"NESTLE has been a partner in India's growth for over a century now and has built a very special relationship of trust and commitment with the people of India. The Company's activities in India have facilitated direct and indirect employment and provides livelihood to about one million people including farmers, suppliers of packaging materials, services and other goods.

The Company continuously focuses its efforts to better understand the changing lifestyles of India and anticipate consumer needs in order to provide Taste, Nutrition, Health and Wellness through its product offerings. The culture of innovation and renovation within the Company and access to the NESTLÉ Group's proprietary technology/Brands expertise and the extensive centralized Research and Development facilities gives it a distinct advantage in these efforts.

Gurgaon

Consumer awareness (for e.g. Dietary diversification);h. Education and awareness (for e.g. Classroom education, women empowerment, early child development, child protection, mid-day meals, awareness campaigns for malaria, AIDS, tuberculosis etc.)

Andhra Pradesh, Assam, Chhattisgarh, Delhi NCR;, Goa, Gujarat, Haryana, Himachal Pradesh, Jammu and Kashmir, Karnataka, Kerala, Madhya Pradesh, Maharashtra, Mizoram, Odisha, Punjab, Rajasthan, Tamil Nadu, Telangana, Uttar Pradesh, Uttarakhand, West Bengal

"Delhi, J&K, Rajasthan: Jaipur, Ajmer Maharashtra: Mumbai, Pune Andhra Pradesh: Visakhapatnam, Rajahmundry Telangana: Hyderabad Karnataka: Bangalore, Mysore, Nanjangud Tamil Nadu: Chennai Assam: Guwahati West Bengal: Kolkata Punjab: Moga, Ludhiana Himachal Pradesh: Tahliwal Uttarakhand: Pantnagar Haryana: Samalkha, Rohtak, Karnal Goa: Ponda, Bicholim Madhya Pradesh: Gwalior UP: Lucknow Kerala: Kochi, Trivandrum Mizoram: Aizwal Chhattisgarh: Raipur Odisha: Keonjhar Gujarat: Bharuch "

"The objective of this programme is to create awareness regarding nutrition, healthy food, cooking practices, hygiene and physical fitness among adolescents. This programme was launched in 2009 and is presently operational in 22 states. It involves engaging adolescents with the objective that they understand the nutritional requirements their bodies require at this vital life stage of transformation.

Body changes during this time affect dietary needs and integrating healthy practices enables adolescents to grow into healthy adults and adopt the same practices when they start their families.

It also focuses on Education as a powerful tool for ensuring that children understand the value of nutrition and physical activity. As a result of which, the programme is conducted through classroom and game sessions, delivered in a manner where children remember everything they are taught because they are actively engaged and are more willing to absorb the information. The objectives involved are Improving awareness on appropriate nutrition. Improve food habits amongst children and Promote hygiene and physical activity. "

CSR

NA

"The programme is implemented at two levels. First mode of implementation is through the Department of Home Science and Food Science in six leading universities. These universities through their extension activities collect information on the nutritional status of the region. The content of the programme is developed in collaboration with the respective university partner and is customised for each region. Each student receives 12 hours of nutrition training conducted over six weeks. Pre and post tests are conducted to evaluate knowledge increment, attitude change and practice change.

The second mode of implementation is with our NGO partner Magic Bus India Foundation that imparts knowledge about nutrition and a healthy, active lifestyle by “Sports for Development” (S4D) approach. This programme targets both children from marginalized communities and government schools. They are engaged in interactive sessions in which they receive nutrition and health knowledge and are encouraged to play regularly. Parents and teachers meetings are also organized to create awareness around healthy eating, best cooking practices and hygiene. Each child receives over 30 hours of nutrition training. Various campaigns and activities are carried out at the community level as well in schools. The awareness activities organized at the community level include drawing competition, rallies, sports events, skits, celebrations of hallmark days and tournaments, signature campaigns and parents’ sessions."

Adolescents

Yes

NGO/Development organisations

Magic Bus India Foundation

Yes

"Two baseline surveys were conducted. The baseline study provided values for indicators on status of education, right to play, health, hygiene, sanitation and nutrition, socio-emotional skills and gender among the children. The quantitative component of the study comprised of structured questionnaire survey with children. the Indicators assessed were-

Education: it was observed that across all locations merely 45% children were wanting to undertake higher studies like graduation. This reflects the need for inspiring the children and educating them about the vast potential of opportunities that higher education opens for them.
Right to Play: It was noted that overall close to 95% children reported to be aware of the benefits of playing. However, when asked about the frequency of playing, lesser than one third of children reported playing regularly for 5 or more hours a day. 27% of the intervention group reported to play daily.

