SOCIETY FOR NUTRITION, EDUCATION AND HEALTH ACTION · SOCIETY FOR NUTRITION, EDUCATION AND HEALTH ACTION Tel: 91 22 6614488 / 6606295 Email: [email protected] Who We Are

SOCIETY FOR NUTRITION, EDUCATION AND HEALTH ACTION

Tel: 91 22 6614488 / 6606295 Email: [email protected] www.snehamumbai.org

Who We Are – SNEHA is a secular, Mumbai-based non-profit organization addressing four major

areas of public health - Maternal and Newborn Health, Child Health and Nutrition, Sexual and

Reproductive Health, and Prevention of Violence against Women and Children - in urban slum

context. It was established in 1999 by a group of renowned doctors and social workers who believed

that curative care in hospitals was not enough; that they had to go beyond the walls of the hospital

to protect more lives through prevention and education. SNEHA works towards the vision of

realizing healthy and safe urban communities in the informal settlements of Mumbai and beyond.

Why Urban Health – As the city of Mumbai prospers, half its population (6 million) has no choice but to live in heavily congested and neglected informal settlements, where poor hygiene, lack of resources and limited knowledge threaten people’s health every day. Health is what enables people to build better lives, and is the foundation of children’s ability to learn. Families in Mumbai’s slums, however, are busy making ends meet – Fighting for their own health is often not their day-to-day priority. If the cycle of poor health is not broken now, future generations will continue to be excluded from the economic development - as the rest of city enjoys more and more affluent living.

Where We Work – Our work currently covers the most deprived informal settlements in Mumbai

and three adjoining regions: Thane, Kalyan Dombivali and Mira Bhayander.

What We Deliver –

Recognized Expertise in Urban Public Health: SNEHA is recognized as a unique expert of public

health in urban slum context. Our work is guided by renowned medical and public health experts

with deep knowledge of urban slum settings. Our founder, Dr. Armida Fernandez (former Dean and

Professor/Head of Neonatology of Lokmanya Tilak Municipal General Hospital and Medical College)

continues to lead our Board of Trustees. Our work has recently been featured in New York Times,

BioMed Central and PLoS.

15 Years of Trusted Financial Control: SNEHA has been trusted by funders, both within India and

abroad, since 1999. We are governed by the Board of Trustees which includes distinguished finance

and management professionals. We publish audited financial statements every year, and have

engaged a major international agency to conduct risk audit. SNEHA’s current funders include

Barclays, GlaxoSmithKline, HDFC Bank, IDFC (Infrastructure Development Financing Corporation),

UNDP, World Health Organization, and Wellcome Trust.

Scalable Intervention Models: SNEHA’s tested approach to deliver interventions through

partnerships with existing public infrastructure enables us not only to leave behind sustained impact

within the infrastructure, but also to reach a scale which would otherwise be unimaginable working

on our own.



How We Deliver –

Partnerships with Municipal Governments: Directed by senior experts with decades of experience in

the state and municipal governments, SNEHA is in a unique position to form formal, long-term

collaborations with the public infrastructure. Our current public sector partners include the World

Bank-funded Integrated Child Development Scheme and four municipal corporations.

SNEHA’s Holistic Lifecycle Approach: To break the inter-generational cycle of poor health in urban slums, we adopt a lifecycle approach addressing the following areas: (1) Maternal and Newborn Health (2) Child Health and Nutrition (3) Sexual and Reproductive Health (4) Prevention of Violence against Women

and Children

Focus on Data and Evidence: With University College of London as full-time research partner,

SNEHA takes an evidence-driven approach to design and implement programs. We adopt state-of-

the-art mobile technologies to inform and improve our interventions in the field.



ANNEX I: Programs

1. Maternal and Newborn Health

India’s Share of Annual Global Maternal Deaths - In 2013, 50,000 maternal deaths took place in India, accounting for the greatest share (17%) of maternal deaths taking place around the world followed by Nigeria.

80 % of maternal deaths can be averted through essential maternity and basic health-care services (UNICEF 2009).

SNEHA works with municipal governments to establish referral networks of government

hospitals for management of high risk pregnancy cases. We also provide trainings in

government hospitals to improve the staff’s skills in maternal and newborn care.

Simultaneously, SNEHA works in the most deprived informal settlements to help women

and families access professional healthcare early in pregnancy, for childbirth and through

the first few weeks of newborns’ lives.

