Reactivating a Village Platform

Village Health Sanitation and Nutrition Committees (VHSNCs), constituted under the National Health Mission, are mandated to serve as village-level governance platforms linking communities with frontline services. Many VHSNCs in Devbhumi Dwarka were observed to be either inactive, irregular in meetings, or limited to record-keeping without actionable follow-up.

Understanding the Local Nutrition Context

In blocks like Bhanvad, comprising 52 dispersed villages, persistent undernutrition was driven by sanitation gaps, dietary limitations, and deeply rooted social practices.

During the COVID-19 pandemic, misinformation and anxiety further intensified vulnerabilities. In several villages, Take-Home Ration (THR) supplied through Anganwadi centres was misutilised, including diversion for animal feed, reflecting limited awareness of preparation methods, restricted vegetable access, and gaps in understanding balanced nutrition.

Gaps were also observed in infrastructure maintenance, service monitoring, maternal tracking, sanitation initiatives, and utilisation of available grants. Convergence between Health, ICDS, and Panchayat institutions required strengthening.

Under Project Tushti, VHSNCs were restructured to ensure representation and active participation. The focus shifted from passive record-keeping to problem-solving around nutrition, maternal health, sanitation, and Anganwadi functioning.

Nutrition and Preventive Health Actions

Project Tushti intensified the block-level efforts through structured convergence with ICDS, Health, and Panchayat institutions. VHSNC platforms enabled systematic identification and tracking of underweight children, adolescent girls, pregnant women, and lactating mothers through regular growth monitoring and follow-up.

VHSNC meetings incorporated monitoring of Community-Based Management of Acute Malnutrition (CMAM) and anaemia among adolescent girls. This enabled the timely identification of undernourished children, improved follow-up and treatment of SAM/MAM cases.

Nutrition kits were distributed in Bhimrana, Shiva, and Jampar. Household chlorination drives were conducted in Gopi and Goriyari, and deworming drives were facilitated. Medical camps enabled screening and treatment of malnourished children, strengthening referral linkages.

Infrastructure Improvements Through Local Action

Strengthened VHSNCs enabled the resolution of local infrastructure gaps. In Mevasa and Bhimrana, Anganwadi, boundary walls were constructed, improving child safety. In Goriyari, a dedicated room was allocated for health team activities. Repairs to sub-centre sanitation facilities were undertaken in Chachlana, and improvements were initiated in Jamrojivada and Khambhalia to strengthen Anganwadi space and functionality.

Service Uptake and Monitoring

Anganwadi service delivery was regularly reviewed to ensure continuity and quality. Panchayat representatives mobilised local resources, reinforced sanitation initiatives, and supported monitoring of vulnerable households. Growth charts and service registers were actively reviewed during VHSNC follow-ups, ensuring that identification translated into improved utilisation of existing services.

Improved monitoring led to higher Anganwadi attendance and immunisation coverage in Mevasa and Rajpara. In Kalyanpur block, pregnancy registration and ANC follow-ups for high-risk and migrant women were strengthened through VHSNC tracking. In Chokhanda, regular haemoglobin testing for adolescent girls was initiated. In Goriyari, structured counselling facilitated the adoption of family planning procedures among previously hesitant women. Pre-school IEC materials were procured using VHSNC grants to improve early childhood environments.

Transition to Malnutrition-Free Status

Through institutionalised meetings, documented resolutions, and strengthened convergence, VHSNCs evolved into active governance platforms. Villages including Shiva, Gadu, Jamrojivada, and Mevasa progressed toward Malnutrition-Free status, reflecting improved service uptake and coordinated action across Health, ICDS, and PRI systems.

“As the Sarpanch of Kalyanpur, I have seen that with the support of Project Tushti and the Health Department, Gram Sanjeevani Samiti meetings are now conducted regularly at the Gram Panchayat. These meetings help us understand the health situation of the village, especially regarding malnutrition among children and anemia among adolescent girls.The discussions also help us learn about government programs and ensure that villagers receive the necessary services. The Gram Panchayat is happy to extend full cooperation in supporting these health initiatives.”

