Integrated Health, education and environmental (HEE) intervention to optimise infant feeding practices through schools and Anganwadi networks in India

Lead Research Organisation: University College London
Department Name: Institute of Child Health

Abstract

Early infancy and childhood poses a crucial period of sensitivity to the environment and nutritional intake, when growth, development and health are patterned throughout the life-course and across generations. Malnutrition in this period can predict risk of infection stunting and poor cognitive development in early life and NCDs yet 27% of children globally under 5 are undernourished and childhood obesity is rising (4.2%-1990; 6.7%-2010; estimated 9.1%-2020).

India faces a triple burden of childhood malnutrition: 48% (61 million) under-five's are stunted (one-third of the world's total; highest among all nations), childhood obesity is on the rise (15% of all under-five children), and most have a micronutrient deficiency (70% of the under-fives are anaemic). The World Bank identified under-prioritisation of nutrition and health education as a barrier to progress while the 2016-2030 global strategy emphasises the need to integrate multisector enablers that address education, gender, sanitation, water, agriculture and nutrition (every woman, every child). The Government of India has been implementing key nutrition and behaviour change interventions through three cadres of frontline workers but barriers include outreach, variable levels of sanitation, social-inequity (by gender and Caste) and the feasibility and effectiveness of localised integration. From a socio-ecological viewpoint, these multiple enablers operate at the individual, household, community and environmental level. Nutrition in the first 1000 days (our focus infant and young child (IFYC) 6-24 months) can be shaped by access to adequate dietary diversity, clean water, sanitation and cooking fuels, and also the cultural norms and education of all household members.

This study proposes a Five-Phase participatory and inter-disciplinary study to explore the Health-Education-Environment (HEE) factors influencing IFYC feeding practices and nutrition. The aim is to develop a socio-culturally appropriate, tailored, integrated and interdisciplinary HEE package aimed at the IFYC (6- 24 months) in rural India and test the acceptability of the intervention. Our collaborative approach includes an interdisciplinary team from UCL (across the Institute of Child Health, Institute of Education and Faculty of Engineering Sciences) and expertise from; Save the Children- India, The Indian Institute of Technology, New Delhi (IIT-Delhi) and Jawaharlal Nehru University, New Delhi (JNU). Additionally, we have identified four NGO partner institutions to provide contextual and programmatic advice along with members from the British Indian diaspora.

This collaboration prioritises the integration of existing and individual government programmes at a local level in the design of this HEE package. To achieve this goal, we will engage with selected villages in the Banswara region and with stakeholders across all levels of the socio-ecological framework. Our local partnership will identify, train and support local 'community champions' from a network of Anganwadi Centres and schools and later establish 'community education and innovation hubs' with participating schools but linked into existing systems. Community champions and the British-Indian PPI panel will be invited to contribute at each phase of the 24 month research process, from study design to dissemination. The India-based research team and community champion partnership will collect qualitative data about IFYC feeding practices, education, sanitation and access to energy and water in the local context. During data analysis, all partners will meet to actively draw together the interdisciplinary findings in a linked mapping exercise that will ultimately shape the design of an innovative HEE package. The HEE package will be tailored to the requirements of existing government initiatives and future funding applications will explore how the HEE package can be scaled up to additional India state

Technical Summary

India faces a triple burden of childhood malnutrition; 48% under-five's are stunted, 70% anaemic and 15% obese. Malnutrition affects physical growth, and brain development and contributes to India's burden of communicable and NCD's. The Government of India has been implementing key nutritional interventions via three cadres of frontline workers; yet multi-sectoral approaches that address broader determinants of nutrition, education, water, sanitation and hygiene, and social inequities remain crucial.

This inter-disciplinary study explores the Health-Education-Environment (HEE) factors that influence young children's (6-24 months) feeding practices, across priority areas identified by local panchayats, NGOs and government stakeholders. Our collaboration includes an interdisciplinary UCL team from Institute of Child Health, Institute of Education and Faculty of Engineering Sciences and expertise from Save the Children- India, The Indian Institute of Technology (Delhi) and Jawaharlal Nehru University, New Delhi.

A socio-ecological framework will structure mixed-methods data collection at individual, household and community levels during an iterative participatory process. Our participatory methodology includes partnerships with local 'Community Champions', Anganwadi Centres and establishing 'community education and innovation hubs' with participating schools.

