Saturday November 25, 2017

“Roti Bank”- Mumbai Dabbawalla’s Initiative to Erase Hunger

Dabbawallas of Mumbai are also looking forward to sharing their thoughts in other Indian cities such as Lucknow, Noida, and Hubli.

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Dabbawallas in Mumbai. Image Source: Wikimedia Commons

There’s an old saying “To survive on this planet you’ll need 3 things. Guess what? Well, folks!! Roti (bread), kapda (Clothes) and makaan (shelter) it is.

Here’s a strange fact. Although there is plenty of food produced by the farmers of India, but it is not evenly distributed among the people. India ranks 3rd in the world for obesity constituting 46 million obese citizens (according to the journal Lancet). At the same time, it also is the hungriest nation of the world. The Dabbawallas (meaning the one with boxes) of Mumbai have taken an initiative to help the underprivileged gain access to food. As a part of their accountability towards society, some initiatives have been taken by the Dabbawallas so that the nation doesn’t go hungry-

  • Maharastrain weddings are generally big fat weddings. There is so much of investment, showcase, latest trends are done there. It is indeed an expensive affair. With so much of pomp and grandeur, with it comes food wastage which is very common in these marriages.
  • The Dabbawallas of Mumbai have come up with an interesting project named ‘Roti bank’. Their aim is to distribute the leftovers evenly among the underprivileged class.
  • One of the co-founders of this initiative Dashrath Kedare (also the leader of dabbawalla union) even said: “We deal with food every day, so we’re ideally placed to fix this”.
  • They believe that In India there are schemes such as midday meals for poor children of our society and even religious charities such as Langars in Gurudwaras (Sikh temples) are organised. But no one is focusing towards the leftovers.
  • An average Indian marriage comprises of at least 100 people and at most 2500. A quarter of the food that’s prepared is always thrown away. Thousands of tons of food is trashed every day in a similar fashion. Union leaders add that it needs to be properly distributed within a limited span of time. Otherwise, the food will spoil.
  • These dabbawallas have formed an extensive network in the whole city. With more than 4000 members in their union, they are an integral part of Mumbai’s social life.Even Harvard Business school has done a case study on these efficient dabbawallas. They know exactly where those homeless lives live.
Leftover food materials, Wikimedia commons
Leftover food, Wikimedia commons
  • They have a unanimous support for this initiative. The first pickup was done in December, from an event organised by an airline. Their impact was so influential that more than 30 wedding planners have now partnered with them. They get 20-30 calls every day. Their response rate is way too high.

Related article:Improvement and malnutrition in India

  • Those dabbawallas earn about 180$ a month along with their monthly train passes and reimbursement for bicycle maintenance. They prefer to work in pairs. However, some work during their morning shifts while some do it during their afternoon shifts.

    A packed Dabba containig food, Wikimedia commons
    A packed Dabba containig food, Wikimedia commons
  • They are looking forward to taking it to a broader level by having a tie-up with NGOs across the country. Rotibankidia.com is a new website launched by Talekdar and Kedare (leaders of the Dabbawallas union). People can donate their leftover foodstuffs via this repository website.
  • Setting up collection points at various local railway stations, they are trying to convert smaller contributions to into a substantial amount. They are also looking forward to sharing their thoughts in other Indian cities (with similar scenarios) such as Lucknow, Noida, and Hubli.
  • Even though these dabbawallas play a small role in our society but with the amount of kindness and the large heart that they possess, these people have certainly impressed all with their collaborative efforts. They feel accountable towards the society and are comparitvely better than those upper class people who have plenty to do on their part but are unwilling to do so.

Prepared by Pritam

Pritam is a 3rd year engineering student in B.P. Poddar institute of management and technology, Kolkata. A simple person who tries to innovate and improvise himself.

Twitter handle @pritam_gogreen

 

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Diseased, Ignored and Suffering Silently : A look into the Health Status of Adivasi Women in Jharkhand

Despite establishment of Primary Healthcare Centres (PHC) in tribal areas, quality healthcare is still a dream for India’s tribal population.

