beneficiary group are assessed basis their health indicators and dietary surveys. A menu is curated from our wide range of energy dense, micronutrient fortified products to adequately fulfill the identified nutrition needs while incorporating a healthy mix of regional and traditional ingredients and recipes. The products are manufactured in FSSAI and ISO 22000:2005 certified facilities under strict hygiene and sanitary conditions with raw materials sourced from FSSAI certified vendors whose facilities are subjected to stringent QA/QC checks. Integrated food safety and assurance protocols include regular product testing and certification by 3rd party NABL lab, traceability recall & inventory reconciliation.

Our unique decentralized model allows us to prepare meals at remote location on site for the beneficiaries while maintaining quality and taste standards. Cook as you need model ensures hot and fresh meals with low wastage or errors. A detailed supply chain plan is drawn to ensure on time in full delivery to the respective last mile locations with the help of community based logistic partners. Trained frontline workers (such as anganwadi workers/helpers, SHG members etc.) prepare the meals as per SOP’s and guidelines and serve them to children every day. Process is supervised by our on-ground team of field counselors from the local community and supported by a central helpdesk. These ready to cook/ use food mixes can also be distributed as Take Home Ration to beneficiary households.

30+ Nutritious products

30% RDA of

micro-nutrients

0 Additives/

preservatives

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Nutrition design for simple and safe implementation across diverse communities, location and scale

Raw materials for our food mixes are sourced from FSSAI certified vendors subjected to our QA/QC checks. The food mixes are prepared in FSSAI certified, ISO 22000:2005 facilities by vendors and partners such as Radhakrishna Food Services Pvt. Ltd.

Central Processing Unit

RTC Food Mix Packet

Food Mix delivered to community kitchen

Meals served to beneficiaries

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Having served over 10 million meals across various nutrition programs, we have demonstrated “Ready to cook food mixes” are the Right Fit Solution for feeding in difficult and distributed situations.

Ready to Cook Food Mixes are Partially cooked, pre-processed, blended food where all ingredients are mixed in predefined ratios to achieve optimal required taste, consistency and nutrition. Easily convertible into Ready To Serve/Eat with less time & efforts by simply adding water & cooking

Simple execution- ABC (any body can cook) • No preservatives | No refrigeration • Easy to transport, use, handle & store • 6 months shelf life | higher yields • Consistent quality with less time & efforts • Low waste | errors | thefts

A range of community relevant food options • Masala Daliya / Bhat • Khichdi in multiple variants • Upma • Poha • Sheera • Dals / Gravy Mixes • Micronutrient Fortified Ladoos

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Menu Plans

NUTRITION ASSURANCE OPTION 1 OPTION 2 OPTION 3 OPTION 4

MENU PLAN NUTRILADOO NUTRILADOO PLUS NUTRISUPER NUTRISUPER PLUS

Ladoos Wheat / Soya /

Ragi Ladoos (40 gms)

Wheat / Soya / Ragi Ladoos

(40 gms)

Spirulina Jaggery Ladoos

(25 gms)

Spirulina Jaggery Ladoos

(25 gms)

Hot Meal Khichdi variants (250 gms)

Total avg. energy (Kcals) ~190 ~383 ~137

Menu plan is customized to ensure variety, taste, seasonality

and nutrition adequacy

Each nutriladoo is formulated to provide approx 190 Kcal energy

and ~3 gms protein

Each Comprehensive meal combination is formulated to provide minimum 330

Kcal energy and 8.8 gms protein

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Khichdi variants (250 gms)

~331

Total avg. proteins (gms) ~3 ~8.8 ~5.1

~10.5

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Fortified with Vitamins, Iron and Calcium

Fortified with Vitamins, Iron and Calcium

+96 trace elements | Rich in minerals, amino acids & anti-oxidants. Boosts immunity |

Improves absorption in gut | Anti inflammatory properties

+96 trace elements | Rich in minerals, amino acids & anti-oxidants. Boosts immunity |

Improves absorption in gut | Anti inflammatory properties

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Capacity Building Our program design is focused on strengthening People, Process and Infrastructure in the beneficiary ecosystem for effective program delivery. Frontline workers usually from within the beneficiary community who are well versed with the challenges on the ground are inducted into the program. They are further trained for last mile delivery of the program activities. Trainings imparted are designed to educate, empower and improve functional efficiency of frontline workers. Based on an interactive adult pedagogy these trainings and skill building sessions cover subjects such as: Malnutrition, Food Safety, WASH, Program operations and nutrition knowledge specific to the target beneficiary group. Simple Checklist based SOP’s and manuals in native language are provided to ensure standardization and consistency in daily operations with support tools such as a native language checklist based operations diary and graphical recipe cards. Fit to purpose facility enhancements are carried out at each location to equip them with adequate equipment and utensils for safe storage and cooking. We also provide a hygiene kit comprising of Aprons, hand gloves, sanitizers and other hygiene supplies. A central call helpdesk is also available to assist frontline workers on various program queries.