-Vikrambhai Bela

Sarpanch, Kalyanpur Gram Panchayat

“As the Sarpanch of Shiva village, I am proud to share that through the joint efforts of the Panchayat, Anganwadi workers, health staff, and the Project Tushti team, our village has now become Suposhit. Today, there are no malnourished children in the village, and pregnant women are receiving proper care and giving birth to healthy babies. Regular awareness activities, growth monitoring, and community participation have played an important role in this achievement. I am happy that our village is moving towards a healthier and stronger future.”

-Sarpanch, Suposhit Shiva Village

Delayed Care and Severe Risk

In Surajkaradi village, Khushali lived with her parents and younger siblings in a household dependent on vegetable vending for daily income. After discontinuing her education following Class 9, she assumed household responsibilities.

Irregular menstruation, persistent fatigue, weakness, and severe abdominal pain had become routine. Limited engagement with Anganwadi services and hesitation to discuss menstrual health delayed clinical attention.

In January 2022, haemoglobin testing revealed an Hb level of 6%, indicating severe anaemia and placing her at high health risk.

Structured Follow-Up and Adolescent Support

Following identification, Khushali was enrolled under structured follow-up through the Anganwadi platform with support from Project Tushti.

Interventions focused on sustained anaemia management rather than one-time supplementation. She received regular Iron and Folic Acid (IFA) supplementation, anthropometric measurement, and individualised dietary counselling using the Supushti Book. Guidance emphasised consistent consumption of iron-rich foods and Take-Home Ration (Prunashakti) to improve dietary intake.

Recognising the link between anaemia and menstrual health, counselling also addressed menstrual hygiene and myths. Khushali received a Purna Potli kit, including reusable cloth pads and a menstrual health comic, enabling safe practices and informed decision-making.

Safe counselling spaces at the Anganwadi allowed her to openly discuss menstrual concerns for the first time, strengthening adherence to supplementation and dietary advice.

Measurable Recovery

She began participating in Gauravi Divas activities and demonstrated preparation of recipes using Prunashakti (THR), reflecting increased engagement with nutrition platforms

With sustained follow-up, Khushali’s health indicators improved significantly over approximately 18 months of continuous engagement and counselling support. Her haemoglobin level increased from 6% to 11%, reflecting a transition from severe to near-normal status. Her weight increased from 42 kg to 46 kg, and her height improved from 149 cm to 154 cm, indicating improved nutritional status during adolescence.

“I am 21 years old. Earlier my hemoglobin (Hb) level was 6%. People from Project Tushti, Ashabha and Jigisha ben, came and explained everything to me and started my medicines. Now my Hb level is 11%. I am very happy. I also got married 3 months ago. I am still continuing the medicines, and I am also following the nutrition advice that they explained to me.”

-Khushali Ghediya, Adolescent Girl

Maternal Undernutrition in a Farming Household

Nisha Narendrasinh Chadusma lives in a joint family of 10 members. As a lactating mother, Nisha faced significant nutritional challenges. During a visit by the Project Tushti team in February 2024, she was found to be severely underweight, weighing only 36 kg and her child weighing 7kg. Limited dietary diversity and inadequate access to nutritious food had adversely affected the health of both mother and child.

Poshan Vatika- a Household-Level Nutrition Security

During counselling, the Field Officer introduced Nisha to the Poshan Vatika initiative under Project Tushti. The intervention focused on strengthening household-level access to fresh vegetables through small-scale kitchen gardening.

Nisha agreed to establish a home garden using the Poshan Vatika Kit. Seeds and basic inputs enabled her to cultivate seasonal vegetables within the available household space.

Nutritional and Economic Impact

Within four months of implementation, measurable changes were observed. Nisha’s weight increased from 36 kg to 40 kg, while her child’s weight improved from 7 kg to 9 kg. Regular consumption of homegrown vegetables improved dietary diversity during the lactation period.

Simultaneously, the household reduced daily vegetable expenditure of approximately ₹150, easing financial pressure. Surplus produce was occasionally shared within the neighbourhood, reinforcing community-level interest in kitchen gardening.

“Under Project Tushti, I was provided with a Poshan Vatika kit. With the seeds and guidance included in the kit, I started growing vegetables at home. Now my family receives fresh and nutritious food regularly. My children’s health has improved, and we have become more aware about proper nutrition. I am truly grateful for this support.”