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One of the poorest and most marginalized communities in India, the tribal population continues to fight extreme levels of health deprivation, with women and children being most vulnerable. Wikimedia

New Delhi, November 2, 2017 : In his address to the nation on Independence Day, Prime Minister Narendra Modi talked about his resolve to build a Divya and Bhavya Bharat by creating opportunities for the youth and women and focusing on inclusive development, with safe housing and food security for the poor.

But has Modi ji forgotten about the depleting health status of the people in the south eastern part of the country, particularly the Adivasi populations?

Stemming from a region where people struggle to avail basic necessities how does Modi ji expect the youth to create jobs, when they are not even literate and healthy in the first place?

The health status of Adivasi women and communities in India is in need of special attention. One of the poorest and most marginalized communities in India, the tribal population continues to fight extreme levels of health deprivation, with women and children being most vulnerable.

Health Status of Adivasi Women

Due to rampant poverty, affording fruits and milk for sustenance is an issue affecting the health status of Adivasi women and communities. Additionally, most of the food is served to the male members, who are the bread-earners. As a result, the women have to survive on paani-bhaat (a dish made of stale or leftover rice and water) and saag made from drumstick leaves.

health status of Adivasi women
Health of a man is given more priority than the health of a woman in India’s tribal communities. Wikimedia

With little to no choice to avail other food items, they fail to meet adequate nutritional requirement for their bodies.

According to Archana Kisku, a General Nursing Midwife (GNM) at the Community Health Centre at Dumka district in Jharkhand, even water intake among Adivasi women is lower than what is required which makes them anemic.

“Most of the health centres at the block level in the state do not have blood banks and therefore these women have to be referred somewhere else,” Archana told ANI.

Multiple studies on the maternal health and health status of Adivasi women show poor nutritional status that continues to worsen, along with high rates or morbidity and mortality. Furthermore, tribal states of India record lower utilization of antenatal and postnatal services which can be attributed to illiteracy, monetary reasons, non-availability of services and even deep rooted cultural beliefs.

If you believe these conditions prevail only in Jharkhand, you are wrong. According to a study published in 2016, it was revealed that 80 per cent of the tribal women in Maharashtra’s Melghat area weighed less than 50 kg. ‘Starvation deaths’ continue to affect the health status of Adivasi women, with cases being reported even in advanced states like Kerala.

Thus, it must be realized that malnutrition and anemia are major problems affecting the health status of Adivasi women, irrespective of the area they reside in. However, it must also be noted that the problem is worse in states like Jharkhand and Chhatisgarh.

Health Problems Faced By Adivasi Population

While malnutrition and anemia continue to be the most reported cases, tribal populations are also faced with several endemic infectious diseases like tuberculosis, malaria and diarrhea, resulting in untimely deaths. According to a report published in The Hindu in 2016, the Sahariya tribe of Madhya Pradesh was reported to have the highest rates of tuberculosis in India.

Reasons for Poor Health Status of Adivasi Women

The main factors responsible for deteriorating health conditions of India’s Adivasi population can be attributed to

  • Questionable living conditions
  • ignorance
  • lack of health education and literacy in general
  • absence or inaccessible healthcare facilities

The Adivasis are traditionally hunter-gatherers and depend upon the rich forests for their daily source of nutrients. Shifting to government schemes, like the Public Distribution System (PDS) takes them away from their natural state of being, replacing their diverse dietary food consumption in a forest to more restricted packages provided by the government.

Additionally, displacement from their traditional living conditions in forests puts them in a difficult situation, as the Adivasi’s struggle to survive on more ‘urban’ lands.

A major transition in livelihood affects the health status of Adivasi women and men, which then takes a toll.

Adivasi Women During Pregnancy and Childbirth

In an interview to ANI, Archana said, “Adivasi women don’t eat nutritious food during pregnancy and also don’t take iron pills on a regular basis because it is a myth amongst them that they will have problems at the time of delivery of the child due to the pill”.

Nearly 50 per cent of tribal women are known to have haemoglobin deficiency.

The pregnant women in Jharkhand’s Dumka district are found to have only 8 grams of, while 11-14 grams is found in a normal human body. This creates obstructions in childbirth.

