July 2018 - Tata Trusts Horizons
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July 2018 TaTa TrusTs Horizons 3 from the chairman B eginnings are always full of possibilities. They offer promise, expectation and hope that the journey flagged off will lead smoothly to the destination decided, and perhaps also to places discovered along the way. So it is with this maiden issue of Horizons, a magazine crafted to recount the story of the Tata Trusts and the work they do to enrich the lives of millions of Indians across the land. People are at the heart of this story, which is also about an extraordinary vision of philanthropy. The Tata Trusts personify a philosophy of business where every member of society is a stakeholder. The year 2018 marks the sesquicentennial of the Tata group, with the first of the Tata enterprises being established in 1868 by Jamsetji Tata. The first of the Tata Trusts — the JN Tata Endowment for the Higher Education of Indians — was set up in 1892, also by Jamsetji Tata. The idea and the ideals connecting the two events symbolise what being of service to the wider community meant for our Founder. The legacy of Jamsetji Tata and those who followed in his path continues to illuminate and inspire the evolving Tata Trusts of today as we strive to make a more substantial difference in the communities we serve. Over the past few years, the Trusts have changed more substantially than at any time in their history. We are now truly a cohesive institution, a collective that is concentrated on deepening the impact of its numerous programmes and projects. Horizons will, I hope, provide a comprehensive and nuanced understanding of the modern-day Tata Trusts to audiences in India and around the world. My best wishes to the team behind the magazine for all their efforts. Ratan N Tata
CONTENTs Vol 1 | IssUe 1 | JUly 2018 neWs CoVer storY Centre stage interVieW 07 32 CanCer Care a perfeCt Centres in assam partnership Also in the roundup: Chief Minister Devendra breakthrough with MRI Fadnavis on the collaboration scanner; push for data-driven between the Maharashtra governance; football centre in government and the Trusts Mizoram; tie-up with Tel Aviv 18 University; and more food first Making sure that India’s underprivileged children eat healthy — that is the objective 10 that drives the nutrition initiative Cash in the Crop The lakhpati Kisan project is transforming the lives of more than 100,000 tribal farming households in 800 villages editor editorial team editorial editorial adVisors Christabelle Noronha Philip Chacko Coordinators Debasis Ray Email: cnoronha@tatatrusts.org Gayatri Kamath Kainaz Mistry Laxman Sivasubramanian Shubha Madhukar Sonia Divyang
feature stories interVieW interVieW speCtrum 54 ‘time to redefine 62 generositY’ Children are Amit Chandra, managing the ConCern director of Bain Capital, talks Madhu Pandit Dasa from the about his philanthropy and the Akshaya Patra Foundation 40 importance of partnerships in the social sector on the midday meal project 73 liquid magiC that feeds 1.7 milllion children a Culture of How the satyamev Jayate across India philanthropY Water Cup became a people’s Jamsetji Tata and his legacy of movement, plus an interview shoWCase compassion continues to define with superstar Aamir Khan in-depth the multi-themed and impactful efforts of the Tata Trusts 49 old is not gold The 60-plus portion of India’s population is growing fast, but are we ready to cope? 38 Card plaY The Points for People initiative makes it possible for individuals to support social causes 58 leaVes of life Images from villages in Uttarakhand where the 68 teCh is on top Himmothan Pariyojana runs a range of uplift programmes Technology is the game changer in setting standards on governance and healthcare designed bY design ContaCt disClaimer The Information Company Shilpa Naresh Tata Trusts All matter in Tata Trusts Abraham K John World Trade Centre 1 Horizons is copyrighted. 26th Floor, Cuffe Parade Material published in it printed at Mumbai 400 005 can be reproduced with Sahaya Print Services India permission. To know more, please email the editor at horizons@tatatrusts.org.
6 EDITORIAL Editorial J amsetji Tata stands tall among Indian entrepreneurs for his vision, his pioneering businesses and his idea of an industrial India. As important as any of these contributions — perhaps more so — was Jamsetji’s philanthropy and the compassion that guided it. The JN Tata Endowment, established by the Founder of the Tata group in 1892, was the first of many trusts seeded by members of the Tata family. It marked the beginning of an extraordinary journey for what Christabelle Noronha is now collectively known as the Tata Trusts. Transformed over the recent past, the Trusts have evolved to go well beyond being a giver of grants. It has become an important and proactive participant in the common endeavour to confront and overcome India’s most fundamental social development challenges. The Tata Trusts of today are concentrated on making a difference where it counts the most — on the ground and with a larger spread of beneficiaries than ever before. Purpose drives operations at the remodeled Trusts, technology enables scale and innovation facilitates impact. What remains intact is the Tata Trusts’ mission: to enhance the quality of life of millions of poor and marginalised Indians. There are numerous stories woven into the fabric of this mission — of individuals and communities, homes and hamlets, fortitude and euphoria, success and failure. Horizons is an effort, dear reader, to bring those stories — some interesting, some fascinating — to you. Horizons is also an effort to open a window to the world of the Tata Trusts and the remarkable work that they undertake across the length and breadth of India. This inaugural issue of the magazine provides a flavour of our intent — to document the change unfolding in the country, particularly in its remote regions, and to bring into light the human element at the heart of it all. Cheers! We hope you will help us make Horizons better with your valuable feedback. Please do write to us at horizons@tatatrusts.org.