— Nisha Narendrasinh Chauhan, Lactating Mother

A Birth with High-Risk

Maluben Samantbhai Bhojani, a resident of Khambhalia, lives with her husband, an auto driver, and their son Kartik. During pregnancy, Maluben had haemoglobin (HB) of 9.2 and continued tobacco consumption, with limited dietary intake. At delivery, she weighed 51 kg, and Kartik was born at 900 grams, placing him in the extremely low birth weight category. Low maternal nutrition and tobacco exposure significantly increased Kartik’s vulnerability from birth.

Severe Underweight at Seven Months

On 13 January 2024, when Kartik was 7 months old, the Project Tushti Field Officer assessed him at 5.6 kg (62 cm), classifying him as Severely Underweight (SUW). Growth faltering persisted beyond infancy, indicating the need for corrective intervention.

During counselling, maternal tobacco use and inadequate complementary feeding were identified as key contributors to Kartik’s poor weight gain.

Behaviour Change and Nutritional Reinforcement

Structured counselling focused on two critical areas: maternal behaviour change and improved child feeding practices. Maluben was counselled on the harmful effects of tobacco and gradually reduced consumption. Simultaneously, feeding guidance was strengthened to include regular use of Balshakti nutrition packets, milk products, pulses, fruits, peanuts, and age-appropriate meal frequency.

Linkages with the local government hospital were reinforced to ensure access to child health services and monitoring. By April 2024, at 10 months, Kartik’s weight increased to 6.6 kg (66 cm).

Transition to Moderate and Normal Status

By June 2024, at one year of age, Kartik weighed 7.4 kg (67 cm) and transitioned from Severely Underweight to Moderately Underweight. Continued counselling reinforced hygiene, sleep patterns, dietary balance, and consistent utilisation of Balshakti supplementation.

By 3 October 2024, at 15 months, Kartik’s weight reached 8.6 kg (73 cm), and he entered the Normal category, marking a significant recovery from severe undernutrition within nine months of structured follow-up.

My baby was born with low birth weight, and I was very worried about his health and growth. Through Project Tushti, I received regular guidance on proper nutrition, breastfeeding practices, and a nutrition support kit. With this support, I started following the recommended diet and care practices. Gradually, my child’s weight began to increase, and his health improved significantly. I feel relieved and thankful for the timely support provided through this initiative.”

— Maluben Samatbhai Bhojani, Kartik’s Mother

A Pregnancy with high Risk

On 29 July 2024, during a routine visit to the Anganwadi Centre in a remote area of Bhatia village, Vijuben Khodabhai Gamara, who was pregnant, was found to have a haemoglobin (HB) level of 9.5%, indicating anaemia, placing her at high risk during pregnancy.

Anaemia in pregnancy increases the likelihood of adverse maternal and birth outcomes, making early intervention essential.

Strengthening Dietary Practices

Following identification of anaemia, the Project Tushti Field Officer, in coordination with the Anganwadi Worker, initiated structured counselling and regular follow-up. Initial guidance focused on improving dietary iron intake, reducing outside food consumption, and strengthening adherence to supplementation. At the second visit, only marginal weight gain was observed (71.6 kg) with no change in Hb. Counselling was therefore intensified with practical demonstrations on systematic use of Take-Home Ration (THR) in daily cooking. She was also guided using recipes from the Project Tushti nutrition booklet to improve dietary balance.

Within approximately 6–8 weeks of reinforced monitoring, her HB increased from 9.5% to 10.6%, indicating measurable improvement.

On 13 September 2024, Vijuben delivered a healthy baby boy with a birth weight of 3.5 kg. Post-delivery counselling reinforced exclusive breastfeeding for six months and continuation of maternal supplementation, including THR, IFA, and calcium. During subsequent home visits, both maternal and infant health indicators were monitored and indicated improvement.

“After the birth of my child, my hemoglobin level was low. Through the guidance given during Mamta Divas and Mangal Divas by the nurse, Anganwadi worker, and Project Tushti staff, I learned about proper nutrition, THR usage, and iron-rich foods. I also developed a nutrition garden at home and regularly took IFA and calcium tablets as advised. This helped improve my hemoglobin level and reduced weakness and fatigue.”

Viju Khoda Gamara, Lactating Mother

A Closed Social Ecosystem

Mevasa village, with a population of approximately 1,200, is a traditionally conservative settlement largely dependent on farming. Social restrictions limited women’s mobility, girls discontinued schooling after Grade 7 due to lack of nearby facilities, and outsiders were generally not welcomed. Traders avoided the village, and engagement with external institutions was minimal.