Adivasi households are known to rear pigs and goats which diminishes their calcium requirement. Additionally, the womenfolk indulge in labor work and fetch water from far off distances which often result in miscarriages.

health status of Adivasi women
An Adivasi woman with her child. Wikimedia

Adivasi Women and Anemia

As per figures from the National Family Health Survey 2015-2016, 71.5 per cent children between the ages of 6 to 59 months in rural areas of Jharkhand were found to be anemic. Furthermore, it was revealed that 67.3 per cent women within the age bracket 15-49 suffered from anemia.

Shockingly, this figure rose to a staggering 85 per cent in case of Adivasi women.

Nutrition, especially of the women, is of least importance in Adivasi communities, which when combined with poverty, lack of awareness and accessibility, create innumerable problems and negatively affect the health status of Adivasi women.

Anemic women naturally cannot be expected to have healthy children, which is why a negatively spiraling trend can be observed in India’s tribal population’s health.

Adivasi Women and Malnutrition

According to Dr Jugal Kishore, Director of Safdarjung Hospital, New Delhi, malnutrition is a major cause of deaths in India. He observes that one in every three women in India suffer from anemia. The case is worse in Jharkhand where three out of four women are anemic.

As the Adivasi women continue to be anemic, their children are also malnourished.

In a conversation with ANI, State Adviser of the Supreme Court in Jharkhand, Balram revealed the piteous state of pregnant women and nursing mothers who are unable to get adequate nutrition.

He pointed out that these women are unable to receive due benefits of government schemes due to their improper implementation. “Food Safety regulations are being overlooked. In Anganwadi centres there is no proper record maintained of how the health of children suffering from malnutrition is monitored,” he said.

Culture Has A Role To Play Too

Adivasi women continue to depend on midwives to do their deliveries, instead of going to health centres or hospitals. It is also a common belief that consumption of iron or pills would hamper the health status of Adivasi women and their children.

Due to the customs and traditions being passed on over generations, some Adivasi women do not breastfeed their new born after birth, which gravely affects the health of the mother and child alike.

Many such cultural practices also support the proliferation of malnutrition among the Adivasi populations.

State of Public Healthcare Facilities

Despite establishment of Primary Healthcare Centres (PHC) in tribal areas, quality healthcare is still a dream for India’s tribal population.

These PHC are often at a dearth of doctors and trained paremedics. The non-availability of essential drugs, and proper infrastructure further worsen the case.

health status of Adivasi women
A frail looking Adivasi woman with her child. Wikimedia

Lack of knowledge and transportation in Adivasi regions is a huge drawback and travelling on foot to the PHC is a restraint for the tribal population which further hinders quality healthcare delivery.

Illiteracy is also a major factor for absence of good healthcare, as Adivasis’ fail to realize the need for healthcare and rights for care-seeking.

Even though the Adivasi community of India is deep rooted in traditions and superstitions, they have relatively accepted modern medicine in the last few years. But access to good health care continues to be a major issue of concern.

What Is The State Doing Regarding The Health Status Of Adivasi Women?

Jharkhand Welfare Minister Dr Lewis Marandi asserted that the state government is constantly making efforts to eradicate malnutrition and anemia, as per ANI report.

For the same, malnutrition centres have been opened in various districts of Jharkhand and the government is additionally providing supplementary nutritious food to children between the age of 6 to 72 months at meager costs.

Dr Kishore believes these supplementary food packages are also being sent for pregnant women, but they are not reaching the intended targets in rural and Adivasi areas.

The Road Ahead

As noted by the United Nations Children Fund, India has the highest tally of malnourished children in India. In this regard, in their efforts of remove malnutrition, the central government plans to introduce schemes guaranteeing increased amount of nutritional supplements to pregnant women and lactating mothers.

The State government has also been instructed to improve and closely monitor the functioning of PHC. Recently, the state government in Chhatisgarh extended livelihood opportunities to Adivasi women by training them to drive e-rickshaws, which are also expected to serve as ambulances in case of emergencies.

Similar initiative must be taken in Jharkhand and other states with Adivasi populations to bring the tribal communities to the mainstream.

However, what is crucial at the moment is for the government to spread awareness about the health of women, which must be given equal attention as the health of men in the Adivasi communities. At the same time, it is important to break the superstitions operational around the health status of Adivasi women.

