The southern districts of Odisha especially Koraput, Malkangiri, Nabarangpur, and Rayagada have lower health indicators compared to other districts of the state. The highest stunting (in percent) prevalent in Nabarangpur (45.8) followed by Malkangiri (45.7), Raygada (43.5) and Koraput (40.3). Nabarangpur (36.0 percent), Malkangiri (32.5 per cent), and Koraput (28.5) had a higher prevalence of ‘wasting’ children. Malkangiri district and Nabarangpur had over 50 percent underweight children and in Koraput and Raygada districts over 40 percent of children were underweight. Mortality rates are alarming whether it is maternal mortality, infant mortality, or U5 mortality, the condition is worrisome. MMR is more than 30%, IMR is around 48 %, and U5 Mortality is 6.5% (AHS 2013-2014). This situation of poor access to health and nutrition services for mothers and children is the primary reason for the high mortality rate. In addition, high incidences of anaemia among women, absence of proper nutrition, incapability to afford quality health services, and superstitions are other reasons which contribute significantly to this situation.

We are collaborating closely with community leaders and the district health department to address these pressing issues. Our efforts are focused on improving access to essential healthcare services for mothers and children, implementing nutrition programs, and raising awareness about the importance of proper nutrition and healthcare practices. Through community engagement and education, we aim to combat superstitions and promote evidence-based healthcare practices. Additionally, we are working to enhance the availability and affordability of quality healthcare services to ensure better maternal and child health outcomes in these underserved districts.