The British India diaspora, being an important source of knowledge, will make up the UK PPI panel and participate from study design to dissemination. In the final phase all partners including the community will come together to develop a tailored socio-culturally appropriate HEE package that actively integrates existing government initiatives and test acceptability of the intervention for future scalability. Results will be disseminated via workshops and through 'community hubs' to government representatives, technical experts, program managers, and NGO, civil society and community representatives.

Planned Impact

This project aims to address 2030 agenda for Sustainable Development and pertains to goals 3 and 5 (Good health and well-being; Gender Equality). In India, 48% of children under 5 are stunted, 70% anaemic, and 15% obese. Childhood malnutrition has a negative impact on disease, disability, cognitive development, educational attainment and therefore an economic impact. It is more evident in rural India due to intergenerational poverty, gender inequity, educational and societal disadvantages. This is aggravated by inadequate access to basic services and poor environmental conditions.Health Education, Environment (HEE) project will directly benefit residents in the 9 rural communities in Banswara district in Rajasthan. This project will enhance optimal feeding practices for children aged 6-24 months, support mothers in this endeavor improve living conditions and lifestyle in the community at large, and enhance capabilities of local schools and Anganwadis to operate as community education and innovation hubs. HEE will build capacity of local communities in the 9 villages through the training of community champions selected through participatory processes. Community champions will be equipped with skills on participatory techniques, an improved understanding of integrated health, environment and education approaches for enhancing well-being of communities with focus on optimising infant and young children's (IFYC) feeding practices. The community champions will be able to apply their skills to other communities within Banswara district thereby benefiting wider community.

Through future scale up this project has the potential of improving well-being of children in rural parts of Rajasthan comprising 5.7% of the states population and 6.2% of India's population based in rural communities. There is potential to impact rural communities in other LMICS where stunting is prevalent and needs an integrated approach thereby benefiting 27% of children under the age of 5 who suffer from stunting.

Currently, there are varying levels of integration of HEE interventions in academia, NGO's, governmental and civil society organisations. The HEE project will develop an integrated intervention package, linking into existing systems to support long term sustainability. It will test acceptability with local communities in Rajasthan and disseminate to academic bodies, policy makers, practitioners, civil society organisations and NGOs resulting in a more streamlined approach for improving health and well-being of IFYC. The British Indian diaspora network has close linkages with India and will support scale up and impact through providing PPI expertise and dissemination.

IIT-Delhi will incorporate HEE findings into sustainable technologies design at their Centre for Rural Development and Technology and influence policy makers through their convening role for the Unnat Bharat Mission. UCL and JNU will embed HEE into their curriculum thereby influencing the future generation of engineers, health and education practitioners. The project partners will disseminate the methodology to development practitioners, academics and policy makers through their networks in order to influence policy making for 833 million residents in rural communities in India.

This project directly supports the Goverment of India (GOI) flagship programmes such as Sarva Shiksha Abhiyan, Swachh Bharat Abhiyan, Unnat Bharat Abhiyan and the Integrated Child Development Services. By hosting a high level workshop, the project team will engage jointly with state and national level ministers from the Ministry of Human Resources and Development, Ministry of Health and Family Welfare and the Ministry of Environment, Forests and Climate Change, GOI, NGOs, academic bodies, community champions and other implementing bodies. HEE will therefore influence policy making by introducing an integrated and streamlined approach for multi-sectoral ministries and agencies engaged in child health.
 
Title The Early Years - A Window of Opportunity 
Description The project partnered with Zero2Expo and curated a selection of artwork by Indian and British artists inspired by the first 1000 days of life. The artwork was showcased alongside a selection of photographs from the PANChSHEEEL project and was presented as a virtual exhibition. Accessed through the PAHUS website, visitors were guided through a virtual 3D gallery with the artwork presented on the walls. Clicking on a painting enlarged the artwork and opened up a panel with text explaining the artist's vision and/or background information. Visitors were presented with a survey at the end so we can gauge their enjoyment and what they learned from the event. 
Type Of Art Artistic/Creative Exhibition 
Year Produced 2021 
Impact The project partnered Science with Art to work towards a common goal. It allowed scientists could see the value of art in disseminating information and engaging audiences, and artists learned that their art could be inspired by/depict a public health message. People went away with a greater understanding of the importance of the first 1000 days in a child's life. 
URL https://www.pahus.org/early-years-exhibition
 