news 7 News 19 cancer care centres to come up in Assam appointment systems are followed. The cancer care foundation T he Assam government and the Tata Trusts have launched the Assam Cancer Care Foundation to will implement government programmes for awareness, screening, early detection and set up 19 cancer care facilities in palliative care. This will be critical the state. The cancer network will in ensuring that patients come become operational in April 2019. to ensure that patients do not have forward for treatment. Of the 19 facilities, 12 will be to travel far for affordable and The Trusts are talking to the comprehensive cancer care centres high-quality cancer treatment. governments of Andhra Pradesh, set up on the premises of The cancer care facilities will Odisha and Telangana to establish government medical colleges in be connected by a ‘digital nerve similar networks in these states. the state and 5 will be adjacent to centre’, which will help guide About 100 such centres are district hospitals. patients so that appropriate expected to come up over the next The network has been designed referral mechanisms and three years. n A magnetic breakthrough T he Tata Trusts’ Foundation for Innovation and Social Entrepreneurship (FISE) has developed a portable magnetic resonance imaging (MRI) scanner, a first for the country. The whole-body scanner will help make MRI scans power and can be mounted on a The first system has been affordable and accessible, and it truck for easy transport. installed at the Bengaluru- is much faster than similar The machine was built inside based Sri Sathya Sai Institute of machines in the market. 24 months by engineers at Higher Medical Sciences, the The scanner is compact, Voxelgrids, incubated by FISE to clinical partner in the lightweight, consumes far less promote social innovations. development. n
8 news Ola’s ‘My Ride. My Cause’ commits to social causes O la, India’s leading ride-share company, has launched the ‘My Ride. My As a part of this initiative, Ola customers will have the option to contribute one rupee Cause.’ initiative on its mobile per ride, money that will go app platform to crowdsource towards improving cancer care Fresh push for funds for cancer care. in the country. data-driven Ola has rolled out this There is a huge burden of unique, national-level initiative cancer in India. The lack of governance through a partnership with the infrastructure, human resources Tata Trusts’ Alamelu and prevention programmes F ollowing Pune, Jamshedpur and Surat, five more Indian cities — Ahmedabad, Bhopal, Charitable Foundation. Ola’s mobile app connects users in more than 110 Indian aggravates the situation. The contributions raised by Ola customers will help make Bhubaneswar, Chennai and cities with some 1 million cancer care affordable and Vijayawada — have joined the driver-partners across cabs, available in rural and remote ‘City Data for India’ initiative, auto-rickshaws and taxis. areas of India. n launched by the Tata Trusts in 2016 in association with PricewaterhouseCoopers, India, and Tel Aviv University to deliver the World Council on City Data. The initiative will contribute Israeli innovation in farming in improving urban planning, infrastructure investment and day-to-day operations management by empowering city leaders, T el Aviv University and the Tata Trusts are launching the Indian Centre for Agri & Allied decision-makers and citizens to Tech to bring Israeli know-how make data-informed decisions. and innovation to farmers in The objective is to create a Andhra Pradesh. culture of data-driven decision- The initiative, supported by making in order to foster better the state government, will include accountability, transparency and an advanced research centre. The governance, and to engage citizens programme will be extended across in their city’s well-being. India down the line. The value of city-centric data is The programme has five main conditions. A network of especially important in India, components. Corporations and satellite farms will conduct where the urban population is research institutes in Israel will additional experiments. Farmers projected to grow from 410 adapt existing technologies and will test the technologies in their million in 2014 to 800 million by develop new solutions for Indian own fields. Business models will 2050, placing enormous demands agriculture. The R&D hub will test be developed to support the on cities and governments. n the solutions under local project. n
July 2018 TaTa TrusTs Horizons 9 Football gets a kick-start in Mizoram T he Tata Trusts have launched a state-of-the-art Centre of Excellence for Football in Aizawl, Mizoram, to provide world-class training to young footballers from Northeast India. The first batch of 25 student athletes, aged 12-14 years, has been handpicked following a meticulous scouting exercise conducted across the states of Mizoram, Manipur, Nagaland, Meghalaya and Assam. The Centre offers quality coaching, infrastructure, education, residential facilities, and a sustainable progression structure ‘Baby league’ in Meghalaya through training and competitive participation. The Centre has a training ground, top-notch recovery T he Tata Trusts have joined hands with the Meghalaya Football Association and the a boon for budding football talent in the state. MBL aims to give children equipment and a fully equipped All India Football Federation to regular exposure to competitive physiotherapy room. launch the Meghalaya Baby football over a period of six The Tata Trusts have League (MBL). months in order to develop their collaborated with the Mizoram The league comprises 12 game, instill confidence and government, the Mizoram Football teams of children in the 4-13 eventually create a base of Association and others to get the age group and is expected to be trained football players. n Centre up and running. The Centre is one component of ‘the Tata Trusts-Sarva Shiksha India’s first police museum Abhiyan grassroots football development programme’, which aims to identify children with an interest in football and provide T he Office of the Commissioner of Police, Mumbai, the Mumbai Police of the newly registered Mumbai Police Foundation is to restore artefacts and equipment of them with a platform to develop Foundation and the Tata Trusts historical value. their talent. have come together to conserve Mumbai city’s police force The Trusts and their partners and archive historic police came into being in 1864. The have set up 60 grassroots academies records, and to plan for the first archive and museum project will across six districts of Mizoram for police museum in India. help build awareness about the kids in the 6-14 age group. n One of the main objectives rich history of the force. n
10 cover story Cash in the crop the Lakhpati Kisan project is transforming the lives of over 100,000 tribal farming households in four Indian states — and it has the potential to deliver more K antibhai Makwana could barely make ends meet with what he earned by farming his field in Ratanpur village of Gujarat’s Sabarkantha district. Three years down the line, his income from agriculture has jumped from `25,000 per annum to about `175,000. The money has been meaty enough for him to do up his home — with a pipeline to boot, he says — buy a motorbike and start a flour-mill business. Sushila Khanda, who lives in Gaduan village in the mineral-rich Keonjhar district of Odisha, was a subsistence farmer till three years back. A member of the Gond tribal community, she managed to pull in `73,000 last year, modest in comparison with Mr Makwana but good enough to complete the plastering work of her house, send her son to a better school and spend on clothes and trinkets.