Health, Hygiene and Sanitation: The baseline survey reflects that more than 90% of the children have access to improved sources of drinking water and also have separate toilets for girls at school. The baseline survey across all the study locations portrayed poor levels of awareness regarding causes (9%) and remedies (18%) for anaemia among children, leaving a huge scope for improvement.

Socio-emotional skills: Overall, 88% children from both intervention and control groups reported to show mutual respect to each other. Further, close to 60% of the children reported to be able to judge whether their goals are realistic or not, and demonstrate responsible behavior with respect to nutritional choices. Over 70% children interviewed also demonstrated good team behavior.
Gender: It may be surmised that as regards breaking gender stereotypes and establishing gender balance in the community, majority of the children from both the intervention and control groups did not seem to have gender biases. In order to keep this tendency intact, various gender related issues across all the 8 study locations needs to be focused upon. "

The project is ongoing. For some of the states, endline is planned 2019.

No

NA

Based on the findings of the midline evaluation conducted, marked differences have been observed in the indicators selected to measure the progress of the program.

For the year 2019, the plan is to reach 24,000 adolescents additionally.

"1) Dipti, 7th Class Student: Deepti used to get sick often but has now understood the causes and symptoms of recurring health issues. She leads much healthier lifestyle now, and her mind is more active now. She makes sure that her hands are washed before eating, includes fruits and vegetables in her diet, and keeps the food and water covered. The simple habits such as staying clean and not littering the school campus or the community where she lives has made a big difference. Her mother is also happy about how Dipti is managing waste at home and tells the neighbours to follow same practises.

2) Chandrababu, Principal-in-charge, Attibele Government School-feel Nestle Healthy Kids programme has been successful for two reasons: First, it takes children through every step of how to maintain a healthy, hygienic lifestyle, from a daily morning routine to the seven steps of hand washing and beyond. Second, it is delivered in a manner where children remember everything they are taught because they are actively engaged and are more willing to absorb the information."

"Creating awareness and being able to initiate behaviour change is the main challenge in the programme. Eating healthy food is associated with the thought that healthy food = expensive food. Introducing the beneficiaries to low cost, easily prepared food items was instrumental in breaking this myth and changing the mind-set of the community.

There is a lack of awareness among parents on the significant influence nutrition has on their children’s physical and cognitive development. Children attending these sessions often come from some of the most disadvantaged communities, where meeting basic food requirements is a daily struggle. They are vulnerable to malnutrition and its numerous consequences. In such an environment, it becomes critical to educate children on the importance of health and nutrition. "

"Extensive progress has been made towards improving school participation. More than 96% adolescents are attending school regularly and aspire to continue education. Noteworthy progress has been made towards enhancing hygiene practices among adolescents. More than 95% adolescents practice personal hygiene and wash fruits/vegetables before eating. Significantly, more children have become aware on vital nutrition elements and about Vitamin A, anaemia, its symptoms and remedies. Awareness level in Bangalore, Chennai and Delhi is comparatively low with other locations. The trend reflects that if provided with desired quantities of IFA tablets, there is high possibility that the adolescents will consume them which will go a long way in curbing the prevalence of anaemia and ensuring optimal growth & development of children.
The major strengths of the program include the scale and scope of the program, engagement of youth and volunteers, addressing lack of awareness pertaining to nutrition and disease prevention, encompassing direct and indirect beneficiaries both, sports for development mode of engagement and impact driven programme. The weaknesses is that there is more scope in the program to be more integrative to further strengthen its active play component. "

Nutrition plays a significant role in laying a healthy foundation, just as education and awareness help us stay healthy. Recognising the role of good nutrition, we have specifically designed the Nestle Healthy Kids Programme for children and adolescents. We want to impart the value of how the right nutrition , coupled with a healthy lifestyle ,can help children live healthier lives.

Nestle has been a partner in India's growth for over 106 years and has a very special relationship of trust with the people of India. After more than a century-old association with the country, today, Nestle has presence across India with 8 manufacturing facilities and 4 branch offices.

