MTN mother and child health programme
โ† Healthcare
Case Study๐Ÿคฑ Maternal & Infant HealthCommunity Health Programme

Mother & Child Nutrition Programme

A community-level response to elevated low birth weight rates in coastal villages โ€” combining prenatal nutrition, monthly education, regular health checkups, and postnatal care.

Programme Period
2023 โ€“ Ongoing
Villages Covered
8 Villages
Programme Lead
MTN hospitals, Maternal Health Dept.
Status
Active
8
Villages Covered
240+
Mothers Enrolled
3
Programme Components
โ†“ 34%
Reduction in Low Birth Weight Cases
Background

What the Field Team Found

MTN's community health workers began documenting a pattern across 8 villages in the coastal Andhra Pradesh region: an unusually high proportion of newborns were arriving underweight. The finding was consistent enough across villages and across seasons that the team conducted a structured assessment to understand the root cause.

โ€ขElevated rates of low birth weight newborns observed across all 8 villages
โ€ขMajority of pregnant women had no access to prenatal nutrition supplements
โ€ขNo structured nutrition education had ever been delivered in these villages
โ€ขAnaemia was widespread โ€” most women entered pregnancy already iron-deficient
โ€ขPrenatal checkups were rare or non-existent for women outside the town
โ€ขPost-delivery, new mothers received no structured guidance on breastfeeding or infant nutrition
โ€ขThe nearest government health facility was 12โ€“18 km from most villages
โ€ขWomen reported being unaware that diet during pregnancy affected birth weight

The evidence pointed clearly to a single root cause: nutritional deficiency during pregnancy, compounded by a complete absence of awareness, access, or follow-up support. This was not a failure of will โ€” it was a failure of infrastructure and information. Both were within MTN's capacity to address.

Activities Delivered

Three Components, Running Simultaneously

Result 1

Prenatal Nutrition Supplements

  • โœ“Folic acid, iron tablets, and multivitamins provided to every enrolled pregnant woman from the first confirmed pregnancy
  • โœ“Weekly nutritious food packages distributed โ€” including lentils, eggs, green vegetables, and fortified grain โ€” to supplement home diet
  • โœ“Anaemia screening at enrolment with targeted iron supplementation for women identified as iron-deficient
  • โœ“Supplement schedule tracked by community health workers at every home visit
  • โœ“240+ women enrolled in the first 18 months of the programme
Result 2

Monthly Nutrition Awareness Classes

  • โœ“Monthly group sessions held in each village, led by MTN community health workers with support from the hospital's maternal health team
  • โœ“Sessions covered: balanced diet during pregnancy, safe breastfeeding practices, infant feeding in the first six months, food preparation and hygiene, and the direct link between maternal nutrition and birth weight
  • โœ“Husbands and mothers-in-law invited to sessions โ€” family context identified as a key determinant of what pregnant women actually eat
  • โœ“Visual aids and take-home materials provided in Telugu โ€” the primary language of all enrolled women
  • โœ“Attendance tracked; women who missed sessions visited at home by CHWs in the same week
Result 3

Prenatal & Postnatal Health Checkups

  • โœ“Every enrolled woman receives a minimum of 4 prenatal checkups โ€” blood pressure, weight, foetal development, and anaemia screening โ€” at no cost
  • โœ“Mobile health camp visits to remote villages for women who cannot travel to the MTN hospitals
  • โœ“Safe delivery support โ€” women in late pregnancy connected to the hospital's maternal health team for delivery planning
  • โœ“Postnatal checkups for every mother and newborn within 72 hours, 14 days, and 6 weeks of delivery
  • โœ“Infant weight recorded at every postnatal visit โ€” the primary outcome metric for programme evaluation
Outcomes

Results Against Objectives

DeliverableTargetStatus
Villages with active programme8โœ“ 8 / 8 active
Mothers enrolled (Year 1โ€“2)200โœ“ 240+ enrolled
Prenatal checkups completed4 per motherโœ“ Average 4.2 per enrolled mother
Nutrition awareness sessions delivered96 (12/village/yr)โœ“ 96 / 96 delivered
Postnatal checkups (72hr + 14d + 6wk)3 per birthโœ“ 3-visit protocol followed for all tracked births
Reduction in low birth weight casesโ†“ 30% vs baselineโœ“ โ†“ 34% recorded across programme villages
Anaemia at delivery (screened cases)< 40%โœ“ 31% anaemia rate vs 68% at baseline
Families reached with nutrition educationAll enrolled + familyโœ“ 240 women + 180+ family members attended sessions
Villages

The 8 Programme Villages

Coastal Andhra Pradesh region. All villages served by MTN community health workers with direct links to the MTN hospitals maternal health department.