Description The project used participatory approaches to learn about the HEEE needs of the local Banswari population, then collaborated with the community to establish a way to tackle the problem.
We have developed a consensus Conceptual Framework that integrates the different disciplines of Health, Education and Engineering. At the heart of the conceptual framework is the important of 'time use' of caregivers, infection risk in the environment and relationship between village members and stakeholders.
Transect walks, interviews and focus group discussions pointed to
• Low household awareness about optimal complementary feeding practices
• There is no concept of 'care or play' with meal times in these villages
• An absence of information and resources for parents and caregivers
• Schools have the potential to serve as 'resource centres' for such an intervention package.
• Water strategies respond to seasonal fluctuations in water availability but are not consistent.
• Food preparation and indoor air pollution may contribute to seasonal coughs and colds

Using Schools as a knowledge hub, we implemented the teaching of handwashing and the importance of nutrition, finding that children were effective at spreading the information back to their families.
This was one of many methods we used to tackle the key issues we had found, including:
• Community Meetings:
• Committee Meetings:
• Video shows, Puppetry
• Students' Rally
• Use of pictorial tools
• On-job Training
• Supportive
Supervision
• Advocacy Meetings
• Media Campaign

By learning about the local HEEE issues, we could tackle them through this multi-pronged approach, tailored to the needs of the population we were targeting.
Exploitation Route - Other researchers should take note of the successful collaboration between disciplines and the involvement of local stakeholders.
- Further funding is being sought to upscale the intervention
- The model/intervention plan can be used and tailored by others to implement health interventions in their own regions.
Sectors Agriculture, Food and Drink,Education,Energy,Environment,Healthcare,Government, Democracy and Justice

URL https://www.heee.uk/
 
Description As part of the study was to work with the local population to develop ways to tackle local health and engineering issues, the iterative process allowed us to use some of our findings as we went along. By identifying the key issues, making key stakeholders aware of them, and integrating health and hygiene education into schools, we hope to have made an impact on the health of the local populations. Community champions have also been empowered- this has assisted some in getting further jobs. The field research in India claims that this experience also helped him in his career progression. It also led to the project co coordinator in India being promoted and has enabled him to travel internationally as an expert in participatory research and practical application of the sills and he has been invited to lecture in Universities in India. This has also led to a Phd award from UCL- we now have one Phd student , fully funded and doing some follow up work .
First Year Of Impact 2018
Sector Environment,Healthcare
Impact Types Societal,Policy & public services

 
Description Member, Technical Advisory Group,AIIMS, New Delhi and PGIMER, Chandigarh
Geographic Reach Asia 
Policy Influence Type Participation in a advisory committee
 
Description Member, Working Group, Evaluation of Poshan Abhiyaan, , Indian Council of Medical Research, New Delhi.
Geographic Reach Asia 
Policy Influence Type Participation in a advisory committee
 
Title HEEE topic guides and household survey 
Description We developed a research package including qualitative topic guides, tailored to different stakeholders, and translated to local languages to ask questions about the Health, Education, Engineering and Environmental predictors of suboptimal infant feeding and nutritional status. • Social & Economic profile of 9 villages: Background socio-economic & demographic sheet including (per village), including; # of households; total population; 0-6 age-group population; Scheduled Caste population; Scheduled Tribe; literate and illiterate population; total workers; main workers; marginal workers; non-workers • Social mapping Details of existing resource and infrastructure (per village). Will inform social and economic profile and will be triangulated by transect walk. Details include; roads, water sources, schools, health facilities (if any), health functionaries (ASHA, AWC, private doctor, unqualified doctor), public distribution shop (ration shop), Self Help Group, community meeting points, presence of NGO, locally produced foods. • Transect walk A defined walk through each of the 9 villages with the local people, asking exploratory questions in line with objective one, to explore the water and sanitation conditions by observing, asking, listening, and taking photographs to triangulate with the social mapping exercise • Household Survey asking questions about infant and young child feeding practices, a time use survey, WASH and education variables. • Broad Narrative Group Discussion Facilitated group discussion in local language with village members to identify local practices and resources within 'Health, Education, Engineering and Education' • Key informant interview One-on-one in-depth interviews with community representatives such as panchayat members, Anganwadi workers, teachers, policy makers and other key informants • In depth focus group with parents, grandparent and carers Facilitated in-depth group discussion in local language with mothers or grandmothers to discuss local challenges, drivers, resources, opportunities and needs for the first IFYC 6 months- 24 months including family hierarchies and interactions 
Type Of Material Physiological assessment or outcome measure 
Year Produced 2017 
Provided To Others? No  
Impact We have condensed and focused an incredibly broad field of 'environmental factors affecting malnutrition', into a set of specific and tailored questions that will support the development of a locally suitable intervention package. 
 