IMPACT (upto March 2015)

Assisted over 21,000 pregnant women with potential complications through

SNEHA-initiated referral networks

Reached out to nearly 4500 pregnant women through home visits, providing

periodic counselling during pregnancy and after childbirth

Trained over 3,000 public healthcare providers (cumulative) on clinical aspects of

maternal and neonatal care and effective communication

Trained over 2,900 government outreach workers (cumulative) to address

maternal and neonatal health in communities



Rita’s Story: Rita’s labor started early, but her in-laws were reluctant to take her to a

hospital, saying that all previous childbirths in the family had taken place at home. Seeing

Rita’s paleness, SNEHA’s field staff persuaded the family to take her to a public hospital,

where Rita was diagnosed as severely anemic. The doctor followed SNEHA’s patient

referral/transfer protocol to make sure that Rita reached a major teaching hospital. There,

Rita’s conditions were managed efficiently, and the baby was delivered safely. Two lives

were saved.

2. Child Health and Nutrition

Poor nutrition prevents children from fighting diseases and from building thee capacity to

learn. SNEHA adopts a cycle of prevention, early screening and treatment to tackle

malnutrition among children under three years of age in Mumbai’s most underserved slums,

in partnership with government hospitals and Integrated Child Development Services (ICDS),

an initiative of the Government of India.

Nearly 1 in every 2 children under three years of age in Mumbai is stunted. 1 out of every 3 children under three in Mumbai is underweight.


The project covers:

Screened about 24,000 children under 3 years for malnutrition in Dharavi

Counseled 4200 pregnant women on Antenatal Care (ANC) and Infant and Young

Child Feeding practices (IYCF)

Reduced wasting in less than 2 yr old children by 18% between 2011-2014

Provides continuous training and capacity building to over 500 government health

workers, improving uptake of Government ‘Take Home Rations’ to pregnant

women and children by 40%

Rajul’s Story: Rajul, aged 2 years, was diagnosed as “Severe Acute Malnourished” in one of

the monthly screenings conducted by SNEHA’s field worker along with government

outreach workers. Following the diagnosis, SNEHA treated her at her home with Medical

Nutrition Therapy (MNT), and made sure that Rajul had gone through all recommended

vaccinations as well as de-worming. SNEHA staff also counseled Rajul’s mother on healthy

feeding practice. It took Rajul six months to return to a normal weight. SNEHA continues to



monitor her growth, so that she can build immunity and develop strong physical and mental

abilities.

3. Sexual and Reproductive Health

In India, only 1 in 8 young men aged 10-24 years and 1 in 4 young women aged 10-24 years receive any kind of training on sexual & reproductive health or family planning, in a school setting or otherwise.

SNEHA works with adolescents and youths to help them build sound knowledge of health

and sexuality. We simultaneously work with partner institutions and corporations to help

youths develop vocational skills, helping them improve their employability and thereby

preventing early marriage in some cases.

Source: International Centre for Research on Women

Girls below 15 years of age who become pregnant are five times more likely to lose their lives during childbirths compared to women above 20 years of age.


Provided health and life skills education to over 10,000 adolescents and youth

Provided vocational training to over 2,000 youth

Sanil’s Story: Sanil overheard his parents discussing the potential marriage of his 15-year-old sister, Nita. He recalled the sessions he had attended at SNEHA: he conjured up his courage and alerted his parents to the legal and health consequences of an early marriage. His parents were initially upset, but eventually started to listen to Sanil. Today, Nita is enrolled in SNEHA’s nurse-aide training program and will soon be employed in a hospital. Her parents now plan to wait until Nita’s 21th birthday before they arrange a marriage for her.

12.5% 25%

Men (10-24years)

Women (10-24years)



4. Prevention of Violence against Women and Children

1 in every 4 married women in Mumbai has been victims of violence by their spouse.

Every day, women come to SNEHA’s Crisis Centers in distress. It continues to alarm our staff

how a number of them have even thought of taking their own lives before their families or

friends helped them reach SNEHA. Our trained and dedicated staff protects them through

crisis counseling, legal support, follow-up visits, and community outreach.


Addressed over 4,000 cases of violence

Trained and sensitized 4,500 police officers and cadets in Mumbai

Trained over 2,100 public hospital staff to identify violence victims among patients

Savita’s Story: SNEHA’s community volunteer brought Savita into SNEHA’s Crisis Centre in a

severely bruised state. Savita explained that she had been repeatedly beaten by her

husband. After emotional conflicts leading to her husband’s violent behavior were identified

through several sessions of individual and couple counseling, Savita made a decision to

make efforts to reunite with him. SNEHA continues to make follow-up visits on the couple’s

home to make sure Savita is safe and making progress in rebuilding her life.