Within this environment, health and nutrition services faced resistance. Anganwadi attendance was low, vaccination uptake was limited, and maternal reporting was delayed due to entrenched beliefs and superstitions.

Identifying Barriers to Service Uptake

Engagement with the Anganwadi Worker and village leadership revealed widespread misconceptions. Vaccination was associated with fever and tumour formation. Some believed immunisation was unnecessary. Pregnant women were often not reported to the Anganwadi or ASHA until five months due to social customs. Children were weighed only at religious sites, not at health centres.

These beliefs directly affected Mamta Day participation, growth monitoring, and immunisation coverage.

Entry Points Through Local Platforms

Initial engagement required trust-building. Meetings were conducted with the Sarpanch, youth groups, and community members. The Field Officer from Project Tushti joined evening Swadhyay Sabha gatherings- an accepted spiritual forum to initiate dialogue within an accepted social setting. Gradually, discussions shifted from general village concerns to maternal and child health. The ASHA Worker and Field Officer conducted small group meetings to explain the scientific basis of vaccination reactions, clarify misconceptions, and emphasize the risks of delayed ANC and missed immunisation. A staff nurse accompanied the project team for door-to-door vaccination, combining service delivery with on-site counselling.

Activation of Mamta Divas

Through repeated engagement and visible follow-up, Mamta Divas participation improved. Pregnant women began timely registration, children started coming to the Anganwadi for weighing and vaccination. Growth monitoring resumed within institutional settings.

Improved Dietary Diversity

Nutrition practices also began to improve. Initially, Take-Home Ration packets were underused, with some households feeding them to livestock. Project TUSHTI introduced recipe booklets, demonstrations, and cooking competitions to promote their use. Gradually, adolescent girls and pregnant women began incorporating the rations into regular household diets.

Sustained Immunisation Coverage

Over time, hesitancy reduced, and service uptake normalised. Mevasa village achieved 100% vaccination coverage for five consecutive months, marking a significant shift from earlier resistance.

This transition reflected strengthened coordination between the ASHA Worker, Anganwadi Worker, health staff, Panchayat leadership, and Project Tushti, supported by continuous dialogue and culturally adaptive engagement strategies.

“I have seen significant positive changes in our village due to the efforts of the Project Tushti team. Children now attend the Anganwadi regularly and pregnant women and children receive timely vaccinations. Nutrition garden kits and community meetings have increased awareness about health, nutrition, and hygiene among villagers. I am very happy that this project has brought meaningful improvements and a healthier environment to our community.”

– Manek Sukalbha, Sarpanch of Mevasa village

A High-Risk Birth

Ruhani, born on 26 April 2020, weighed only 1.6 kg at birth, placing her in the severely malnourished category. By six months of age, her weight gain remained inadequate, and she experienced frequent illness. Limited understanding of appropriate feeding practices contributed to sustained vulnerability.

Early Counselling and THR Reinforcement

On 8 October 2020, during a household visit, the Project Tushti Field Officer initiated counselling focused on breastfeeding, hygiene, and age-appropriate complementary feeding using THR. Growth monitoring began through regular follow-up visits.

Therapeutic Nutrition Through CMTC

In 2022, Ruhani was enrolled at the Child Malnutrition Treatment Centre (CMTC), Bhanvad. Her mother adhered to feeding guidelines consistently. This marked a stabilisation phase in her recovery. By August 2023, her weight improved to 8.5 kg (81 cm), though she had not yet reached normal status.

Strengthening the Household Nutrition Ecosystem

At three years of age, Ruhani began attending the Anganwadi Centre, where she received a daily nutritious breakfast. At home, THR supplementation continued.

Beteen 2020 and April 2023, 17 follow-up visits were conducted to monitor growth, reinforce feeding practices, and prevent relapse.

To strengthen dietary diversity, the family received a Poshan Vatika Kit, enabling the cultivation of fresh vegetables. A Nutrition Kit further supplemented household intake.

Transition to Normal Category

By February 2024, Ruhani’s weight reached 10.4 kg (83 cm). Continued monitoring and layered interventions led to steady improvement.

By October 2024, her weight increased to 13.25 kg with a height of 89 cm, marking her transition into the Normal category after nearly four years of sustained follow-up.