Description Discussion for future collaboration with Vihara Innovation Network 
Organisation Vihara Innovation Network
Country India 
Sector Charity/Non Profit 
PI Contribution Sharing of findings and intervention strategies with Vihara Innovation Network.
Collaborator Contribution None to date. The hope is to integrate the intervention strategies into the Poshan Abhiyan in a very simple and layered approach with aditya.brahmabhatt@vihara.asia at Vihara Innovation Network. They "...would love to know more about this initiative and would be glad to contribute to convergence of our varied approaches of work".
Impact None to date, potential for collaboration in future.
Start Year 2019
 
Description Indian Institute of Technology Delhi 
Organisation Indian Institute of Technology Delhi
Country India 
Sector Academic/University 
PI Contribution Partners for "Integrated nutrition, education and environmental (HEE) intervention to optimise infant feeding practices through schools and Anganwadi networks in India".
Collaborator Contribution Partners for "Integrated nutrition, education and environmental (HEE) intervention to optimise infant feeding practices through schools and Anganwadi networks in India".
Impact Collaboration on the Medical Research Council, Global Challenges Research Fund supported project "Integrated nutrition, education and environmental (HEE) intervention to optimise infant feeding practices through schools and Anganwadi networks in India".
Start Year 2017
 
Description Jawaharlal Nehru University 
Organisation Jawaharlal Nehru University, India
Country India 
Sector Academic/University 
PI Contribution Partner for "Integrated nutrition, education and environmental (HEE) intervention to optimise infant feeding practices through schools and Anganwadi networks in India".
Collaborator Contribution Partner for "Integrated nutrition, education and environmental (HEE) intervention to optimise infant feeding practices through schools and Anganwadi networks in India".
Impact All project outputs facilitated through partnerships, Co-I Rajib Dasgupta is a Professor at Jawaharlal Nehru University, Centre of Social Medicine and Community Health, School of Social Sciences.
Start Year 2017
 
Description Save the Children India 
Organisation Save the Children
Country United States 
Sector Charity/Non Profit 
PI Contribution Partner organisation for "Integrated Health, education and environmental (HEE) intervention to optimise infant feeding practices through schools and Anganwadi networks in India".
Collaborator Contribution Partner organisation for "Integrated Health, education and environmental (HEE) intervention to optimise infant feeding practices through schools and Anganwadi networks in India".
Impact Partner organisation for "Integrated Health, education and environmental (HEE) intervention to optimise infant feeding practices through schools and Anganwadi networks in India".
Start Year 2017
 
Description University of Syndey 
Organisation University of Sydney
Country Australia 
Sector Academic/University 
PI Contribution Work has lead to further collaboration with the University of Syndey, who will be submitting a foundation proposal for a foundation grant to build on PANChSHEEEL in Indonesia
Collaborator Contribution Work has lead to further collaboration with the University of Syndey, who will be submitting a foundation proposal for a foundation grant to build on PANChSHEEEL in Indonesia
Impact Work has lead to further collaboration with the University of Syndey, who will be submitting a foundation proposal for a foundation grant to build on PANChSHEEEL in Indonesia
Start Year 2018
 
Description Presentation on EDI while working with rural Indian populations by Hemant Chaturvedi 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Hemant Chaturvedi presented at a UCL conference on Equality, Diversity and Inclusion within global research. Mr Chaturvedi used PANChSHEEEL as an example of how he managed the diverse needs of the rural Indian populations during the co-creation of the study.
Year(s) Of Engagement Activity 2021
 
Description partners newsletter 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact Newsletter contained updates and progress on the study. It included information related to the dissemination events and directed people to the film that had been developed. Partners contacted the study team for more information and also inclusion information in their own reports
Year(s) Of Engagement Activity 2019
 