July 2018 TaTa TrusTs Horizons 11 A tribal woman and her son with the family’s chilly crop in Dahod district of Gujarat
12 cover story Separated by some 1,800km Towards and differences in language and culture, Mr Makwana and a better life, little Ms Khanda have never met and are unlikely to. They are, nevertheless, part of a single extended family, one that has under its canopy more than 100,000 households in 800 underserved villages spread across by little the states of Jharkhand, The lakhpati Kisan Maharashtra, Gujarat and Odisha. programme is aimed This is the family that populates Mission 2020 — Lakhpati Kisan: at equipping tribal Smart Villages, one of the most households in four ambitious and challenging projects states with the means supported by the Tata Trusts. and the knowledge to improve their The upside and after agricultural and allied Lakhpati Kisan, loosely translated as ‘`100,000 farmer’, is designed to lift practices, and thereby those who have been incorporated pull them irreversibly into the programme irreversibly out of poverty out of poverty. Operational since April 2015, it has a spectrum of schemes and principles to realise activities, bit by incremental bit. with high-value vegetables. It means the objective, all of them aligned to It’s a complicated task, made more improving irrigation access — drip agriculture-centred livelihoods. The difficult by the project’s stringent irrigation is a crucial feature of the households are mainly from tribal 2020 deadline for completion. project — and water usage efficiency. regions and the building blocks are Lakhpati Kisan is a welcome Also on the menu are year-round women’s self-help groups (SHGs). balm amidst the melancholy that farming, developing linkages to The aggregation of SHGs into envelops Indian agriculture, a markets, aggregation of produce to village organisations and, further pursuit rendered perilous for many fetch the right price and backing on, into federations enables the by forces natural and induced. tribal entrepreneurs. project to gather strength in scale With its focus on tribal farmers and nurture the women-led and their fundamental problems, More than farming institutions spearheading their own the programme aims to lift some of Alongside high-value agriculture, development. The manner of the this gloom and, it is hoped, provide participating households have been project’s execution pours attention a template that can be employed by encouraged to take up at least one on making the communities in its governments and their agencies to allied livelihood activity — such care resilient and cohesive, self- similar effect on a wider canvas. as animal husbandry, apiculture, reliant and self-sustaining. Lakhpati Kisan supplements lac cultivation, fisheries and The goal is to get `120,000 and often times supplants the ways horticulture — to hedge risks as into the hands of each of traditional farming. That means well as accelerate income growth. participating household every year adding on to conventional crops The focus has been on technology through farming and allied such as maize, wheat and paddy and innovations, among them
July 2018 TaTa TrusTs Horizons 13 To enable 101,000 tribal households to earn at least The goal: `120,000 a year Geographic 800 villages in the states of Odisha, Jharkhand, spread: Gujarat and Maharashtra From 2015 to 2020, by when the initiative is Project period: expected to be sustainable The catalysts: Tribal women, trained and supported, form the core of the programme Institutional 5,300+ self-help groups, 340 village organisations, setup: 19 federations and farmer-producer organisations The methods: High-value crops, year-round farming, improved irrigation, access to markets, aggregation of produce, animal husbandry, etc X factor: Use of top-end technology for farming, water and sanitation, energy, education and health, and digital literacy polyhouse nurseries, trellis farming Collectives for Integrated raising the income of these farmers and solar-based lifting devices. Livelihood Initiatives, an associate by three to four times. We had to Initiatives for all-round organisation of the Tata Trusts with think outside the box on all aspects, improvements in the quality of life more than a decade of experience, including technology, irrigation, of tribal communities — with became the natural vehicle to seed getting other stakeholders on board, projects in education, water and the project and drive it forward. and building capacities and sanitation, nutrition, digital Nonprofits, many of them already institutions. We had to take literacy, sports and life-skills working with the Trusts, were ownership and risks and that’s what development — have been brought in to help with we have done.” integrated in community clusters. implementation. Once off the Lakhpati Kisan emerged ground, the programme also Miles to go following a study done in 2013-14 connected with government bodies With three years of the programmes to understand the dynamics of and schemes to intensify the impact completed, not everything has gone farming by small landholders in of its various endeavours. according to plans and expectations. India, the bottlenecks they have to What Lakhpati Kisan is trying “We have covered in excess of deal with and their successes. Vital to accomplish is distinctive, and 100,000 households in Lakhpati in this context was the need to that poses challenges by the dozen. Kisan and the idea was to get at least spark the community’s aspirations “We realised we couldn’t do the 50% of them to an income level of and enterprise, to bring together its regular stuff and expect to succeed,” at least `120,000 a year by now,” talents and efforts to ensure the says Ganesh Neelam, who heads the says Mr Neelam. “Our current permanence of change. initiative. “We were looking at achievement stands at 20%, so we
14 cover story are behind the target. It has taken longer than we expected to build capacities in the community and to get people to try out new things.” Mr Neelam is confident that progress from here on will be faster. “This is our fourth year and I’m sure that by the end of it we will have about 70% of our farming families with an income of `100,000 and more. The community institutions, the technology and the training are broadly in place today and we are working on the market linkages part. When we kicked off we had certain hypotheses; those have evolved and we have adapted.” Mindset change Hidden from view is the psychology of villagers making the leap from traditional agriculture to high-value crops. The majority of these folks were not full-time farmers to begin with and it has taken a while to bring them up to speed. “It requires substantial energy to understand the mindset of the villagers,” explains Mr Neelam. “We spend six to eight months interacting with the community before we get started and there are a lot of challenges in convincing them about the multiple facets of the initiative.” There have been variations in outcomes in the four states covered by Lakhpati Kisan. The positive here is the cross-pollination of ideas and the sharing of knowledge from every success and failure. “Gujarat stands out because the institutions there are strong; the people there had an early The tribal community in Tomka, a village in Jajapur district of Odisha, has benefitted in start and they are proactive,” says good measure thanks to Lakhpati Kisan Mr Neelam. “In Odisha and Jharkhand the adoption of new