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A community driven approach that involves various stakeholders is key to building program efficacy and sustainability. Various activities for increased participation of the community and influence them to take responsibility of mother and child health. We engage with family and immediate care givers to create awareness on health, nutrition and WASH and promote health seeking behaviours. Home visits are conducted to counsel family and immediate caregivers and enable them to provide adequate care and nutrition to the target beneficiary group and encourage them to utilize govt. mandated services and facilities that are available to them. Simple and cost-effective ways to enhance nutritional value of meals with local ingredients at home are shared with the family. At the Community and village level, various socio-cultural events are identified and leveraged for Social & Behaviour Change Communication on key subjects such as prenatal care, complementary feeding, breastfeeding, nutritious recipes from local ingredients and essential nutrition actions. We align with and support various government schemes and initiatives. Govt. collaboration is a key factor in ensuring the program has the necessary support. All program objectives are shared and aligned with the Integrated Child Development Services Scheme (ICDS) team and Women and Child Development department. Gram Panchayat members and community leaders are invited to support in program execution and share program achievements during the Gram Sabha. We collaborate will Anganwadi Workers (AWW), Accredited Social Health Activist (ASHA) and Auxillary Nurse Mid-wife (ANM) to bring about convergence of Health and Nutrition services provided through Women and Child Development Department (ICDS) and Health Department.

Community Integration

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Monitoring & assessment Accurate, timely, systematic data collection and reporting to monitor project implementation and analytics for reconciliation, review and assessments are key to evaluate program outcomes and incorporate course correction for better impact. Child growth is assessed through anthropometric measurements periodically to assess stunting, wasting and underweight cases as per WHO guidelines. Targeted interventions and immediate corrective measures are taken when any serious deviations are identified. This may include increasing the nutrition intake, counselling the family or immediate referral to the Primary Health Centre (PHC) of Nutrition Rehabilitation Centre (NRC) Mother’s health is tracked on the following parameters like early registration of pregnancy, haemoglobin level, ANC/ PNC care, immunization, IFA and Calcium supplementation, institutional delivery, birth weight of baby, child immunization to ensure a safe motherhood and early childhood. Program deliverables are monitored for timely delivery of food materials, meals served, anganwadi centre visits, home visits and awareness sessions as per the schedule of project activities A team of field counsellors from the local community are inducted into the program to execute the activities supervised by project management team.

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Donor engagement Transparency and Trust with donors and collaborators are key pillars to ensure continuous support to our beneficiaries. We ensure that donors are provided with accurate and time bound reports on how their resources have been utilised in line with key parameters and objectives shared at the beginning of the program. Detailed on ground activity and impact reports with beneficiary feedback are shared to provide a clear understanding of program progress and deviations if any along with corrective measures taken. Fund Utilization reports are shared with complete reconciliation of every rupee spent. Partner and Employees of donor organisations are invited to regular field visits to engage with beneficiaries and gain an on-ground understanding of the program activities. Employees are further invited to volunteer on the ground. Partners are engaged with regular communication on new research, white papers and developments in the sector. We believe that driving impact is a collaborative process and welcome inputs and suggestions from our donors / partners. 90% of funds raised are utilized towards direct project costs

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53.51%

4.59% 4.86%

12.65%

4.86%

4.92%

4.7%

9.91%

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Beyond Food Beyond the nutrition based activities of the program, other complimentary activities can further reinforce the impact and support the beneficiary in achieving adequate growth. We identify and collaborate with sectoral experts and other NGO partners to implement these key activities which include water purification, Infrastructure enhancements such as sanitation, classroom furniture and Anganwadi wall paintings. Organizing general health camps and providing toys, books, teaching learning materials and developing Kitchen gardens are also included.

