The meal challenge

Will children be infected the most during the third wave of Covid19 While we may not have conclusive answers to that yet therersquos enough evidence to show how kids especially among vulnerable groups are already paying a heavy price in the pandemic Disrupted livelihoods of workers in the informal sector and indefinite school closures have led to the interruption of nutrition programmes According to the India Child Wellbeing Report released last year by the World Vision India an NGO that works towards helping underprivileged children the pandemic and the resultant lockdowns have put almost 115 million children at the risk of malnutritionThe happiness kit by Akshaya Patra Foundation containing pulses spices peanuts jaggery and biscuitsFilmmakers Chhitra Subramaniam and Surya Balakrishnan have founded an outreach initiative called HOPE through which they are focusing on nutrition for underprivileged children The programme is running in five communities currently ldquoThe volunteers on ground are people who are residents of the bastis whom we have worked with since the beginning of the pandemic last year We know them well and chose to make them stakeholders because no one cares for the kids there as much as they do Moreover no one can run our programme on the ground better than themrdquo says Subramaniam Each child is given two eggs per day and two bananas and milk the following day The programme which is currently in its eighth week is supporting 1500 children with supplementary nutrition ldquoAfter losing their jobs and then their savings in the current round of the lockdown families donrsquot even have money for basic grub forget nutritious food for their childrenrdquo says Balakrishnan Poor living conditions where large families live in tiny tenements in unhygienic surroundings with no scope for social distancing makes them more susceptible to the virus Until now they have reached out to 230 kids in Govandirsquos Shivaji Nagar 205 children in Bhagat Singh Nagar Goregaon 965 in Malwan and 100 more in GoraiAkshaya Patra Foundation a notforprofit organisation headquartered in Bengaluru has designed ldquohappiness kitsrdquo for their beneficiaries With school closures depriving children of education and midday meals the organisation is providing pulses spices peanuts jaggery biscuits and other food items to enhance childrenrsquos nutritional intake above and beyond the allocated grains by the central and state governments Each kit has a nutritional value of 7175 gm of protein and 22175 calories of energy while on a per meal basis each child receives 239 gm of protein and 739 calories of energy The kit also includes soap a toothbrush toothpaste sanitary pads to promote childrenrsquos hygiene Activitybased learning workbooks in regional languages are also included in the kit to ensure that their learning continues in these difficult timesFFoundation for Mother and Child Health FMCH a Mumbaibased organisation is ensuring that communities have information and access to make the right food choice in low resourced settings This is done by providing accurate actionable knowledge and other associated intensive services to families ldquoSince the pandemic it has been difficult to conduct anthropometry a systematic measurement of the physical properties of the human body for children in a safe and socially distanced manner because there is no space in slum areas Therefore itrsquos harder to give exact number of children who are malnourished in the communities but we have noticed that malnourishment cases have gone up The early signs were the drop in diet diversity For example earlier families would have at least five to seven food groups In the pandemic this was reduced by 50 per centrdquo says FMCH CEO Shruthi IyerChhitra Subramaniam and Surya Balakrishnan founders of HopeFMCH is currently working in Kurla and Bhiwandi with pregnant women and children up to two years of age Their projects focus on encouraging preventive health balanced nutrition and child developmental practices during the 1000 days of life A study conducted by the NGO last year showed that 64 per cent families are facing financial complications 40 per cent families stated an emotional shift towards stress and anxiety in the house thereby affecting their mental health and 39 per cent families have food insecurities which has led to major impact on health and nutrition The mostaffected target groups in these communities says Iyer are pregnant mothers who have limited access to health services for their antenatal checkups and hospital delivery ldquoFood choices make a huge difference in these circumstances For instance if you have Rs 20 yoursquoll find so many people choosing to buy a pack of chips But if you buy two eggs or three bananas with the same money you are making a healthier food choice We are guiding them with thatrdquo For the founders of Hope the challenge now is to sustain the programme ldquoWe are seeing a positive change in the children in terms of their health Their weight has increased But for their immunity to be built up to desired levels the programme must run for at least six months if not more We need funding to sustain thisrdquo