July 2018 TaTa TrusTs Horizons 15 “We were looking at raising the income of these farmers by three to four times. We had to think outside the box... We had to take ownership and risks and that’s what we have done.” Ganesh Neelam, zonal manager, north and central india, Tata Trusts technologies has been fast. In of the project in Odisha. “In the connected to the market. “Drip Maharashtra, village institutions tribal regions we work in, it is irrigation is not about saving water have come to the fore. It’s basically mostly subsistence agriculture, as much as it is about saving on about learning from one another mono crop and rain-fed,” he says. labour,” says Mr Dutta. “And it’s and going up the ladder.” “The villagers are not habituated to not about isolated irrigation Having the state governments the commercial growing of crops, structures; you have to saturate the on its side is critical for the which requires a superior degree of villages with irrigation access.” programme and this, too, is a skill and experience. We had to demanding job. “You have to stay create the momentum and the Community care engaged,” says Mr Neelam. “What mahol [atmosphere] to attract them.” Virendra Vaghani, Mr Dutta’s we have learned is that we need to There were other issues as well counterpart in Gujarat, says the Tata be close to the official machinery at in Odisha: shortage of labour, Trusts confronted a different set the district level; they are the ones inadequate access to irrigation, lack of challenges in the state. “Initially calling the shots.” of market linkages and it was about convincing our field The reality on the ground is communities that found it difficult partners on the feasibility of the what occupies the attention of to get mobilised. What did work initiative. Then came setting up the Santanu Dutta, the man in charge was drip irrigation and getting SHGs, the primary institutions in A village organisation meeting underway in Dhadgaon village in Nandurbar district of Maharashtra
16 cover story These tribal women in Deoghar district of Jharkhand are part of a project that nurtures nurseries providing seedlings to the community Lakhpati Kisan. We were a bit late to the `120,000 mark and beyond. norm, these villagers are putting in on this but we have caught up. We The second phase, which has been 20-30% of the money required. got the community to take charge. initiated in select clusters, will see “I don’t know what plans God Once that happens you can trigger greater stress being put on quality has for me but I believe things will aspirations and it becomes easier.” of life indices. In the thinking of get better,” says Mr Makwana, who, Change agents from within the the Tata Trusts, what lies after that unlike scores of farmers across community are important cogs in is a surety. India, does not think agriculture the programme and Mr Vaghani will be anathema to those following and his team have come to depend Sustainability equation in his stead. “I have a grandson heavily on them. “We selected the “Our involvement will be reduced now and, with the progress we have progressive ones and started with substantially and the community achieved, he will do four times as them. They were open to new ways will take the lead,” says Mr Neelam. well as me.” of doing things and we showed “What we are also saying is we The upbeat nature of them how. Other farmers saw the have a fine opportunity here to Mr Makwana and his mates is not result, believed in it and the village scale-up the initiative, through an aberration. After all, it is difficult as a whole adopted the approach.” the institutions that have been for those who can afford to take the Mr Vaghani emphasises the put in place and by getting the necessities of everyday life for need to give the community more government convinced that this granted to understand the difference space and responsibility. “They may concept can be taken far and wide.” a swell in money earned makes to fail but they will learn from it. The Tata Trusts have those surviving on the margins. Not Having said that, I must add that committed significant resources to so for Shardaben Makwana, once a I’ve never seen the community the Lakhpati Kisan programme, sharecropper with an income of contributing as much in any spread over its five-year duration. `40,000 a year, now a rejuvenated programme. I’m very optimistic About as much will come in from farmer who made `150,000 in 2017. that we will achieve our results.” other donors and government Asked what the future holds for her, Lakhpati Kisan is still in the agencies. More heartening still is she says, “Next, I’m headed for the first stage of implementation, the monetary contribution the moon.” n which is about enhancing villagers are making to their own livelihoods and getting households uplift. Where 10% or less is the By Philip Chacko
July 2018 TaTa TrusTs Horizons 17 ‘there was so much to discover’ Sumitraben Patel, a self-assured 60-year-old from the Bhil tribal community, is an example of how Lakhpati Kisan is enabling farmers of modest means to fashion a better life for themselves. A resident of Dhabada village in Gujarat’s Dahod district, Ms Patel has hauled herself and her family up from a hardscrabble existence to find a fair measure of security, a voice in her community and her place in the world. This is her story: T raditional, low-scale farming was what we were doing and we grew maize, wheat and pulses. The work was tough and the money we made barely enough to get by. There were plenty of days when we struggled to put decent food on the table; dal-roti was the staple. Then came the lakhpati Kisan project and it transformed everything. The programme opened our eyes. The training and learning, the exposure to better farming practices, the coming together of our women through self-help groups [sHGs], the growing of cash crops, is the kind who does not like taking advice from the concept of year-round cultivation, the aggregated outsiders; i wanted to listen to everybody and learn marketing and selling of produce — all of these from them. i mobilised other women from my village were part of the programme. There was so much to to form one of the earliest sHGs in the project. discover and understand. i used to work for daily wages before joining We had an irrigation scheme in our village but the programme. no matter how sincere my labour, the lakhpati initiative was the real accelerator. i was there would always be complaints. i was convinced making `50,000-60,000 a year before the programme that if i put in the same effort on my land, and with was introduced in 2015. now, three years later, my the knowledge i had gained, at least there would be family’s income has risen to `300,000 a year. We grow nobody complaining. This is my field, my produce, my vegetables, we produce honey and we have a small earnings, my business. That makes me feel good. business providing decorations, catering