Imagine joining hands with us to support next Rita, Rajul, Sanil and Savita. For more information, please visit www.snehamumbai.org.



ANNEX II:

Management Team

Vanessa D’Souza, Chief Executive Officer, has worked with Citibank India for 21 years. Her last position was Director - Citigroup Private Bank. Vanessa holds a graduate degree in Economics with honors and a Master’s degree in Business Administration (Marketing).

Dr. Shanti Pantvaidya, Executive Director, was a medical teacher for 35 years and Professor / Head of Anesthesiology Services for 20 years at Lokmanya Tilak Municipal General Hospital, where she was instrumental in establishing the Emergency Medical Services. She started as a Project Coordinator at SNEHA, standardizing and implementing clinical maternal and newborn services in public hospitals.

Dr. Nayreen Daruwalla, Director, Prevention of Violence against Women and Children, has 18 years’ experience in mental health counseling, crisis intervention and training. She has spent more than 12 years working extensively in the field of violence against women and children in India and abroad. She holds a Doctorate in Social Psychology.

Neena Shah More, Director, Child Health & Nutrition and SNEHA Centre, has 14 years’ work experience in 7 different organizations including SNEHA. With a M.A. in Social Work, Neena joined SNEHA in April 2002 and spent 2 years on the Mother and Child Friendly Hospital Project before joining City Initiative for Newborn Health as a Project Coordinator.

Sushma Shende, Director, Maternal and Newborn Health, has 14 years of experience in handling health system research and development projects in tribal and urban areas. She has an MSc in Anthropology. Her expertise includes improving public health systems and developing new public private partnerships. She joined SNEHA in 2002 and has managed the Aahar project and City Initiative for Newborn Health: Facilities.

Anuja Jayaraman, Research Director, completed a PhD in Agricultural, Environmental and Regional Economics and Demography from the Pennsylvania State University, USA and has over 10 years of rich and varied international experience in the field of development. Her research focuses on areas of non - income dimensions of well - being including health (maternal and child health, HIV / AIDS), housing and education in the context of South Asia and Africa.

Archana Bagra, Finance Director, is a Chartered Accountant by profession and joined SNEHA in May 2010. She has 15 years of experience in the field of accounting, internal auditing, taxation, bank audits, and NGO audits. She has earlier been associated as a consultant with organizations such as the Akanksha Foundation, Teach for India.

Kyoko Miura, Chief of Staff, has over 10 years of experience in the corporate sector and then in global health. With an MBA from the Wharton School, University of Pennsylvania, she has worked for the Global Fund to Fight AIDS, Tuberculosis and Malaria in Switzerland and Japan International Cooperation Agency (JICA) in Senegal, and has been a senior consultant with Deloitte’s strategy & operations practice.



Trustees

Dr. Armida Fernandez (Founder Trustee): She was Professor and Head of Neonatology at Lokmanaya Tilak Municipal General (LTMG) Hospital and Medical College for over 25 years and Dean of the hospital for 3 years. She was honored as an Ashoka Fellow in 2004 and is the former president of the National Neonatology Forum.

Ms. Mary Patricia Soans (Joint Founder Trustee): She is a social worker and has been active in social welfare services in the church. She is acting chairperson of Advanced Locality Management Group in her area and active member of H/W federation.

Dr. Sindhu Shanbhag: She has worked in the Brihanmumbai Municipal Corporation (BMC) and retired as a Medical Officer (Administration) at K. B. Bhabha Hospital, Bandra. She was also OSD at the Integrated Centre for Women and Children at Urban Health Centre (UHC), Dharavi.

Dr. Jayshree Mondkar: She is currently Professor and Head of Neonatology at LTMG Hospital and serves as the Director of the Human Milk Bank.

Dr. Ruchi Nanavati: She is Professor and Head of Neonatology at King Edward Memorial (KEM) Hospital. She is a member of the Governing Body of National Neonatology Forum and Principal Investigator and Key Trainer for Kangaroo Mother Care.

Luis Miranda: Luis is active in the not-for-profit sector and is Chairman, Board of Advisors, Centre for Civil Society. Luis has been involved in setting up two companies. He was Chairman, IDFC Private Equity and was a key member of the start-up team at HDFC Bank. He has an MBA from the University of Chicago and is a member of the Institute of Chartered Accountants of India.

