Hindustan Times ST (Mumbai)

Consumer groups allege unofficial load-shedding

Officials of MSEDCL attribute power cuts to the pre-monsoon maintenanc­e, point to transforme­r issues

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HT Correspond­ent

MUMBAI: Although the Maharashtr­a government claims the state is free from distress loadsheddi­ng despite the coal crisis and the soaring demand for electricit­y due to the rising heat, consumer groups allege it is resorting to covert power cuts without announcing them officially. However, the allegation has been refuted by the stateowned power distributi­on utility.

“Instead of a planned loadsheddi­ng, they are enforcing it in a disguised manner… this is often passed as power cuts undertaken due to breakdowns and maintenanc­e,” Pratap Hogade of Maharashtr­a Rajya Veej Grahak Sanghatana said. He said the Maharashtr­a State Electricit­y Distributi­on Company Limited (MSEDCL) was shedding around half an hour to an hour of load across the state to make up for the gap between demand and supply.

Hogade claimed power supply to agricultur­al consumers was curtailed by two hours. Farmers got eight hours of electricit­y during the day or 10 hours at night, he said. Similarly, the domestic, agricultur­al, and commercial consumers on around 3,000 of the 24,000 feeders, which get single-phase electricit­y supply, also had to face power cuts, Hogade added.

Ashish Tiwari, a former media profession­al and resident of Badlapur East, said apart from the scheduled power cuts for maintenanc­e purposes, they had to face unschedule­d loadsheddi­ng. “This happens regularly; the frequency of power cuts is very high… the quality of power supply is bad,” he said.

However, this was refuted by a senior MSEDCL officer, who attributed the power cuts to weather and maintenanc­e. “We have to undertake planned shutdowns for pre-monsoon maintenanc­e. Some of our equipment and lines are old and are hence impacted by the heat leading to breakdowns and tripping. We are replacing such lines in a phased manner.”

Vijay Singhal, managing director, MSEDCL, too denied this claim. “There is no official or unofficial load-shedding. We have [adequate] power. In fact, we have surplus power. There might be local issues regarding transforme­rs etc.”

The latest National Family Health Survey-5 presents some sobering data on the health of India’s youngest. Eighty nine percent of children between six to 23 months (less than two years of age) do not receive a “minimum acceptable diet.” In Maharashtr­a, the proportion is higher; only 8.9% of this age group receives an adequate diet. Last year’s NFHS data for Mumbai suburban showed that 7.2% of children under the age of five are severely wasted (weight to height ratio) 18% are wasted, and 24.6% are underweigh­t.

Since 2019, we have worked wi t h the Foundation for Mother and Child Health (FMCH), a non-government­al organisati­on (NGO) that works with the urban poor in Mumbai and its suburbs, supporting over 50,000 beneficiar­ies. Field workers are trained to conduct door-to-door visits to provide the support that pregnant women, lactating mothers and children up to two years would need to cut out malnutriti­on.

Our foundation’s thrust is to build the capacity of NGOS. In this instance, we found the biggest support we could offer FMCH was to help build them a digital platform.

In each home visit, NGO teams need to share relevant health content (for instance, good practices for nutrition of mother and child, guidelines for breast-feeding, vaccinatio­n schedules), as well as conduct anthropome­try — measure the height and weight of the child; the most important indicator of malnutriti­on — at specific intervals. So where does technology come into the picture?

Over rounds of discussion­s with the NGO we helped create Nutree, a mobile applicatio­n for the Android platform. The Nutree platform allows field workers to register beneficiar­ies and also record visits. We launched the first phase in 2020 across communitie­s in Bhiwandi, Kurla and at Wadia Hospital and for starters, included a comprehens­ive decision tree for each type of visit that guided the field worker on the type of questions to be asked, and also provided visual content like pictures and videos to help explain concepts better. For i nstance, a pregnant woman is asked if she has gone for her ante-natal check-up (ANC). If she has, she is asked to furnish more details – how many visits are over, when she went etc. If she hasn’t gone for any check-up, she is counselled on its importance and given crucial informatio­n on where she could go.

In the second phase, launched last year, the app included decision trees for children with severe acute malnutriti­on (SAM) and moderate acute malnutriti­on ( MAM) after FMCH realised that they didn’t have a standardis­ed protocol for visiting and managing such cases which was lowering t h e i mpa c t o f t h e i r p r o - grammes. Accordingl­y, they defined a protocol which ensured consistenc­y across field workers and higher quality of care: They standardis­ed once-a-week visits for SAM cases and fortnightl­y visits for MAM cases, with detailed questions for each visit. Almost immediatel­y, within 3-5 weeks, they were able to record improvemen­ts in the health of beneficiar­ies.

This phase also included a module for field workers to schedule their day: each person now had a list of visits due, by date and location, as well as overdue visits. Data after just four months of usage showed that the percentage of high-risk mothers who missed visits went down from 58% to 37%, pregnant mothers who missed anthropome­try visits went down from 40% to 20% and children who missed anthropome­try visits each went down from 30% to 14%. FMCH found that the app allowed a field officer to handle 100 more families on average– a 50% increase in their productivi­ty.

The government’s anganwadi system takes care of the health and nutrition of pregnant women, lactating mothers, and children from zero to five years in addition to several other aspects of health and education. While the system itself is vital to the long-term well-being of the community, the current set up has gaps, like insufficie­nt leadership and inadequate training for workers to counsel mothers.

Implementi­ng the right technology, we found, not only improved the field worker’s efficiency by taking a load off of their backs, but also ensured consistenc­y and accountabi­lity as the NGO leaders could monitor what’s happening on ground. While adoption of technology cannot solve all problems, it clearly provides tools to equip our community workers and enables them to become more effective in resolving widespread malnutriti­on.

 ?? BHUSHAN KOYANDE/HT PHOTO ?? A labourer at a coal wholesale market.
BHUSHAN KOYANDE/HT PHOTO A labourer at a coal wholesale market.
 ?? HT FILE PHOTO ?? 89% children below two years are malnourish­ed.
HT FILE PHOTO 89% children below two years are malnourish­ed.
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