and music i can’t read and write and that’s a disadvantage, bands for weddings. none of this would have been but my position in the family is strong. The final word possible without the programme. is mine. That definitely is due to what i have achieved. The money coming in has been a huge help Thanks to the exposure i got, i learned about the for my family. We have been able to refurbish our world and how it functioned, about leadership and house, invest in digging borewells and also fund the organising people. There was a time when i wasn’t education of my grandson, who’s studying to be a comfortable sitting on a chair. That’s long gone. homeopathic doctor. as for me, i’ve gained so much i’m certain we can sustain this success even confidence from the project. My grandkids may well after the project winds up here. We have moved find employment elsewhere, but there is no question from growing crops to marketing them. We have of me giving up on agriculture. Besides the money, we become entrepreneurs. We have created vibrant get to eat fresh and wholesome food. no pesticides. village communities that can speak — and do good i was the one who took the lead. My husband — for themselves. n
18 centre stage center stage A mother and child at the Penumaka anganwadi centre in Guntur, Andhra Pradesh
July 2018 tata trusts Horizons 19 Food first ensuring that India’s underprivileged children eat healthy — this is the objective driving the tata trusts’ nutrition initiative, a multi- pronged effort that covers millions of needy women and their kids s arika, six months The Trusts have set their own to impact underprivileged and pregnant, comes every day targets — to reduce the prevalence marginalised communities, and to to the Penumaka of stunting in children less than 5 go beyond urban areas and work in anganwadi centre in Guntur in years of age by 30%, and to reduce the interiors,” says Dr Rajan Andhra Pradesh for a hot meal of the prevalence of anemia (iron Sankar, director of the Trusts’ dal, rice, egg and milk. The meal deficiency) by 40%. To do this, it nutrition initiative. will increase her nutritional levels intends to reach out to improve so that the child she bears will nutrition levels for 6 million Multi-sector approach grow up healthy, not stunted. children and 750,000 pregnant and To achieve this laudable goal, the Undernutrition continues to be lactating women. Tata Trusts are working at several a major challenge in India, with “We believe that improving levels. One of their programmes 40% of children below five years of nutrition standards will help has adopted a multi-sectoral age stunted (short for their age) and improve India’s physical and approach to nutrition. 20% of them wasted (low weight). mental health parameters. We aim They are partnering the High rates of undernutrition government to strengthen existing combined with its huge population platforms; collaborating with base makes India the country with agencies to develop staple foods the largest number of malnourished fortified with iron, vitamins, folic in the world. It is shocking acid, etc; working at the grassroots numbers like these that the Tata level with beneficiaries; and Trusts are aiming to reduce through supporting advocacy partners to its ‘India nutrition initiative’. generate data that will give a true The Tata Trusts began picture of what India’s partnering the National Nutrition undernourished children need to Mission, under the Ministry of turn the corner. The Trusts also “We believe that Women and Child Development work with civil society improving nutrition from January 2018. The mission organisations, including has set a three-year beneficiary standards will help international NGOs and other target of 100 million children and improve India’s physical development partners. pregnant and lactating women. and mental health The most intensive engagement Kicked off in 2017, the mission parameters.” is the partnership with the has been launched in 315 districts — Dr Rajan Sankar, director, government. India runs a massive (roughly half of India). nutrition initiative, Tata Trusts maternal and child health
20 centre stage programme called Integrated Child Development Services (ICDS). This programme covers a vast network of over 1.4 million anganwadi centres, which act as support centres for mothers and children upto the age of six. The centres reach out to 84 million children and 19 million pregnant and lactating mothers, and are monitored by each state government’s department of woman and child services (or its equivalent). “ICDS reaches millions of beneficiaries, and working with this system should enable us to make a bigger impact,” says Dr Sankar. The Tata Trusts have already signed a memoranda of understanding with three state governments — Maharashtra, Andhra Pradesh and Rajasthan — to strengthen the existing ICDS network. amongst anganwadi workers prerak programme is expected to In Maharashtra’s Palghar through training programmes that cover 550 districts. district, the Trusts will transform will help them bring about Malnutrition can be fought by 200 anganwadis into model centres behavioural changes in the ensuring that the food consumed to make them more colourful, community. Technology is being by children and pregnant mothers appealing and child-friendly. In brought into play — the Trusts are has adequate vitamins and Andhra Pradesh, the Tata Trusts helping anganwadi workers to use minerals. In 2016, the Tata Trusts have stepped in to partner the state mobile devices that will capture real and the Food Safety and Standards government in implementing its -time data. Authority of India (FSSAI) nutrition mission across three partnered to set up the Food districts (see linked article). In Mission possible Fortification Resource Centre Rajasthan, the Tata Trusts have To support the National Nutrition (FFRC). Advocacy and capacity adopted a multi-dimensional Mission, a new initiative called building is the route that FFRC approach and are working with the Swasth Bharat Prerak Programme takes to promote the use of ministries of health, water and was kicked off a few months fortified foods. sanitation, food and agriculture, ago. Preraks are interns who will The five foods being fortified rural development and women’s be trained to work with district in India are milk, salt, oil, wheat welfare to ensure that the ICDS collectors’ offices to monitor and rice (see linked story). Placing system gets the necessary and drive the nutrition mission. these fortified staple foods into infrastructural support. At present 112 preraks have India’s ICDS, school midday meals In all three states, the Trusts are been trained and placed in their and the public distribution system working to build better capabilities respective districts; over time, the will help expand the availability of