R. Sriram: Sriram is the co-founder of the iconic Crossword bookstores and of Next Practice Retail. He is also President of The Indus Entrepreneurs (TiE) Mumbai, and serves as an advisor to Seedfund, a venture capitalist firm that invests in the future of India. He also serves as a visiting faculty at IIM Ahmedabad and Lucknow. Sriram brings to SNEHA his experience in building strong and innovative organizations.

Rakesh Singh: Rakesh has a very successful career spanning 17 years in the world of banking and is currently the Head of Investment Banking at HDFC Bank Ltd. He has in the past worked with well-known companies such as Rothschild, Morgan Stanley, Merrill Lynch and Standard Chartered Bank.

Pradeep Mukerjee: He is Country Head & Chief Executive Officer for India for Mercer Consulting, and was the Founding Director of Confluence Coaching and Consulting. Prior to his entrepreneurial journey, Mr. Mukerjee held a number of leadership roles at Citigroup for more than 19 years, both in India and overseas. His last assignment with Citigroup was as Human Resources Director and Vice President, Citigroup, South Asia.

The Model: The concept of SNEHA Centers revolves around effective delivery of bundled interventions addressing inter‐generational cycles of poor health in urban slums. SNEHA Centers work with infants, children, adolescents, mothers, and men and women of reproductive age. The ultimate goal is to create “SNEHA families” – model families whose members demonstrate optimal and informed health‐seeking behaviors – within vulnerable communities. The physical base within vulnerable slums are expected to improve the frequency and quality of interaction between the community and SNEHA staff, improving SNEHA’s ability to tackle the problems faced by the community.

Society for Nutrition Education and Health Action (SNEHA) Creating Healthy Urban Communities Founded: 1999 | Sector: Health | Website: www.snehamumbai.org Head office: Mumbai | Region of Impact: Maharashtra Annual Program Budget (April ’14 – March ’15): INR 44,272,000 / USD 719,523 Staff Strength: 127 (full‐time)

SNEHA Center SNEHA operates 20 integrated community health centers (SNEHA Centers) in the highly vulnerable M/East and L Wards of Mumbai. SNEHA Centers offer a package of integrated services, spanning family planning, maternal and neonatal health, child nutrition and health, and prevention of violence against women and children.

CEO: Vanessa D’Souza | Email: [email protected] | Contact: +91‐98201‐55897

What We Address Through SNEHA Centers

Primary Outcomes: 1. Unmet need for family planning in women aged

15 to 49 years 2. Complete immunization of children under 5 years

of age 3. Wasting (weight for height ) of children under 5

years of age

Secondary Outcomes: 1. Number of consultations for violence against

women or children 2. Institutional deliveries for births 3. Adolescent pregnancies among women under 19

years of age 4. Stunting (height for age ) of children under 5 years

of age 5. Underweight (weight for age ) of children under 5

years of age 6. Proportion of children who received child

development support from ICDS centers 7. Initiation of breastfeeding within 1 hour of birth 8. Exclusive breastfeeding under 6 months

The SNEHA Centres project is a randomized controlled trial where in health indicators will be compared among 20 areas with SNEHA centers interventions with those in 20 similar unmatched areas. The outcomes will be assessed through a household census to be completed in 2015, after 2 years of intervention. A process evaluation is currently underway to complement the census findings.

From the Field ‐ Nazma, 18 year old Hindu girl from Uttar Pradesh, fell in love and married a Muslim man. Due to the fear of their families, they ran away from the village and came and settled in Mumbai. Nazma was pregnant and had a premature delivery in her 7th month of pregnancy. The baby weighed 1.03 kg and was kept in an incubator in Sion Hospital for three weeks. At the time of discharge, the baby weighed 1.6 kg. SNEHA Centre Community Organizer, with the support of Medical Officer and Pediatrician, counseled and guided Nazma to take care of her fragile child. They regularly followed up about the child’s health and ensured that she follows doctor’s advice on medication, breastfeeding and Kangaroo care. Gradually, the child gained weight and at two months his weight was 2.1 kg.