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MOTHER & CHILD

ADOLESCENT GIRLS

SCHOOL CHILDREN

OTHER FEEDING PROGRAMS

DISASTER FOOD RELIEF

Supplementary nutrition delivery program integrated with Community Engagement to improve health and wellbeing of children below 6 years, pregnant & lactating mothers

Nutrition adequacy program with integrated health awareness initiatives to enable holistic growth and development of adolescent girls

Mid-day meal feeding program integrated with social and behaviour change interventions to eradicate classroom hunger and achieve better learning outcomes among school going children

Mass Feeding solution to serve safe, hygienic, adequate and dignified meals to defend vulnerable and underprivileged groups and communities against hunger and starvation

Rapid response feeding solution to ensure availability of safe, hygienic and nutritious meals for deployment during disaster and emergency situations

Our health and nutrition programs

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What our partners say ANNADA’s programs have been very effective in addressing Malnutriiton across various locations where we work. They have a process oriented approach with safety and quality at the core. - Mr. Dharmesh Gohel – Manager HR & CSR – JSW Steel Coated Products Ltd. There is no compromise for food safety at ANNADA. The production unit that manufactures he nutritious products strictly adheres to the norms prescribed by FSSAI and it is also ISO 22000:2005 certified. Food safety is ensured across the value chain. - IIT Bombay, CTARA There has been considerable improvement in the health of children post the launch of the complementary nutrition program in Ghiwanda Beat. Meals are served to the beneficiaries on time and the quality & nutrition of the meals are much better. - Field Supervisor, ICDS Jawhar, Ghiwanda Beat

Our association with ANNADA has helped to address the problem of malnutrition. Children have gained good weight in a period of 4 months. Their model has simplified the process of providing safe, hygienic and nutritious meals. We are keen to continue our association with ANNADA -Mr. Upendra Sontakke, Head CSR, Astarc Group (KMCT) ANNADA’s commitment to addressing the cause of malnutrition is commendable and the team takes a lot of effort to make sure on-ground implementation progresses well. We have partnered with them since the past one year and are satisfied with the model. They are also open to accepting and working on the challenges and learning during implementation and refining programme as we go along - Ms. Zarine Commissariat, Head CSR, Shapoorji Pallonji & Co. Ltd. The Complementary Nutrition program has helped to improve the attendance of children and mothers at the AWCs - AWW/H and Field Supervisor, ICDS Vasai II Project

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Stories of Joy 80 day Journey Two year old Aarti’s status changed from severely underweight to moderately underweight in a period of 80 days since the beginning of our program. She is currently doing well and we relish the opportunity to bring her to a complete state of normalcy Nutritional Adequacy in 5 months At Wada, Hrishikesh was suffering from Moderate Acute Malnutrition (M.A.M) before the beginning of our intervention. In a period of 5 months, he steadily gained almost 2.5 kgs and is now a Normal child. 60% jump in 7 months Arun was severely underweight at 8 months old with a weight of just 4.7 kgs when he was enrolled with our nutrition program in Jawhar. Arun gained an average of 400 gms every month to gain 2.8 kgs. He is now classified as moderately underweight child. We continued to strive to bring him to a state of normalcy Hunger in the times of COVID19 Debashish was a construction worker in Khandwa MP who had lost his livelihood and the possibility of finding 2 meals a day for his family of 5 was becoming an impossible challenge. As part of our COVID19 food relief efforts, his family was able to survive and make it through the lockdown. Our team continues to monitor the situation.

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*Beneficiary names changed for privacy purposes

September’20

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Organization profile

Entity type Section 8 NOT FOR PROFIT Company (Registered Under the Companies Act, 2013)

CIN U74999MH2016NPL287045

Registration No. 287045

Date of incoporation 21st October, 2016

PAN AAOCA8512G

TAN PNEA23669

12AA URN 609/134/2017-18

80G CIT EXEMPTION, PUNE/80G/2018-19/A/10017

GST Not applicable as ANNADA is a Section 8 Not for Profit Company Registered U/s. 12AA

Bank account details Name of A/C Holder Savings Bank A/c No Bank Name IFSC Code

Association for nutrition and development action 0212871726 Kotak Mahindra Bank Ltd KKBK0000675

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There’s more than one way to change the world; and together we can get there faster

LET’S ENSURE #NOONESLEEPSHUNGRY

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WWW.ANNADA.ORG [email protected] | 91672 76514 | 91672 23285 | 91672 10712