July 2018 tata trusts Horizons 21 Centralised kitchens, the result of a partnership between the Tata Trusts, different state governments and the Bengaluru-based NGO Akshaya Patra, provide nutritious food to students in schools across India key nutrients. The Trusts’ target is snacks, to 20,000 children. to find ways to introduce healthy to provide fortified food to 350 Advocacy based on data and foods in the market. The Trusts million people within three years, statistics plays a big role in have partnered with food giant says Dr Sankar. increasing awareness about India’s Mars to create nutritious food multiple nutrition problems, and products that are both healthy and Sure-fire way in getting well-wishers on board. appealing to children. By One sure-fire way of ensuring The Tata Trusts have partnered manufacturing and distributing that children get their daily dose with the National Institute of such products at scale, the Trusts of nutritious food is to work Nutrition (NIN) to set up a hope to create a pull, especially in directly with the school mid-day Tata-NIN Centre for Excellence in rural markets. A high protein snack meal scheme. The Trusts support Nutrition in Hyderabad. The is ready for launch. organisations such as Akshaya Patra centre provides data-driven By adopting this multi-faceted which supply food to millions of insights and advice to state and approach to nutritional security children under this scheme. central governments. and working with stakeholders Two years ago, the Trusts set Another institution active in across India’s food and health up two centralised kitchens in nutrition is the MS Swaminathan ecosystem, the Tata Trusts are Maharashtra’s Palghar and Nashik Research Foundation (MSSRF) in working towards achieving large- districts to supply food to Chennai, which supports new scale sustainable impact on India’s children in tribal schools. farming systems as a path to tackle most vulnerable population — Managed by the Trusts, the household food and nutrition children, who are India’s future. n kitchens provide hygienic and security in rural India. nutritious meals thrice a day, and Yet another identified need is By Gayatri Kamath
22 centre stage The way to nurture healthier children the tata trusts’ nutrition strategy Promoting strengthening advocacy with healthy food platforms stakeholders Promoting foods fortified with iron and vitamins Fortified Fortified oil rice 250 million + beneficiaries 0.1 million + beneficiaries Fortified Double fortified milk salt 75 million + beneficiaries 50 million + beneficiaries strengthening anganwadi centres Rajasthan Maharashtra 8,556 Andhra Pradesh 3,183 11,900
July 2018 TaTa TaT TaT Ta a TrusTs TrusTs Horizons 23 Integrated approach to improve nutrition Strengthening Training anganwadi Introducing anganwadi centres workers fortified foods In 3 years, the tata trusts hope to Reduce stunting by 30% in children under 5 years Reduce anaemia prevalence by 40% Managing kitchens that feed tribal children Improving farming Feeding 20,000 kids every day at systems Palghar and Nashik, Maharashtra Partnering the MS Swaminathan Research Foundation generating data Working at the on nutrition district level Established the tata-NiN centre Training 300+ participants for Excellence in Nutrition to work as National Nutrition Mission fellows Partnering the Ministry of Women and child Development The partnership plan is to reach 100 million children and pregnant and lactating women
24 centre stage A daily dose of nutrition the tata trusts have been working with the andhra Pradesh government to ensure that young mothers and children get their daily recommended nutritional inputs I t’s a hot May morning at the “The services are the same but the new Penumaka anganwadi centre in Guntur, look makes a lot of difference. Children are Andhra Pradesh, where over a dozen willing to come, and mothers are motivated children play happily on the colourful to send them too,” says anganwadi swings and slides in the garden. Play time supervisor Y Sreelatha, who oversees around is soon followed by study time — the 20 centres in the area. children come indoors to learn numbers, Refurbishing anganwadi centres is just alphabets and simple rhymes. one of the roles undertaken by the Trusts This anganwadi centre is special — in their engagement with the state unlike the typical dull-looking ones government of Andhra Pradesh. The elsewhere, the Penumaka unit has been organisation, which has worked in the completely refurbished by the Tata Trusts, region since March 2017, has adopted an with colourful walls, new furniture, special integrated approach to improve nutritional tables for the children and play equipment. levels of children and mothers in three The centre now acts like a child magnet districts in the state (Nellore, Krishna and after the makeover, helping it to better Guntur), where over 400,000 children are perform its primary role as a place where attached to 11,900+ anganwadi centres. children and young mothers receive counselling and support for the first few Good food is the focus years of a child’s life. “Our focus is nutrition, not making the centres look nice,” says Sandesh Kotte, programme officer, Tata Trusts. “But when “Our focus is nutrition, not making the we did one, it received such a positive centres look nice. But when we did one, response from the government and the it received such a positive response children that we are doing this for more centres. We have completed the makeover of from the government and the children three anganwadis and there will be more.” that we are being asked to do this for Nutrition, a key component of the more centres.” Integrated Child Development Services (ICDS) platform, is also the primary focus
July 2018 TaTa TrusTs Horizons 25 Mothers and their children at a centre in Guntur, Andhra Pradesh of the anganwadi centres. The Andhra inputs they desperately need. One important Pradesh government has reinforced this by route has been convincing the government launching the State Nutrition Mission to to introduce fortified foods into two ensure that young children and mothers get delivery platforms that touch large number the nutrients they need to stay healthy. of children and mothers — the ICDS At the Penumaka anganwadi centre, the network of anganwadi centres and the children get a full meal of rice, dal, an egg midday meals served in schools. and milk. A few young mothers sit to feed With the Trusts’ advocacy, the Women their toddlers with a nutritional food called Development and Child Welfare Balamruthum — a thick gruel made from Department in Andhra Pradesh has now wheat flour, milk powder, groundnut and introduced two fortified foods — double sugar with added vitamins and minerals. fortified salt (with iodine and iron) and There’s a pregnant mother who has fortified milk (enhanced with vitamin A come in for her daily nutritional input, and D) — for its anganwadi centres. and she gets a hot meal as well. Jacinta, the The Trusts are now working with the anganwadi worker for the Penumaka centre, state government to set up a factory to says she looks after 20 children every day. manufacture fortified food, known in the She also has a dozen pregnant and lactating ICDS system as ‘take home ration’ (THR), mothers on her books, and goes on home for mothers of young children. THR is visits regularly. based on a formula that combines multi- The Trusts’ core objective is to ensure grain flours such as wheat, corn, or soybean, that children and mothers get the nutritional fortified with micronutrients.