“My daughter Ruhani was born with a very low birth weight of 1.6 kg and often fell sick. With continuous guidance and support from the Project Tushti team, CMTC, and Anganwadi, we followed proper feeding and care practices. Today she has reached normal growth and is much healthier, and I am grateful for their support.”

-Hasinaben Basir Detha, Ruhani’s Mother

A Normal Birth, Declining Growth

Raj Naranbhai Bera was born on 12 December 2020 in Manpar village with a birth weight of 2.5 kg, placing him in the normal category at birth. However, by the age of one year, his weight had not increased appropriately for age.

On 18 October 2022, during a home visit by the Project Tushti Field Officer and Anganwadi Worker, Raj was identified as Severely Underweight (SUW) at 7.6 kg (72 cm).

Family discussions revealed recurrent constipation, prolonged breastfeeding without adequate complementary feeding, and frequent illness episodes, leading to repeated hospital visits.

Correcting Feeding Practices

Structured counselling was initiated using the growth chart to explain Raj’s nutritional status to the family. The Field Officer provided guidance on managing constipation, strengthening complementary feeding, and preparing nutrient-dense meals using the Take Home Ration.

The family was advised to eliminate packaged snacks and outside foods and to increase intake of green vegetables, fruits, and age-appropriate meals. Regular attendance at Mamta Day, consistent use of IFA syrup, and continued Anganwadi engagement were reinforced.

Structured Monitoring and Gradual Recovery

Through frequent follow-up visits and reinforced counselling, Raj’s growth began to stabilise. By January 2023, he transitioned from Severely Underweight to Moderately Underweight (MUW). Continued monitoring through 2023 showed steady improvement without relapse.

By early 2024, Raj’s weight reached 12.3 kg (82 cm), and he entered the Normal category, reflecting sustained nutritional recovery after nearly 16 months of structured follow-up.

“My son Raj was born with a normal birth weight, but his weight did not increase properly, and he became severely underweight. The Project Tushti Field Officer – Shaktisinh regularly visited our home and guided us on proper feeding practices, nutritious food, and the use of THR. By following their advice and attending regular growth monitoring, Raj’s health gradually improved. Today, he has reached normal growth and is much healthier. I sincerely thank the Project Tushti team for their continuous support.”

-Naranbhai Bera, Raj’s Father

A High-Risk Beginning

Hiral was born in a minority settlement in a joint family of 21 members on 29 June 2020. Hiral was the seventh daughter in a resource-constrained environment largely dependent on casual labour. Her birth weight was 2.0 kg, placing her at immediate nutritional risk. Closely spaced births, limited dietary diversity, and household economic constraints further increased her vulnerability.

Identifying Severe Underweight

In July 2021, the Project Tushti Field Officer assessed Hiral as Severely Underweight (SUW), recording her weight at 7.0 kg and height at 70 cm.

Reinforcing THR and Complementary Feeding

The family was counselled on systematic utilisation of THR, preparation methods to improve acceptability, and elimination of processed foods. Feeding frequency, hygiene, and illness management were reviewed in detail.

Reinforcing THR and Complementary Feeding

The family was counselled on systematic utilisation of THR, preparation methods to improve acceptability, and elimination of processed foods. Feeding frequency, hygiene, and illness management were reviewed in detail.

Nutritional Reinforcement and Clinical Linkage

To strengthen household dietary diversity, Project Tushti provided a Nutrition Kit containing nutrient-dense food items to supplement regular THR use.

In January 2024, Hiral was assessed at a medical camp organised for severely malnourished children. Clinical evaluation and medication addressed residual health concerns and reinforced the importance of continued monitoring.

Family Engagement

A parent meeting was organised at the Anganwadi by the Block Coordinator under Project Tushti. During this meeting, key topics like complementary feeding, vaccination, breastfeeding, and hygiene were reinforced.

Stabilised Growth

By 16 March 2024, Hiral’s weight had increased to 13.4 kg and her height to 90.5 cm, reflecting a significant shift from her earlier severely underweight status. Her growth trajectory stabilised through sustained convergence between household practices, Anganwadi services, and Project Tushti support.

My daughter Hiral was born with a weight of 2 kg. With regular guidance from Project Tushti team members Firojbhai and Jigishaben, we learned about proper child nutrition and care. Earlier, she was not very active, but now she regularly attends Anganwadi, eats nutritious food including THR dishes, and has become more active. Today, she is very healthy and active. I am thankful to Project Tushti and the Anganwadi team for their support.