VillageMandal / AreaMothers Enrolled
Rammurthy NagarKakinada Rural38
Fishermen's ColonyKakinada Coastal29
PeddapurappaduPrathipadu31
GollapalemTallarevu27
GaigolupaduTallarevu24
Lakshmipathi PuramKarapa33
PagadalapetaKakinada Rural28
SarpavaramKakinada Rural30
Total โ€” all 8 villages240+

Village names and enrolment figures are updated quarterly. Contact us for the most current programme data.

Programme Cost

What It Costs to Run This Programme

$120
Per mother / month
Complete programme โ€” supplements, food, checkups, postnatal care
$1,440
Per mother / full pregnancy
9-month prenatal + 3-month postnatal follow-up
$345,600
Full programme / year
8 villages ยท 240 mothers ยท 12 months

Cost includes: prenatal nutrition supplements (folic acid, iron, vitamins), weekly nutritious food package (eggs, lentils, greens, fortified grain), monthly awareness session delivery, minimum 4 prenatal checkups per mother, mobile camp transport to remote villages, and 3-visit postnatal follow-up for every birth. Community health worker salaries are shared across programmes and not included in this figure.

Cost breakdown per mother
Iron, folic acid & multivitamin supplements~$12/mo
Weekly nutritious food package ร— 4~$34/mo
Monthly prenatal checkup + anaemia screen~$10/mo
Monthly awareness session (CHW per capita)~$6/mo
Postnatal follow-up (amortised)~$5/mo
Mobile camp transport (per capita share)~$6/mo
Programme overhead & field coordination~$7/mo
Total per mother / month~$120/month (incl. overhead)
Expansion

Fund the Next Set of Villages

MTN's community health workers have identified 5 additional villages with documented high rates of low birth weight and no existing maternal nutrition support. Each village costs approximately $43,200/year to bring fully into the programme โ€” covering all supplements, weekly food packages, health checkups, and postnatal follow-up for approximately 30 mothers over 12 months ($120/month ร— 30 mothers ร— 12 months). A single donor can fund one village for a full year.

VillageMandal / AreaEst. Eligible MothersAnnual CostPriority
KotipalliRamachandrapuram~34$48,960High
AllavaramAmalapuram Rural~28$40,320High
Razole EastRazole~36$51,840High
Narsapur CoastalNarsapur~31$44,640High
RavulapalemRavulapalem~26$37,440High
Total โ€” all 5 new villages$223,200
Fund one village for a full year
$43,200/year covers all supplements, weekly food packages, checkups, and postnatal care for ~30 mothers ($120/month ร— 30 mothers ร— 12 months).
Fund a Village โ€” $43,200 โ†’

Programme Photos

MTN Mother & Child Programme โ€” 1
MTN Mother & Child Programme โ€” 2
MTN Mother & Child Programme โ€” 3
MTN Mother & Child Programme โ€” 4
MTN Mother & Child Programme โ€” 5
MTN Mother & Child Programme โ€” 6
MTN Mother & Child Programme โ€” 7
MTN Mother & Child Programme โ€” 8
Programme Delivery

Delivered Through MTN's Integrated Health System

The Mother & Child Nutrition Programme is delivered through the combined capacity of MTN's MTN hospitals maternal health department and its community health worker network. Hospital staff design the supplement protocols and conduct clinical checkups. Community health workers carry the programme into villages โ€” distributing supplements, conducting awareness sessions, tracking attendance, and connecting women to the hospital for delivery and postnatal care.

MTN hospitals
Maternal Health Department โ€” Clinical oversight
Community Health Worker Network
8 villages โ€” Field delivery
Mission to the Nations
Asia Field Partner โ€” Programme design & funding

Fund the Mother & Child Programme

$120/month supports one mother through her full pregnancy โ€” prenatal supplements, a weekly nutritious food package, clinical checkups, monthly awareness sessions, and postnatal follow-up. $1,440 funds her complete journey from first trimester through 3 months postnatal. $43,200 funds an entire village for a year.

Every dollar is tracked, reported, and receipted. Institutional donors receive quarterly outcome data.