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.

•Mobilization, capacity building

Setting up

dedicated

societies

Recruiting

top notch

professionals

Value chain

intervention

in Agrl,

Livestock

Access to

entitlements (

Food Security, DBT,

Pensions

Initiating SHG & VO

formation

Facilitating access

to credit from

commercial banks

12 To 18

months

Establishing

offices and

equipping

them

Recruiting

District &

block teams

Modern HR

Systems

Finance &

Procurement

Systems

Setting up autonomous State Missions

Systems establishment

Establishing District & Block

Teams

Institution Building &

Financial Inclusion

Livelihoods & Entitlement

interventions

Typical sequence of critical activities

0 to 12

months 12 to 18

months 18 – 24

months

onwards

CIF transfer

18 – 24

months

onwards

Health &

Nutrition

interventions

Health and Nutrition

Preventive & Promotive Health Care

Curative CareFinancing and Service

Delivery

Human/Social Capital• Health activist/ASHA• Community Resource

Person (CRP)

Fixed Nutrition & Health Day(NHD)

Water & Sanitation

Nutrition Centers

Case Managers

Making Services Work for the Poor – Accessing PHCs & Area Hospitals

Community-owned Pharmacy

Microfinance Product for NUTRITION

Health Risk Fund/ Health Savings

Health Insurance

Community-owned Hospitals

Food and Nutrition Security

Multiple Pathways to Improve Food and Nutrition Security

Enterprise Approach to ensure availability of

nutritious food in local stores

Nutrition Sensitive Agriculture interventions

Improving health, nutrition and sanitation

behavior practices especially in the 1000 day

cycle

Community managed initiatives and access to

safety nets and entitlements

Women’s empowerment through the creation of the

institutional Platforms ( SHGs and their federations )

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)