Nestle activities in India have facilitated direct and indirect employment, touching the lives of over a million people including farmers, suppliers of packaging materials, services and other goods. Nestle India got listed in the stock exchange over 45 years ago and has today over 81000 shareholders.

Nestle India manufactures products of truly international quality under internationally famous brand names such as NESCAF MAGGI, MILKYBAR, KIT KAT, BAR-ONE, MILKMAID and NESTEA. The company today has an annual turnover of over INR 10000 Crores.

In compliance with its CSR Policy, Nestle India has focused on activities on creating nutrition and breastfeeding awareness, providing access to drinking water and sanitation, supporting sustainable development of farmers while helping them reduce water use. These initiatives are built upon the strong base of performance in environmental sustainability, applicable laws, international standards and Nestle Corporate Business Principles. Nestle India continues to engage with stakeholders including farmers, experts, NGOs and the Government and would take up such other CSR activities in line with Government’s intent and which are important for society. Nestle is committed to long-term sustainable growth and stakeholder satisfaction.

Gurgaon

a. Maternal health and Child care (for e.g. Maternal and child micro-nutrient/ dietary supplementation/ Food fortification for children, women and general population/ Iron Folic Acid supplementation/ Vitamin A supplementation);b. Infant and Young Child Feeding practices (for e.g. Appropriate care-giving and feeding behavior e.g. exclusive breastfeeding and complementary feeding/ minimum dietary diversity/ responsive feeding, feeding behaviors and stimulation);e. Maternal health (for e.g. Reproductive and health services to improve birth spacing, nutrition for pregnant and lactating women)

iv. Bihar;vi. Delhi NCR;xiii. Karnataka;xvi. Maharashtra;xxi. Odisha;xxii. Punjab;xxiii. Rajasthan

West Delhi
Chandigarh
Allahabad
Varanasi
Kaushambi
Banda
Lucknow
Patna
Jamui
Churu
Ganganagar
Bangalore
Bolangir
Nuapada
Nagpur

Project Jagriti emphasizes on good nutrition and feeding practices. The objectives include Increasing knowledge and improving attitudes, practices of adolescents, young married couples, pregnant women, lactating mothers, through ‘Life Course Approach’ on health, nutrition and sanitation. Creating supportive environment by improving awareness, knowledge of the immediate family, opinion leaders /stakeholders and community for improved Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A) practices. Enhancing life-skills of adolescent girls and boys to combat social determinants related to gender, nutrition and hygiene to improve accessibility and adoption of health services. Also, network and strengthen public health service providers for improving accessibility, quality and adoption of health services.

CSR

NA

The project divided into three different phases. The Formative Phase where the focus was primarily on establishing linkages with the local authorities, liaising within systems, communities, baseline survey, designing and developing implementation strategy. Simultaneously, the task of developing education materials, obtaining MIS software and putting financial mechanisms in place were planned in this phase. This was followed by the Implementation Phase of 24 months. This phase evolved from induction training, skill-building workshops for field staff, line listing of beneficiaries, group formation, peer educator selection, conducting of behaviour change communication sessions and community-based events. The last phase was the Evaluation Phase involving quantitative and qualitative research and evaluation of peer educator empowerment. The program also involved innovative practices/initiatives such as the use of ‘Camel Cart’ as a means to spread the message across the villages of Rajasthan on initiation of breast feeding within first hour of child birth and exclusive breastfeeding for first six months of birth. Skilled and trained human force, education materials, trainings, workshops, honorarium, health promotion messages, slogan, communication tools, data capturing formats, infrastructure, MIS software etc. were used as a means of creating awareness.

Pregnant women & lactating mothers, adolescents (10-19 years), parents of adolescents, young married couples and children.

Yes

NGO/Development organisations

Mamta Health Institute for Mother and Child (MAMTA)

Yes

A total of 7300 households were interviewed during baseline survey. The parameters assessed included knowledge, attitude, and practices related to health, nutrition among all the segments of beneficiaries including pregnant women, lactating mothers, adolescents and young married couples. Three major methods namely in-depth interviews focus group discussions and group interviews concluded with ancillary information on selected health parameters through audio-recording were used to gather qualitative data. A survey focused on obtaining household information related to water and sanitation facilities, socio-economic and demographic parameters by interviewing the head of the household was also conducted.
Major findings from the survey:
Approximately, 19% of the girls were married before the age of 18 years.
Only 37.6% of the population was using any modern method of contraception. Around 80% of the women had undergone at least one antenatal check-up.
The institutional delivery rate was 83.7%. The awareness regarding postnatal care services and benefits was also poor.
Early initiation of breastfeeding was seen only among 55% children and only 26% women breastfed their children exclusively for 6 months.
Only 18% adolescents had consumed iron folic acid tablets.
Access to immunization of the children (under-5) and other antenatal care related services was poor among selected communities due to cultural influences and limited availability.
Anaemia and malnutrition is a common problem among women and adolescent girls. There is a lack of awareness about importance of hygiene and cleanness.