-Kantaben Parmar, Hiral’s Mother

A Child with Compounded Risk

Priyanshi Dalveer Gojia, was born on 20 December 2019, with a birth weight of 3.0 kg, mental disability, and spinal complications, requiring sustained medical attention from infancy.

Her household context added further vulnerability. Both of her siblings also had developmental disabilities, increasing caregiving demands on the family.

Intersection of Nutritional Risk and Developmental Delay

When she first accessed Anganwadi services on 10 September 2020, she weighed 5.3 kg and measured 61 cm, placing her in the malnourished category. Her limited mobility and reduced responsiveness affected routine feeding practices.

Under Project Tushti, structured and sustained support was introduced. The Field Officer conducted regular home visits, reviewed growth trends, and collaborated with the Anganwadi Worker to develop a coordinated response.

Early Recovery and Subsequent Regression

By July 2021, Priyanshi’s weight improved to 12.9 kg, and she entered the normal nutritional category. However, from early 2022 onward, recurrent episodes of cold, fever, and viral infection led to a regression into severe malnutrition.

On top of that, her mental disability also affected her ability to adapt within the Anganwadi setting. She remained withdrawn, struggled with basic personal tasks, and did not participate in group activities.

Convergent support for Behavioural and Nutritional Stabilisation

Frontline workers intensified follow-up, reinforcing feeding practices, encouraged regular Anganwadi attendance, and introduced structured play and peer-based learning activities aligned with the “My Vikas Yatra” framework.

Over the subsequent 12–14 months, Priyanshi began responding to instructions, participating in colouring and writing activities, and engaging more actively with peers.

As of 22 February 2024, she weighed 11.5 kg and measured 94 cm, placing her in the moderate malnutrition category. Compared to earlier assessments, she demonstrated improved functional responsiveness, participation in structured activities, and social interaction at the Anganwadi center.

“Earlier my child had difficulty interacting with others, and her weight and height were not increasing according to age. With the continuous guidance and support from the Project Tushti Field Officer, and the Anganwadi Worker, we followed the advice given to us. Now I can see a clear improvement in my child’s mental condition as well as weight and height. I sincerely thank the Project Tushti team and Anganwadi staff for their constant support and care.”

– Ajiben Dalveer Gojiya, Priyanshi’s Mother

A High-Risk Beginning

On 7 July 2022, Mannat was born weighing 1.5 kg and measuring 48 cm, placing her in the low birth weight category. Born as one of twins, she required immediate nutritional attention while her sibling was healthy. Low birth weight significantly increased her risk of infection, poor weight gain, and prolonged undernutrition.

Introducing Kangaroo Mother Care

By September 2022, Mannat weighed 2.6 kg (51 cm). Growth was slow, and illness episodes were frequent. During the December follow-up, the Project Tushti team and Anganwadi Worker introduced and demonstrated Kangaroo Mother Care (KMC)-sustained skin-to-skin contact to improve warmth, strengthen breastfeeding, and support weight gain. Following regular practice of KMC, illness frequency reduced and feeding stabilised.

Sustained Growth Monitoring

Throughout 2023, Mannat remained in the Severely Underweight (SUW) category with a little gradual improvement. Tushti team ensured continuous growth tracking, repeated home visits, and reinforcement of complementary feeding using Take-Home Ration (THR). By January 2024, her weight had reached 8.7 kg (74 cm), indicating movement toward moderate recovery after nearly eighteen months of consistent supervision.

Transition to Normal Growth

With sustained joint efforts by the mother and consistent guidance by the project team, Mannat entered the Normal category in August 2024 at 9.9 kg (79 cm). At the most recent assessment on 2 September 2024, she weighed 10.1 kg (80 cm) and marked the successful transition from high-risk low birth weight to sustained normal growth.

“My daughter Mannat was born with a very low birth weight of 1.5 kg, and we were very worried about her health. With the support and guidance of the Project Tushti team member and the Anganwadi Worker, I learned about proper feeding and Kangaroo Mother Care. By regularly following their advice and attending growth monitoring, Mannat’s health gradually improved. Today she is healthy, active, and growing normally, and I am very thankful to Project Tushti and the Anganwadi team for their continuous support.”

–           Roshanben Jokhiya, Mannat’s Mother