Priyanshi, 15 months old, came for monthly anthropometry and weighed 6.09Kg with height 71cms. She was graded as Severe Acutely Malnourished (SAM). She was very quiet, inactive and couldn’t walk. Regular home visit were started by SNEHA’s Community Organizer (CO) where the mother was counseled about the importance of regular growth monitoring and proper diet. The parents were given information about the health facilities available at the Urban Health Centre and referred to the Nutrition Rehabilitation Research Centre (NRRC) at the hospital. Initially, the mother was reluctant to take the child to the NRRC, but positive experiences of other parents who’s children were treated by Pediatricians at the NRRC were shared with them. The parents were finally convinced and the mother took Priyanshi to the NRRC to commence treatment. The doctors advised Medical Nutrition Therapy (MNT) to Priyanshi for 56 days. Consistent follow up by SNEHA’s CO and proper feeding by the mother enabled her to return to normal grade in 56 days. Priyanshi is now a happy , healthy playful child

The Model: Through an approach combining home‐based and facility‐based care, Aahar reaches out to a large number of vulnerable children in need of monitoring and care. In order to maximize the impact on child development, the program captures mothers during pregnancy and addresses nutrition and feeding practice throughout the first 1,000 days of child’s life.

Society for Nutrition Education and Health Action (SNEHA) Creating Healthy Urban Communities Founded: 1999 | Sector: Health | Website: www.snehamumbai.org Head office: Mumbai | Region of Impact: Maharashtra Annual Program Budget (April ’14 – March ’15): INR 26,270,000/ USD 427,779 Staff Strength: 102 (full‐time)

Child Health and Nutrition SNEHA’s Child Health and Nutrition program launched its Aahar (a word which means “food” in Hindi) project in October 2012 in Dharavi, one of the largest slums in Asia. The project aims to improve the health and nutrition status of children under 3 years of age through: 1. Rigorous screening and early identification of

malnourished children; 2. Combinations of hospital care, Community‐based

Management of Acute Malnutrition (CMAM) and referrals; and

3. Regular follow‐up and monitoring. The project covers an estimated population of 300,000 in Dharavi, and is implemented in partnership with the World Bank‐financed Integrated Child Development Scheme (ICDS) and Municipal Corporation of Greater Mumbai( MCGM)

45.4% of children in Mumbai slums are stunted


Impact to Date:

The project covers: • 24,000 under‐3 malnourished children; • 4,200 pregnant and lactating mothers; • 300 ICDS outreach workers • Screened about 24,000 children under 3 years for

malnutrition in Dharavi • Counseled 4200 pregnant women on Antenatal

Care (ANC) and Infant and Young Child Feeding practices (IYCF)

• Reduced wasting in less than 2 yr old children by 18% between 2011‐2014

• Provides continuous training and capacity building to over 500 government health workers, improving uptake of Government ‘Take Home Rations’ to pregnant women and children by 40%

Endorsement: • Works in close partnership with Integrated Child Development Scheme (ICDS), a national initiative financed by the World Bank

• Partners with UNICEF on technical matters

From the Field – Sushila, 40, suffers from dwarfism and has a mentally challenged son. She was 5 months into her second pregnancy when her sister‐in‐law told her to undergo an abortion, thinking that her next child will also be mentally challenged. SNEHA’s field worker met Sushila and her sister‐in‐law, explained the risk of abortion in the 5th month, and urged Sushila to receive antenatal checkups. When the field worker found it difficult to convince Sushila and her family, she sought the help of her colleagues to persuade them. Finally, the field worker managed to get Sushila to visit a public hospital, where the doctor informed her that the child was going to be perfectly normal. Due to her short stature, the doctor referred Sushila to a tertiary center of care for delivery, where she delivered a healthy boy. SNEHA saved yet another life.

The Model: The MNH program uses Appreciative Inquiry approach to facilitate positive changes within public healthcare systems. It works simultaneously with slum communities to create a base of well‐informed healthcare users who constantly demand higher quality.

Society for Nutrition Education and Health Action (SNEHA) Creating Healthy Urban Communities Founded: 1999 | Sector: Health | Website: www.snehamumbai.org Head office: Mumbai | Region of Impact: Maharashtra Annual Program Budget (April ’14 – March ’15): INR 14,851,000 / USD 233,302 Staff Strength: 56 (full‐time)

Maternal and Newborn Health SNEHA’s Maternal and Newborn Health (MNH) program seeks to improve pregnancy care for low‐income women by working with both the public healthcare system and the communities. Working with the public healthcare system: SNEHA works with public hospitals to map and establish referral networks and promote appropriate care for women with potential complications. SNEHA also collaborates with municipal health posts to standardize primary ante‐ and post‐natal services and build capacity of their outreach workers. Educating vulnerable slum communities: Through home visits, community meetings, and formation of community health committees, SNEHA engages pregnant mothers and their families to promote utilization of public services for mothers and newborns and improve their knowledge of ante‐ and post‐natal danger signs, maternal nutrition, appropriate child feeding practice, and family planning methods.