Description Article for MESH website 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact An article on the project was published on the MESH website, which strives for community engagement within global health. It draws an interdisciplinary audience of researchers, practitioners, those working for non-profits, and those simply interested in the topic of global health.
Year(s) Of Engagement Activity 2020
URL https://mesh.tghn.org/about/what-is-community-engagement/
 
Description Blog on UKCDR site 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Third sector organisations
Results and Impact UKCDR approached us to write a blog on our experiences with PANChSHEEEL. They published our entry on "Building trust with rural communities: how we developed partnerships with rural Indian villages" in November 2021.
Year(s) Of Engagement Activity 2021
 
Description CEGE's Dr Priti Parikh leading engineering aspect of innovative rural child nutrition project 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact "Dr Parikh is helping to lead PANChSHEEEL, a multidisciplinary project in Rajasthan, India, alongside colleagues from across UCL, and peers from Save the Children, the Indian Institute of Technology Delhi (IIT-Delhi) and Jawaharlal Nehru University". UCL press release from 26 February 2019.
Year(s) Of Engagement Activity 2019
URL https://www.ucl.ac.uk/civil-environmental-geomatic-engineering/news/2019/feb/ceges-dr-priti-parikh-l...
 
Description Case study on UCL SDG website 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The PANChSHEEEL project was used as a case study on the UCL Sustainable Development Goals website.
Year(s) Of Engagement Activity 2020,2021
URL https://www.ucl.ac.uk/sustainable-development-goals/case-studies/2020/oct/community-led-solutions-he...
 
Description Conference Brochure from India Dissemination Event 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The brochure for Delhi conference was shared with all partners through a mass email containing the study brochure created for the Delhi dissemination event on 26th February 2019.
Year(s) Of Engagement Activity 2019
 
Description Conference in Delhi for Indian dissemination of study findings 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Conference in Delhi for Indian dissemination of study findings on February 26 2019; 9:00 AM - 2:00 PM at Senate Hall, Indian Institute of Technology Delhi, IIT Campus, Hauz Khas, New Delhi.

Objectives:
-To share the methodology, findings of formative research, and the Intervention package developed through participatory approach under the study.
-Discuss study findings and intervention package in context of Poshan Mission, with special reference to opportunities and gaps for inter-sectoral convergence."
Year(s) Of Engagement Activity 2019
URL https://www.ucl.ac.uk/global/news/2019/feb/ucl-strengthens-partnerships-india
 
Description Conference in Jaipur for Indian dissemination of study findings 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Conference in Jaipur for Indian dissemination of study findings on February 28 2019; 10:00 AM - 2:00 PM at Hotel Clarks Amer, Jawaharlal Nehru Marg, Jaipur.

Objectives:
-To share the methodology, findings of formative research, and the intervention package developed through
participatory approach under the study.
-To discuss study findings and intervention package in context of Government programmes with special reference to opportunities and gaps for inter-sectoral convergence."
Year(s) Of Engagement Activity 2019
 
Description Dhruv Star film on PANChSHEEEL 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact A short pilot of the documentary film on PANChSHEEEL was screened at the dissemination event in Delhi on 26th February 2019.
Year(s) Of Engagement Activity 2019
 
Description Frontiers of Development symposium, "Inclusivity and Wellbing in the First 2000 Days of Life" at the Wellcome Genome Campus 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Project presented at the frontiers of Development symposium, "Inclusivity and Wellbing in the First 2000 Days of Life" at the Wellcome Genome Campus, 11-13th March 2019.
Year(s) Of Engagement Activity 2019
URL https://www.raeng.org.uk/events/events-programme/2019/march/frontiers-of-development-symposium
 
Description Global Engagement Funds Case Study: Professor Monica Lakhanpaul, Save the Children and IIT Delhi Video 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact "Watch a video exploring Professor Monica Lakhanpaul's research into the problem of child malnutrition in rural areas". People have viewed the case study video in the UK, US, Germany and India. It was circulated in the UCL Global Update which has 1,755 subscribers.
Year(s) Of Engagement Activity 2018
URL https://www.ucl.ac.uk/global/case-studies/2018/oct/global-engagement-funds-case-study-professor-moni...
 
