The Clinton Health Access Initiative, Inc. (CHAI) is a global health organization committed to saving lives and reducing the burden of disease in low-and middle-income countries, while strengthening the capabilities of governments and the private sector in those countries to create and sustain high-quality health systems that can succeed without our assistance. For more information, please visit: http://www.clintonhealthaccess.org
CHAI has been working in India since 2004 in close partnership with and under the guidance of the Ministry of Health and Family Welfare (MoHFW) at the Central and States’ levels on an array of high priority initiatives aimed at improving health outcomes. Currently CHAI works across projects to expand access to quality care and treatment for HIV/AIDS, Hepatitis-C, tuberculosis, cancer and immunisation. Additionally, CHAI is also supporting the government of Madhya Pradesh (MP) on large-scale programs to arrest childhood and maternal mortality due to malnutrition, anaemia, diarrhoea and pneumonia, and helping increase access to quality Family Planning services
Dietary Diversity in Nutrition Program
Since 2016, with the support of the IKEA Foundation, CHAI has been working to reduce the prevalence of malnutrition amongst young children and anaemia amongst women of reproductive age group in Madhya Pradesh. To that end, CHAI has developed a comprehensive strategy that aims to address supply and demand side infirmities in public funded services to improve the nutritional status of marginalised communities in the state. CHAI has had great success over the last few years in assisting the Government of Madhya Pradesh (GoMP) introduce transformational reforms. To note a few, the GoMP has introduced a wholly nutritious complementary food for ~3 million children and ~ 2 million pregnant women and has accelerated the introduction of an improved iron folic acid (IFA) formulation with an assured delivery mechanism to every village
While improving efficiencies of Government’s health and nutrition related services is critical to improving nutrition outcomes in the communities, CHAI is cognizant that a large aspect of community nutrition is tied directly with the quality and quantity of locally available food and the ability of households to include these in their daily diet. Unfortunately, due to the prevailing low income levels (average monthly income INR 6,210 or USD 88) marginalised families find it difficult to consume a diverse diet; out of 41% of calorie intake of rural households in MP comes from non-cereals, only 7% comes from consumption of fruits, vegetables, meat, eggs and fish thereby unable to fulfil their nutrient requirements on daily basis It’s also noteworthy that while approximately 55% of a household’s income in the state is dedicated to procuring food items, most communities continue to consume a staple heavy diet as it’s both easier and cheaper to access. This trend is particularly ironic since more than 60% of the rural community in MP is agrarian and derives at least 40-50% their income from selling agricultural produce. Approximately 65% of farmers in the State fall in the small or marginalised category but only make about ~INR 37,260/year or USD 532/year from core agricultural activities. Small farmers are not able to generate adequate and predictable income because of several compounding factors including inefficient market structures, unreliable quality of their produce, varying yield from their landholdings and low crop intensity which makes them heavily reliant on a single variety of crop.
CHAI intends to collaborate with the GoMP to introduce a set of comprehensive interventions to significantly improve the food diversity among the small and marginal segment of farmers in order to improve the nutritional status- this is largely possible by diversifying the agricultural practices and enhancing the income levels in long term. At this point, CHAI expects to pilot an approach (support provided as technical assistance) with limited geographical scope along with state rural livelihoods mission. The pilot will bring together a comprehensive set of interventions with women self-help groups to adopt various package of practices suitable and enhance community’s nutritional uptake.
The program is looking for a Program Manager who can work with different stakeholders including different government departments, NGOs, and start-ups to implement the pilot on the nutrition sensitive agriculture. The candidate is expected to provide program management support to the governemnt departments in managing their resources involved in the pilot. The ideal candidate would have rich implementation experience in the field of agriculture and strong stakeholder management abilities. CHAI places great value on relevant personal qualities: resourcefulness, responsibility, tenacity, independence, energy, and work ethic.
 NSSO: Average monthly income per agricultural household during July 2012- June 2013
 NSSO 68th round: Nutritional intake in India, 2011-2012
 NSSO: 60th round Household consumer expenditure in India
 Agriculture Census , Ministry of Agriculture and Farmers Welfare, GOI, 2015-2016