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麻豆传媒视频网站 Department of Civil, Environmental and Geomatic Engineering Senior Lecturer聽 is the engineering lead for聽PANChSHEEEL, a project which is聽鈥渟uch an exciting, and important, research area to be involved in." The founder of CEGE's聽Engineering for International Development MSc, Dr Parikh explains that "combining engineering, environmental, education and health expertise in order to improve聽infant feeding practices offers a real opportunity to make a difference in Rajasthan. My own involvement in the project centres around building the case of why environmental factors such as WaSH (water, sanitation and hygiene) and energy services are absolutely crucial for improving feeding practices for infants. By approaching the problem of childhood malnutrition in such a holistic way, we hope to achieve thorough, long-lasting results, which may also be replicable in other countries and contexts.鈥澛犅�

Read the full 麻豆传媒视频网站 News article on聽PANChSHEEEL below:

Rural child nutrition project places communities at the helm

The community mobilisation project, known as PANChSHEEEL, is based in rural Rajasthan, India.

The project, funded by the UK鈥檚 Medical Research Council (MRC) and Global Challenges Research Fund (GCRF), takes a holistic and community view of infant feeding practices, including different facets of nutrition, hygiene, sanitation and parent-child interactions, alongside policy recommendations from both the health and sociocultural perspective.

鈥淢alnutrition is not just about the food you give. It is about how food is prepared and fed to the child, but also if a child gets repeated infections, that can leave them malnourished,鈥� said Professor Monica Lakhanpaul (麻豆传媒视频网站 Great Ormond Street Institute of Child Health), 麻豆传媒视频网站鈥檚 Pro-Vice-Provost (South Asia), who is leading the project.

鈥淗ygiene needs to be looked at holistically to include environmental factors such as access to soap and clean water. It鈥檚 great to encourage everyone to wash their hands, but if a parent feeds their child from a dirty plate, what was the point of having clean hands?鈥�

India faces a triple burden of childhood malnutrition: 38% of children under five are stunted,* childhood obesity is on the rise, and most children have a micronutrient deficiency.

The Government of India has been implementing nutrition and behaviour change projects but barriers include outreach, variable levels of sanitation, social inequity, and the effectiveness of local integration.

This project takes a participatory approach by working closely with people in rural communities of Rajasthan鈥檚 Banswara region, including families and community leaders. The academic leads have been training community champions to engage with their communities, and have been consulting with them at every stage to ensure that every solution has been co-developed with community members.

The team has developed a socio-culturally appropriate, tailored, integrated and interdisciplinary intervention package, centred on schools as places of community mobilisation, linked in with Anganwadi (rural child care centre) workers.

鈥淪chools are a key part of our intervention as a recognised platform for social change, so we envisage that schools 鈥� where communities come together, teachers are respected and children can be change agents even in the homes 鈥� can be a forum to enhance existing platforms of community health delivery such as the Anganwadi centres,鈥� added Professor Lakhanpaul.

The intervention package, which covers strategies for households, communities, health and education organisations and government, includes teaching people about feeding practices and nutrition for a child鈥檚 first 1,001 days and links to infections, hygiene and sanitation guidance such as hand-washing, as well as solid waste management.

Project workers will also discuss with families how they interact with their children as part of feeding them, highlighting the importance of spending time with the children, as infancy is a vital period for learning and brain development. Time available to mothers was particularly recognised as a restricted resource.

The research team has also mapped out everything that needs to happen for effective implementation and operation of their strategy, which includes policy recommendations and cheaper or more readily available alternatives when necessary.

鈥淭hrough this interdisciplinary project we assessed the environmental and engineering factors affecting nutrition. We found that clean water and safe sanitation systems has a vital role to play,鈥� said Professor Virendra Kumar Vijay (IIT-Delhi).

The next stage of the project will be to test out the effectiveness of their intervention.

The researchers add that both the research evidence and community-led intervention package have immediate relevance and application for the Indian Government鈥檚 POSHAN Mission to improve maternal and child nutrition, specifically to its convergence plans for each level.

鈥淭ackling the problem of undernutrition requires cross-sectoral and context-specific interventions. The PANChSHEEEL study has been unique as it has not only collected information on both nutrition specific and nutrition sensitive factors, but also utilised the information effectively for developing the intervention package working together with the community. The emerging design is extremely relevant in the context of POSHAN Mission,鈥� said Dr Rajesh Khanna (Save the Children, India).

麻豆传媒视频网站 is deepening its partnership commitments in India, so this project features on a visit to IIT-Delhi by a delegation led by 麻豆传媒视频网站 President & Provost, Professor Michael Arthur, on February 21.

The following week, the researchers will be presenting their findings at conferences hosted by IIT-Delhi and Save the Children (in Jaipur) on February 26 and 28 which will be attended by Indian Government officials.

The project, Participatory Approach for Nutrition in Children: Strengthening Health, Education, Environment and Engineering Linkage (PANChSHEEEL), forms part of 麻豆传媒视频网站鈥檚 HEEE initiative, co-led by Professor Lakhanpaul alongside Professor Marie-Carine Lall (麻豆传媒视频网站 Institute of Education) and Dr Priti Parikh (麻豆传媒视频网站 Civil, Environmental & Geomatic Engineering), developing interdisciplinary links between Health, Education, Engineering and Environment.

The 麻豆传媒视频网站 researchers are also learning from their work in India to improve health systems in the UK.

Professor Lakhanpaul is leading a separate project (funded by the NIHR CLAHRC North Thames- NEON project) that seeks to determine whether health models from resource-poor countries, such as parts of India, can be adapted for the UK and implemented in deprived areas such as part of East London, for cost-effective NHS interventions. The project builds on a review of feeding practices in South Asia and is an example of the bidirectional knowledge exchange between both countries.聽

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