Description Global exchange presentation at UCL 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Other audiences
Results and Impact Invited to attend an event at UCL . Event was cross faculty celebrating international projects . The University provost opened the meeting to celebrate a number of different projects. We presented to under grad, post grad students, senior academics and policy makers and individuals across different faculties, WE stressed how our project related to reverse innovation. The discussion sparked questions about nutrition and global health,
Year(s) Of Engagement Activity 2017
 
Description Interviews with a mix of administrative heads and program/line/sectoral officers 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact 19 interviews with a mix of administrative heads and program/line/sectoral officers. Visit to Kushalgarh Block HQ (9th January 2019) and Ghatol Block HQ (10th January 2019); Sub-Divisional Magistrate (SDM) (administrative head) had convened the first meeting of the concerned block officials to initiate the process of formulating the Block Convergence Plan (BCP) as per requirements of the POSHAN Mission (PM's Overarching Scheme for Holistic Nourishment).
Year(s) Of Engagement Activity 2019
 
Description Meeting with local stakeholders in Banswara 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Local representatives in Health, Engineering and Education sectors attended a district level meeting with Save the Children and the research team to discuss the study direction, decisions related to participating villages and their future support.
Year(s) Of Engagement Activity 2017
 
Description PANChSHEEEL Newsletter 1 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The PANChSHEEEL newsletter 1 was circulated to all study partners in April 2018.
Year(s) Of Engagement Activity 2018
 
Description PANChSHEEEL Newsletter 2 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact PANChSHEEEL Newsletter 2 circulated to all study partners on 21st November 2018.
Year(s) Of Engagement Activity 2018
 
Description PANChSHEEEL Newsletter 3 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact PANChSHEEEL Newsletter 3 was circulated to all study partners on 25th February 2019.
Year(s) Of Engagement Activity 2018
 
Description PANChSHEEEL Study and Integrated Package of Interventions shared with Save the children India board members 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Third sector organisations
Results and Impact Presentation given by PANChSHEEEL members to Save the children board . Audience asked question about challenges in the processes, details of the methodology and discussions about next steps
Year(s) Of Engagement Activity 2019
 
Description Pilot Event in Schools 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Schools
Results and Impact The PANChSHEEEL team hosted intervention pilot events in government schools in Garnawat (Ghatol Block) and Devdasath (Kushalgarh Block) on the 26th January 2019. The activities included a skit on hand washing and nutrition, movie on nutrition, health and hygiene, quiz, nutrition pyramid session and having community members and leaders take a pledge to promote healthy practices for children.
Year(s) Of Engagement Activity 2019
URL http://epaper.patrika.com/2003268/Rajasthan-Patrika-Banswara/rajasthan-patrika-banswara#page/11/1
 
Description Presentation at AIIMS nursing conference on early years and nutrition 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Gave presentation at AIIMS nursing conference on early years and nutrition- which included role of B12 and sharing the trial with the audience. This was to educate paediatric nursing practitioners an understanding of infant nutrition and how to spot signs of malnutririon/undernutrition. It also equipped them with knowledge of the importance of providing children with proper nutrition post-surgery, which they can now pass on to the parents of their patients.
Year(s) Of Engagement Activity 2019
 
Description Presentation at Paediatric visiting club conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Monica Lakhanpaul presented at the Paediatric visiting club conference in September 2018.
Year(s) Of Engagement Activity 2018
 
Description Presentation at York University 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Meeting to share methodology and approach with other Universities nationally. This has led to a further invite for the PI to again present in May 2020
Year(s) Of Engagement Activity 2019
 
Description Presentation at the India Voices UCL 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Other audiences
Results and Impact A number of activities were held at UCL throughout 2017 to celebrate grand challenges.The program was cross disciplinary and our presentation was one in a series of presentation that involved research in India. The presentation stimulated questions from the audience about how health, environment and education were connected and why we had considered schools to be a good place for innovation.
Year(s) Of Engagement Activity 2017
URL http://www.ucl.ac.uk/india-voices
 
Description Presentation in plenary session for the ISNTD 2018 Water conference, London 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Integrated health, education and environmental intervention to optimise infant feeding practices through schools and Anganwadi networks in India - Dr. Priti Parikh (UCL Department of Civil, Environmental & Geomatic Engineering).   
Year(s) Of Engagement Activity 2018
 