26 centre stage The Andhra Pradesh government has branded this as Balamruthum, and has been sourcing it from the neighbouring state of Telangana. The Tata Trusts are providing technical support to build a new 100,000 tonne plant that will supply Balamruthum to Andhra’s 54,000 anganwadi centres. The Trusts are also working with rice mills in Odisha and Karnataka to produce fortified rice kernels. These kernels, fortified with iron, folic acid and vitamin B, and mixed with regular rice in a specified proportion, will soon be introduced in the Andhra Pradesh ICDS system and the school midday meal scheme in the three districts. Communicating health At the Penumaka centre, another anganwadi worker, Sarla Kumari, counsels mothers on the importance of a proper diet for their toddlers. “It will make them strong and help Nutritional inputs at the right age are critical them walk early,” she says. An anganwadi for child growth and immunity worker for 15 years now, Sarla recently attended a training module on preventing anemia in pregnant mothers through an more colourful communication material for iron-rich diet. the modules, which come with illustrations. This is yet another component of the These deal with several topics related to Trusts’ engagement, ensuring that the child health that anganwadi workers in communication around nutrition is strong rural areas regularly find themselves dealing and meaningful. For this, it has started a with — handling sick newborn babies, series of training programmes to strengthen counselling new mothers on breast feeding, the knowledge and capabilities of steps to be taken for home visits, diet anganwadi workers and supervisors. counselling for pregnant mothers, and so Anusha Krishnapuram is a new on. In Andhra Pradesh, the Tata Trusts member of the 23-member Tata Trusts plan to train over 11,000 workers through team based in Vijayawada. She serves as the the ILA method. district manager for Guntur and is in charge “It’s all about the first 1,000 days of a of monitoring capability strengthening. “We child’s life, counting from conception use the incremental learning approach onward to pre-school. We also do (ILA) — there are 21 modules, and we take community-based events that promote up one module a month over three days, to health and nutrition,” says Farida Sultana, make sure that the trainees fully grasp all who handles the anganwadi refurbishment the points,” says Ms Krishnapuram. initiative for the Trusts. The Trusts have helped create new, Apart from pregnant and young
July 2018 TaTa TrusTs Horizons 27 The Tata Trusts are transforming anganwadi centres to make them child-friendly mothers, the Trusts work with one more programme a more significant boost, important segment — adolescent girls. They though, is the launch of the Swasth Bharat partner the state Kishori Vikasam Scheme Prerak Programme, a joint initiative of the which offers adolescent girls counseling on Tata Trusts and the Union Ministry of matters related to health and nutrition. Women and Child Development. Under this programme, around 500 Delivering impact young men and women trained by the Measurement and monitoring are key Trusts will be stationed in various districts when it comes to health, and technology across India, where they will support the plays a big role in the Trusts’ nutritional district collector’s office in driving the engagement in Andhra Pradesh. To make government’s health and nutrition the ICDS system more robust and effective, programme. More than 110 such preraks the Trusts have been piloting a biometric have been trained as of now, and one each authentication system in the state’s assigned to Andhra Pradesh’s 13 districts. Prakasam district. The Trusts’ work with nutrition in “Anganwadi workers in Prakasam have Andhra Pradesh is one of their most all been given mobile phones by the intensive engagements in the country. This government. By linking the biometric multipronged drive against malnutrition devices to their mobiles, we will be able to combines a highly interactive on-ground get accurate beneficiary data and also approach with focused interventions in the eliminate false beneficiaries from the areas of support, supply, services and system,” Mr Kotte explains. communication. The Trusts are also in discussions with The expectation is that all this will lead the State Ministry of Panchayati Raj to to a sustainable impact on the health and source and distribute health data cards, nutrition of young children at the most called mother-child protection cards, to all tender stage of their lives. n mothers enrolled in the ICDS scheme. What could give the nutrition By Gayatri Kamath
28 centre stage Staple solutions W Food fortification is idespread nutritional oil, and minerals and vitamins — such deficiencies are a as iron, folic acid, vitamin B12, iodine the main course in a problem across the and zinc — to staple foods such as world. In India, micronutrient rice, wheat flour and salt. programme that is deficiencies are a serious concern, Fortification will help address strengthening posing as they do serious health the issue of micronutrient risks especially for people deficiencies in India’s population. nutritional safety and considered vulnerable, including The Tata Trusts have been a leading ensuring the security women of reproductive age and support organisation in India’s children who are often most recent food fortification drive, of what we eat underweight and anaemic. and have been promoting it and Food fortification has proved to working for its extensive adoption be a simple and cost-effective by the government and industry. To approach that can be rolled out make it a reality, the Tata Trusts widely to ensure that millions of have partnered with food safety people get the vital building blocks regulator Food Safety and Standards for good health, immunity and Authority of India (FSSAI) to set up overall wellbeing. The process of a Food Fortification Resource fortification involves adding Centre (FFRC). vitamins A and D to milk and edible Pawan Kumar Agarwal, CEO, ThE bEnEfITS of fooD forTIfIcATIon Edible oil + Salt + Iodine + Iron rice + Minerals + Vit A & D • Tackles anaemia and Vit a & B • Builds immunity and iodine deficiency • Tackles anaemia bone health • Can be used in all and boosts immunity • Easy to add meals and sold in • used in anganwadi open market and school midday meals • Potential reach: 98% of india’s • Potential reach: • Potential reach: population 150 million 84 million children