The project is ongoing.

Yes

collaborations with NGOs

The project is contributing in achieving health and well being for all in the respective intervention sites. The project reached 1.5 million population that is directly engaged in the program. Increase in knowledge on nutritional needs in pregnancy and post-pregnancy care among women of reproductive age has a significant role in reducing maternal mortality rates. Adolescents with enhanced knowledge about life skills, pubertal changes, nutrition, and harmful effects of substance abuse, early marriage, and gender-based violence are empowered to lead a healthy life.

Milestones achieved: 1st Year: Field teams recruitment and office establishment, Baseline survey (tool development, training, data collection, analysis and report writing), Education material (posters, and modules designing and testing), Staff training based on cascade model on different aspects of RMNCH+A, Dietary survey (data collection, analysis and report generation), Community mapping, line listing and peer leader selection.

2nd Year: IEC materials printing and distribution (Flipbooks, modules, counselling cards); Peer leader training, and peer led sessions; Community based events and thematic camps on various RMNCHA issues such as menstrual hygiene, immunization, breastfeeding, nutrition etc.; Annual meet in Rajasthan of the entire staff; Refresher training of the project staff; Orientation trainings of Front line workers and other stakeholders.

3rd Year: More intensive community based events and camps; New areas identification, group formations, line listing and peer sessions; Staff knowledge and skill evaluation; End line evaluation tools development; Peer education empowerment evaluation; Internal technical audit exercise on data quality assurance, YIC assessment; Mass media activities; End line evaluation (to be done)

The programme will be for extended for another three years (2019-21) with an aim to impact additional 10,000,00 beneficiaries.

Jyoti is among a population of 1.5 million directly impacted through project Jagriti. Ever since she joined the program, Jyoti has become aware about importance of health and nutrition during pregnancy. She received information about the importance of family planning and the public health facilities available to pregnant and feeding women. Through the awareness created by Jagriti outreach workers, many women like Jyoti are now discussing family planning with their spouses, pregnant women are getting their medical checks done and are opting for institutional deliveries more as compared to earlier. The engagement is focused on creating an informed community on nutrition, health and their rights regarding the health care system, inspiring then to lead healthier lives.

Lack of government service availability at few places posed challenges for the team in case they had to refer the beneficiaries for some treatment or facility. Local political disturbances at two-three places interrupted the speed of the implementation. In order to address the myths and misconceptions related to pregnancy, contraception, menstruation and food habits Sensitization and engagement workshops, are conducted regularly. The behaviour change related to health and nutrition cannot be accomplished in a short duration of time. The slow to change processes were realized and more emphasis was laid on them for creating a positive environment of social change. Lot of work was done for developing relations with key stakeholders at the village/community level and public health workers. However, Resistance at the beginning turned into a tide of unconditional support from the community.

The comprehensive intensive community based interventions explored some of the most challenging aspects related to health and nutrition issues in both rural and urban areas. Mothers are not counselled about the basics of immunization (why, what for, when etc.) during visits. As a result, there is a high drop rate over a period. They are advised about correct breastfeeding practices. Menstrual hygiene is still a major stigma stricken health issue in the communities; thereby the practices are not hygienic resulting in high infections rate and school drop outs. Nutrition and balanced diet related knowledge is very poor among populations. Peer leader approach has been a successful tool and peers can be used as a resource tool for knowledge dissemination and behaviour change in the communities especially where the availability of health care providers is a major issue. The present endeavour was able to reach more than 3 million population with same rigour and intensity, which was the major strength of the intervention.

Nestle believes that for a company to be successful in the long term it must create value for society. Nestle purpose globally is Enhancing quality of life and contributing to a healthier future’. We want to inspire people to live healthier lives. This is how we contribute to society while ensuring the long-term success of our Company. Through project Jagriti, it has been a felt contribution to a cause that is important and vital to our society- enabling healthier lives that is the driving force of our organization.