50,000 maternal deaths take place in India every year, accounting for the greatest share

(17%) of global burden.


Impact to Date: Over the last five years (2009‐2014), • Assisted at least 21,401 pregnant women with potential complications through SNEHA‐initiated referral networks

• Reached out to nearly 4,458 pregnant women through home visits, providing periodic counselling during pregnancy and after childbirth

• Trained over 3,000 public healthcare providers (cumulative) on clinical aspects of maternal and neonatal care and effective communication

• Trained over 2,900 government outreach workers (cumulative) to address maternal and neonatal health in communities

Endorsement: • Recognized as official partner of the State Government of Maharashtra and Municipal Corporations of Greater Mumbai, Thane, Kalyan Dombivali and Mira Bhayander

• Appointed as NGO representative on the committee for implementation of Pre‐Conception and Pre‐Natal Diagnostic Techniques (PCPNDT) Act in Mira Bhayander

The Model: The PVWC program operates 11 crisis centers across Mumbai, providing immediate interventions as well as long‐term follow‐up support for survivors of violence. Its training for the police focuses on sensitive communication with violence victims, and its work with public healthcare providers emphasizes detection of violence victims among hospital patients. SNEHA’s network of women volunteers actively identifies and refers cases of violence to SNEHA’s crisis centers. SNEHA recently launched a mobile application enabling discreet reporting of violence and crowdsourcing of incidence maps.

Society for Nutrition Education and Health Action (SNEHA) Creating Healthy Urban Communities Founded: 1999 | Sector: Health | Website: www.snehamumbai.org Head office: Mumbai | Region of Impact: Maharashtra Annual Program Budget (April ’14 – March ’15): PVWC – INR 18,270,000 / USD 297,105 EHSAS – INR 14,473,000 / USD 235,359 Staff Strength: 71 (full‐time)

Nearly 70% of women in India face some form of domestic violence and 66% remain silent

about their suffering


Impact to Date: Since 2001, • Addressed over 4,000 cases of violence • Trained and sensitized 4,500 police officers and cadets in Mumbai

• Trained over 2,100 public hospital staff to identify violence victims among patients

• Provided health and life skills education to over 10,000 adolescents and youth

• Provided vocational training to over 2,000 youth Endorsement: • Collaborates with the District Legal Aid Services Authority (DLASA) to provide free legal aid

• Held the secretariat of the Maharashtra state chapter of the AMAN Network in 2012‐2013

• Covered by 26 media articles in 2013‐2014

From the Field – Anamika and her daughters had been suffering from physical abuse by her alcoholic husband, Raja. She approached SNEHA for medical attention after a brutal beating. After provision of medial care, SNEHA tried to arrange a counseling session, but Raja would not agree to participate. To protect Anamika, SNEHA filed a court case under the Protection of Women from Domestic Violence Act ‐ the first case of its kind to be filed by a service provider. After the first hearing, Raja approached SNEHA to request a reconciliation with his wife and daughters. To ensure Anamika and her daughters’ safety, SNEHA worked with the courts and had Raja sign legally binding consent terms before the court settlement date. "Today I have a rightful existence in my house. I am not humiliated any more," said Anamika after her return home.

Prevention of Violence Against Women and Children (PVWC) SNEHA’s PVWC Program builds a gender‐sensitive society that responds to and prevents gender‐based violence in urban areas: • Crisis Intervention: SNEHA’s crisis centres provide

immediate and long‐term counselling for the survivors of violence and facilitate access to medical, legal and police services.

• Sensitisation of Public Sector Workers: SNEHA trains police officers and public hospital staff on the needs of women and children in distress. SNEHA also develops and helps implement protocols for public systems to promote provision of adequate and timely care for survivors.

• Community Mobilisation: SNEHA has established a network of community‐based women volunteers monitoring the safety of women and children, works with men to prevent violence, and has introduced technology to crowd‐source cases of violence.

Empowerment, Health and Sexuality for Adolescents (EHSAS) SNEHA’s EHSAS initiative aims to address the health and wellbeing of adolescents and youth, and transform them into healthy, gender‐sensitive and responsible citizens.

Documents

SOCIETY FOR NUTRITION, EDUCATION AND HEALTH ACTION · SOCIETY FOR NUTRITION, EDUCATION AND HEALTH ACTION Tel: 91 22 6614488 / 6606295 Email: [email protected] Who We Are