July 2018 TaTa TrusTs Horizons 29 FSSAI, says the role of FFRC goes beyond enforcing standards. “We took it upon ourselves to promote fortification since we have the outreach to industry,” he says. The organisation has been active in trying to build consensus and confidence among policymakers, the government and scientists. United effort The Trusts fund FFRC, while development partners such as WFP (World Food Programme), PATH and GAIN (Global Alliance for Improved Nutrition) and others lend on-ground support. FFRC’s role ranges from policy Fortifying milk with vitamins A and D is an easy and low-cost option advocacy with the government to developing the needed skills for “Together, we have developed a fortification is currently voluntary, fortification, capacity-building, and standard protocol for vitamin A a network of around 3,000 food training for industry, food safety and D testing in milk,” says Vivek safety officers are stationed across officers and lab assistants, along Arora, senior advisor, Tata Trusts, the country and available to help with creating awareness around the and the lead resource for ensure adherence to standards. need for fortification. fortification efforts in India. While Fortification is a good strategy to address nutritional deficiencies on a large scale as it does not interfere with the existing food habits or purchasing power of people. “It does not aim to change food habits or promote supplementation; so no extra effort is required. It is also the easiest and most cost-effective way of reaching the nutrients to a large population,” sayas Mr Agarwal. Five staples — rice, wheat flour, Milk + Vit a & D Wheat + Minerals edible oil, salt and milk — have • Builds immunity and + Vit a & B been identified for this programme bone health • Tackles anaemia and as they are the base ingredients for • low cost boosts immunity cooking and consumption among people at all socio-economic levels. • Potential: Can reach • used in anganwadi centres and school “These staples are vehicles for most of india’s urban fortification to reach the population midday meals population and our focus is on • Potential: Can reach fortifying them with 84 million children
30 centre stage micronutrients,” says Mr Agarwal. rice blended with vitamin and state cooperative dairies. Edible oil reaches 98% of the mineral pre-mix. In the initial year of households, and is therefore a good Fortification of wheat flour engagement, the Trusts handhold vehicle to carry fat soluble vitamins poses an even bigger challenge. The the fortification process, from like A and D. Together with GAIN simplest is milk, where fortification conducting trials and sample and FFRC, the Tata Trusts have been is done by blending a specified testing in National Accreditation able to fortify 47% of the leading dosage of concentrated liquid Board for Testing and Calibration brands of edible oil in the market. emulsion or premix to the milk, Laboratories (NABL) accredited Today fortified oil reaches ensuring that the level of added laboratories as per FSSAI approximately 250 million people vitamins is within the standards, to arranging the in India, and has the potential to recommended dietary allowance fortificant premix and helping positively impact the health of a limits as per the food regulatory with consumer awareness and much larger proportion of the guidelines. communication campaigns. population.“We got most traction The first to adopt was Mother with edible oils,” Mr Agarwal adds. Making milk better Dairy, followed by the Jharkhand Efforts are now on to get At 164 million tonnes, India is the Dairy Federation with its Medha micro, small- and medium-sized largest producer of milk worldwide. brand, in May 2017. So far, 13 state producers across 10 Indian states to Studies have suggested that over milk cooperative federations have adopt oil fortification. FSSAI is 70% of India’s population is taken up milk fortification, also considering making deficient in vitamin D. Further, including Haryana, Punjab, Uttar fortification of packaged refined oil over a quarter of the world’s total Pradesh, Rajasthan, Madhya mandatory in some time. vitamin A deficient pre-school Pradesh, Chhattisgarh, Odisha, Double fortification of salt is children live in India, and around a Gujarat and Karnataka. already being done widely. In the third of them show clinical signs of These cooperatives together case of rice fortification, the vitamin A deficiency. fortify 7.2 million litres a day out of process is far more complex. Among the staples, the efforts a combined fortifiable milk capacity Fortified rice kernels have to be for milk fortification is being of 22 million litres per day. With blended in a 1:100 ratio with driven mainly by the Tata Trusts, fortification of another 8 million normal rice. The kernels, which are for which they have partnered with litres per day planned over the next similar to rice grains in appearance, the National Dairy Development few months, about 70% of are reconstituted from powdered Board (NDDB) to reach out to cooperative milk would be fortified. Mother Dairy in Delhi was one of the earliest adopters in the milk fortification programme
July 2018 TaTa TrusTs Horizons 31 In the second phase, the Trusts plan to target private dairy producers where the fortifiable milk potential is around 19 million litres per day. “We are confident that our work with the state dairy cooperatives will create peer pressure on private players to follow suit,” says Mr Arora. School milk fortification starting early through the ‘Gift Milk’ scheme is another important initiative in this Mother Dairy was the earliest adopter of milk fortification direction. Under this, the state when, in 1984, it began fortifying its coin-operated, bulk- governments of Haryana, vended milk with vitamin a for sale in new Delhi. it wasn’t Jharkhand, Madhya Pradesh and surprising then that in november 2016, soon after the Chhattisgarh have been ensuring programme was launched, Mother Dairy was the first off the that the flavoured milk being block to double-fortify its bulk-vended milk with vitamins a supplied through the ICDS and and D. This milk is available across its 795 booths and 1,700 midday meal platforms is fortified vending units in the Delhi region. Fortification of packaged with vitamins A & D. milk began in January 2017 with the low fat variants. “Vitamin a and D deficiencies in india are a matter of Low cost, high gain concern as they result in issues related to impaired vision, The cost of milk fortification is low osteoporosis and other health problems. such deficiencies — less than 3 paise per litre — and are also linked to today’s lifestyle, with very limited exposure there is no change in flavour or to the sun. it is therefore imperative to fortify milk,” says taste. The bigger challenge, though, srinivasan T, chief quality officer, Mother Dairy. is in building consumer awareness Despite its own stringent quality and testing processes, about the benefits and availability the challenge with fortified milk was in ensuring that the tests of such milk. Hence marketing and were accurate since the fortifying ingredients need to strictly communication are key areas. abide by recommended dietary allowance standards. “Quality Work is underway to develop control is a critical part of fortification,” says Kajal Debnath, generic communication around the DGM, scientific, regulatory and nutrition affairs at Mother Dairy. benefits of fortification to support For this, its Central analytical lab team was trained for the brand-specific advertising being vitamin D analysis at the renowned CalF (Centre for analysis developed by dairy cooperatives. and learning in livestock and Food) lab at the national Dairy FFRC and the Trusts have also Development Board headquarters in anand in Gujarat. since, started using social media to spread 2017 Mother Dairy has acquired the additional equipment their message on fortification. for vitamin a & D testing and analysis in-house. “The skills The larger and large-scale required to analyse the results consistently are tricky, but we benefits of food fortification will have mastered them,” Mr Debnath adds. take some time to realise. But the Today, Mother Dairy produces 15,000 tonnes of fortified efforts of the Tata Trusts in oil annually under the Dhara brand and 3 million litres of ensuring better health for India’s fortified milk per day across its manufacturing locations in citizens are already bearing fruit. n Delhi, Mumbai, Hyderabad, nagpur and Kolkata, making it the leading cooperative dairy in india in food fortification. n By Vikas Kumar
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