Description Presentation to Institute of Development 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Presentation to Institute of Development studies - students and academics attended to learn about the methodology and intervention development process,
Year(s) Of Engagement Activity 2019
 
Description Presentation to Leeds University by India Co I 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Members from Leeds University attended. They are also part of a consortium on child health and interested to understand the methodology we had utilised .
Year(s) Of Engagement Activity 2019
 
Description Presentation to Odisha Goverment 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Presentation given to Odisha Government .The intervention was presented as a model for improving child malnutrition. Multistakeholder meeting .
Year(s) Of Engagement Activity 2019
 
Description Save the Children: PANChSHEEEL Study Presents Integrated Package of Interventions to Address Under-Nutrition in Children 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Save the Children press release on release of study findings at Delhi conference, "PANChSHEEEL Study Presents Integrated Package of Interventions to Address Under-Nutrition in Children", on 26th February 2019.
Year(s) Of Engagement Activity 2019
URL https://www.savethechildren.in/news/panchsheeel-study-presents-integrated-package-of-i
 
Description Seminar at Centre De Sciences Humaines 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Seminar at Centre De Sciences Humaines 15th October 2018 by study Co-I Dr Rajib Dasgupta, titled "An explication of the normalized crisis of complementary feeding among tribal communities of Rajasthan, room for innovations in Poshan Mission".
Year(s) Of Engagement Activity 2018
URL http://www.csh-delhi.com/events/past/past-events/eventdetail/181/129%7C130%7C131%7C132%7C139%7C142/a...
 
Description Study findings shared with Corporate Social Responsibility lead form embassy foundation in Bangalore 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Study findings shared with Corporate Social Responsibility lead form embassy foundation in Bangalore on 18th February 2019.
Year(s) Of Engagement Activity 2019
 
Description Study refinement and acceptability testing workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Study participants or study members
Results and Impact Assessing acceptability is a vital part of the co-development process of the PANChSHEEEL Project, ensuring our intervention is informed by the perspectives of those it is intended to assist, is fit for setting and is acceptable to the wider community. Activities for study refinement and acceptability testing took place during two workshops in Banswara on the 5th and 6th of February 2019 with groups from Kushalgarh and Ghatol, respectively. The workshop discussion was delivered in two sections on both days, one with the community champions and one with providers (consisting of two teachers and invited Anganwadi workers, Accredited Social Health Activists, Auxiliary Nurse Midwives and panchayat elected representatives). For the Kushalgarh session, 28 participants (10 community champions and 18 providers) were engaged and in the Ghatol session 22 (9 community champions and 13 providers) were engaged.
Year(s) Of Engagement Activity 2019
 
Description Technical Advisory Board meeting 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact International meeting with members of the study group Technical Advisory Board. Updates on study progress to date and seeking input in future directions.
Year(s) Of Engagement Activity 2017
 
Description The Early Years Webinar 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The Webinar consisted of two panel discussions exploring "The Power of Arts in Health" and "The Multi-pronged approaches to support" to celebrate the opening of "The Early Years Exhibition". Over 200 people attended the virtual panel, which consisted of a formal question and answer session, after which the floor was opened to the public.

The speakers were part of a multidisciplinary panel of experts comprising of Artists, Academics and Policy Makers. These included :
Mr. Tol Singh, Former Community Researcher, The PANChSHEEEL Project
Mr. Raghu Rai, Award-winning Photographer and Photojournalist
Sir Mark Tully, Author & Former Bureau Chief, BBC, New Delhi
Dr Nakul Parashar, Director, Vigyan Prasar
Mr. Sudarshan Suchi, CEO, Save the Children, India
Ms. Soma Mitra, Founder Director, Blue Palette
Dr Nachiket Mor, Visiting Scientist, The Banyan Academy of Leadership in Mental Health, (Formerly Bill and Melinda Gates Foundation and Reserve Bank of India)
Dr Evita Fernandez, Chairperson, Fernandez Foundation
Dr Anura V Kurpad, Professor & Former Head, Dept. of Physiology, St. John's Medical College; Founding Dean, St. John's Research Institute
Ms. Ashi Kathuria, Senior Nutrition Specialist, World Bank
Ms. Rebecca Fairbairn, Director, UKRI India
Prof K VijayRaghavan, Principal Scientific Advisor to Government of India
Dr. Suparna Ghosh-Jerath, Professor and Head, Community Nutrition, Indian Institute of Public Health-Delhi, Public Health Foundation of India
Dr Vasan Sambandamurthy, CEO, DBT/Wellcome Trust India Alliance
Year(s) Of Engagement Activity 2021
URL https://www.pahus.org/early-years-exhibition
 