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UN Report on Rohingya Hunger Crisis Suspended on Order of Myanmar Government

The current crisis began on August 25 when Rohingya insurgents attacked police checkpoints on Myanmar's Rakhine state and killed 12 security personnel.

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Rohingya refugees collect aid supplies including food and medicine, sent from Malaysia, at Kutupalang Unregistered Refugee Camp in Cox’s Bazar, Bangladesh, Feb. 15, 2017, VOA

United Nations, October 17, 2017: The UN food aid agency withdrew a critical report revealing desperate hunger among the Rohingya Muslim minority after the Myanmar government ordered it to be taken down, the media reported on Tuesday.

The July assessment by the World Food Programme (WFP) warned that more than 80,000 children under the age of five were “wasting” – a potentially fatal condition of rapid weight loss, reports the Guardian.

The six-page document has since been replaced with a statement saying Myanmar and WFP were “collaborating on a revised version”.

That process would involve “representatives from various ministries, and will respond to the need for a common approach” that was in line with “WFP’s future cooperation with the government”.

When asked why the July report was removed, the WFP said it was withdrawn from the website “following a request by the government to conduct a joint review”, the Guardian reported.

In a statement, the agency said: “The WFP stands by its original assessment, which was conducted jointly with local authorities in Rakhine state… However WFP recognises that in a dynamic and evolving situation, it is important to coordinate closely with all partners, including the government.”

Meanwhile, the UN’s most senior official in the country is scheduled to leave at the end of the month amid allegations she suppressed another report and also attempted to shut down public advocacy on Rohingya suffering.

The current crisis began on August 25 when Rohingya insurgents attacked police checkpoints on Myanmar’s Rakhine state and killed 12 security personnel.

It resulted in over half a million Rohingya fleeing to neighboring Bangladesh, many alleging that the Myanmar Army conducted a counter-offensive that included mass killings and rapes.(IANS)

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Annual Global Hunger Index : Global Hunger Levels Rise for the first time in ten years ; Africa tops the list

The index is based on levels of hunger in the general population, and rates of wasting, stunting and deaths among children under 5 years old.

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A mother holds onto her emaciated infant at an emergency feeding clinic in Maradi, Niger. (VOA)

Rome, October 12, 2017 : Global hunger has fallen more than a quarter since 2000, but conflict and climate shocks are beginning to reverse these gains, an annual global hunger index said.

Nearly half of the 119 countries surveyed had “serious,” “alarming” or “extremely alarming” hunger levels between 2012 and 2016, with war-torn Central African Republic worst affected, followed by Chad, Sierra Leone, Madagascar and Zambia.

“Conflict- and climate-related shocks are at the heart of this problem,” said Dominic MacSorley, chief executive of Concern, which compiled the report along with the International Food Policy Research Institute and Welthungerhilfe.

About half of the populations in the hungriest countries were short of food, it said.

South Sudan and Somalia, which are at risk of renewed famine, were among 13 countries excluded from the index because of lack of data.

The United Nations said last month that global hunger levels had risen for the first time in more than a decade, now affecting 11 percent of the world’s population, or 815 million people.

Famine struck parts of South Sudan earlier this year, the U.N. said, and there is a high risk that it could return there, as well as develop in other countries hit by conflict: northeast Nigeria, Somalia and Yemen.

Yemen came sixth in the index as its hunger crisis has spiked since 2015, when civil war erupted and the data cover the period 2012 to 2016.

ALSO READ Global Hunger on Rise Again: UN Food Agencies

Although most of Nigeria is relatively food secure, the eight-year Islamist Boko Haram insurgency has left millions in the northeast at risk of starvation.

“We must build the resilience of communities on the ground, but we must also bolster public and political solidarity internationally,” MacSorley said in a statement.

The survey found that 14 countries — including Senegal, Azerbaijan, Peru, Panama, Brazil and China — had made significant improvements since 2000.

The index is based on levels of hunger in the general population, and rates of wasting, stunting and deaths among children under 5 years old.

Women, girls and ethnic minorities are most at risk of hunger, which causes nearly half of deaths in under 5s, it said.

“The world needs to act as one community with the shared goal of ensuring not a single child goes to bed hungry each night and no one is left behind,” MacSorley said. (VOA)