Description The I in team - innovation and team science in global child and adolescent health 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Postgraduate students
Results and Impact Upto 50 career researchers attended .Presentation covered how this study was example of team science . Questions included asking about importance of participatory research and how to work effectively together between high income countries and LMIC
Year(s) Of Engagement Activity 2020
 
Description UCL Global Engagement Ceremony 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact WE presented a poster on the HEEE methodology used, and data collected during a collaborative project with Symbiosis University, based on the MRC HEEE Nutrition Study concept.
Year(s) Of Engagement Activity 2017
 
Description UCL SMLS Community of Engagers 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact We were asked to present on approaches to community involvement in research, as opposed to traditional forms of PPI. This was a 15 minute presentation to an audience of professionals also working in research in the UK
Year(s) Of Engagement Activity 2018
 
Description UCL Up Close and Policy Series: Top-down, Bottom-up & Informing Policy in two Countries 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Prof. Lakhanpaul, Dr. Priti Parikh and Hemant Chaturvedi gave a presentation and talk at a UCL Up Cbout their bottom-up approach for this project and how they worked with communities to get the evidence required to present to policymakers.
Year(s) Of Engagement Activity 2022
 
Description UCL internal press release, "Rural child nutrition project places communities at the helm" 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Media (as a channel to the public)
Results and Impact UCL internal press release of PANChSHEEEL project, "Rural child nutrition project places communities at the helm" on 19th February 2019.
Year(s) Of Engagement Activity 2019
URL https://www.ucl.ac.uk/news/2019/feb/rural-child-nutrition-project-places-communities-helm
 
Description UKCDR Blog: Building trust with rural communities: how we developed partnerships with rural Indian villages 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Third sector organisations
Results and Impact A blog on the UKCDR website as part of a series on building equitable partnerships.
Year(s) Of Engagement Activity 2022
URL https://www.ukcdr.org.uk/building-trust-with-rural-communities-how-we-developed-partnerships-with-ru...
 
Description University College London delegation visits IIT Delhi 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact "A delegation from University College London led by Professor Michael Arthur, President and Provost, visited IIT Delhi and held discussions with Director Prof V. Ramgopal Rao and faculty members from various departments at the institute. The discussions were mainly focused on the opportunities of academic collaborations like faculty and student exchange programme between IIT Delhi and UCL."

IIT Delhi and UCL researchers are already working on some joint research projects, including PANChSHEEEL, funded by the UK's Medical Research Council (MRC) and Global Challenges Research Fund (GCRF).
Year(s) Of Engagement Activity 2019
URL http://www.iitd.ac.in/content/university-college-london-delegation-visits-iit-delhi
 
Description Webinar event on the role of arts in public health 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact A panel with a range of academics, clinicians, artists, media personalities and photographers came together to discuss the role of the arts in public health, especially with regards to the importance of the first 1000 days of a child's life. The webinar consisted of presentations, panel discussion and audience questions.
Year(s) Of Engagement Activity 2021
 
Description presentaiton at GAPIO conference in Mumbai( Global Association for Paediatricians of Indian Origin) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact 120 individuals present from all over the world. Mixed audience of paediatric practitioners, academics, educational leads and policy makers were present with an aim of sharing work that would have particular relevance to practicing paediatricians.
Year(s) Of Engagement Activity 2018
URL http://www.gapio.in
 
Description presentation at South Asian network meeting 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Other audiences
Results and Impact Presentation given at UCL hosted South Asian network meeting. The aim of this workshop was to bring together people interested in activities to South Asia, The presentation stimulated a debate about important areas for research in South Asia, how we could build collaborations and with whom .
Year(s) Of Engagement Activity 2018
URL http://www.HEEE.UK
 
Description uk dissemination event 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact One day seminar as part of the final study dissemination program .
The event was held in uk with partner organisations attending, academics and third sector and funders,.
Question regarding malnutrition, reasons for failure of previous interventions and requests for further presentations and knowledge sharing events. led also to invite to collaborate on other projects.
Year(s) Of Engagement Activity 2019