Tattva Foundation

19/05/2026

96,23,613.

That is the number of deliveries tracked on MaNTrA - the Maa Navjaat Tracking App since the National Health Mission, Uttar Pradesh rolled it out state-wide on 5 December 2021 by the Hon'ble Chief Minister Shri Yogi Adityanath. Today, it powers one of the largest population-scale Labour Room Management Information Systems in the world.

Every month, ~1,90,000 more deliveries are added. Across 7,000+ active facilities. In a state of 240 million people.

What makes MaNTrA different is not the scale alone. It is the design:

• A Labour Room MIS that captures the delivery in real time, not after the shift ends
• Clinical decision support for the health cadre, right at the bedside
• API-based interoperability so data flows once and serves many systems
• 100% open-source foundation

This is what digital health does at its best: it reduces the burden on the frontline, strengthens the hands of the State, and quietly improves outcomes for the mother and the newborn.

Grateful to the Chief Minister Office, Uttar Pradesh, National Health Mission, Uttar Pradesh, our partners at UNICEF India, and every ANM, staff nurse, and medical officer who made MaNTrA part of their daily practice.

समानता, सम्मान और सुरक्षित मातृत्व - the resolve is digital, the impact is human.

Government Of India , Ministry of Health and Family Welfare (MOHFW), Chief Minister Office Uttar Pradesh , National Health Authority, UNICEF

Girdhari Bora Akanksha Jaiswal

19/05/2026

The Most Powerful Moment Was Not on a Stage - It Was in a Village in Meghalaya

On 13 May 2026, in the remote village of Shkentalang, Amlarem Block (West Jaintia Hills, Meghalaya), public health looked deeply human.

During the visit of Soledad Herrero, Chief of Field Services, UNICEF India, communities, frontline workers, health systems, and families came together on a single platform bringing the worlds of Routine Immunization (GAVI HSS-3) and MNCH-HCD into one shared village conversation.

And the most powerful voices came from the community itself.

:> A Buddy Mother spoke about how peer support helped convert vaccine hesitancy into confidence demonstrating how trust travels more effectively mother-to-mother.
:> A father stood before the gathering practicing Kangaroo Father Care, quietly challenging long-held caregiving norms and showing that newborn care is not only a mother’s responsibility.
:> Women’s groups led KMC Buddy Circles.
:> ASHAs walked families through newborn follow-up calendars.
:> Frontline workers shared realities of reaching zero-dose and dropout children in difficult terrain.
:> And the village itself became a classroom for behaviour change, trust, and collective ownership.

What emerged in Shkentalang was bigger than a field visit. It was a living example of Meghalaya’s 003 Agenda in action working towards zero maternal deaths, zero unimmunized children, and healthier first 1,000 days of life.

This work is being strengthened through the collaboration of NHM Meghalaya, State Health Systems Resource Center (SHSRC), Meghalaya, UNICEF India, and Tattva Foundation, with Assam Don Bosco University, Guwahati and Indian Institute of Technology, Bombay as partners under the MNCH–HCD initiative.

Because sustainable public health change does not begin with campaigns alone. It begins when communities start believing that care belongs to them too.

Madhulika Jonathan Suresh Parmar Akanksha Jaiswal Girdhari Bora ASHISH DADWAL Rakesh Singh Konsam Daya Shankar Singh Shantanu Shrivastava Dr. Nimisha Bhatu Kimi Sima Toppo Smita Gowala Iarapbhathik Nongrum Shangrit Dr. Bounty Marvellous Suliang Einisha Siangshai Dr. Graceleen Kynter

16/05/2026

The Most Powerful Moment Was Not on a Stage - It Was in a Village in Meghalaya

On 13 May 2026, in the remote village of Shkentalang, Amlarem Block (West Jaintia Hills, Meghalaya), public health looked deeply human.

During the visit of Soledad Herrero, Chief of Field Services, UNICEF India, communities, frontline workers, health systems, and families came together on a single platform bringing the worlds of Routine Immunization (GAVI HSS-3) and MNCH-HCD into one shared village conversation.

And the most powerful voices came from the community itself.

:> A Buddy Mother spoke about how peer support helped convert vaccine hesitancy into confidence demonstrating how trust travels more effectively mother-to-mother.
:> A father stood before the gathering practicing Kangaroo Father Care, quietly challenging long-held caregiving norms and showing that newborn care is not only a mother’s responsibility.
:> Women’s groups led KMC Buddy Circles.
:> ASHAs walked families through newborn follow-up calendars.
:> Frontline workers shared realities of reaching zero-dose and dropout children in difficult terrain.
:> And the village itself became a classroom for behaviour change, trust, and collective ownership.

What emerged in Shkentalang was bigger than a field visit. It was a living example of Meghalaya’s 003 Agenda in action working towards zero maternal deaths, zero unimmunized children, and healthier first 1,000 days of life.

This work is being strengthened through the collaboration of NHM Meghalaya, State Health Systems Resource Center (SHSRC), Meghalaya, UNICEF India, and Tattva Foundation, with Assam Don Bosco University, Guwahati and Indian Institute of Technology, Bombay as partners under the MNCH–HCD initiative.

Because sustainable public health change does not begin with campaigns alone. It begins when communities start believing that care belongs to them too.

Madhulika Jonathan Suresh Parmar Akanksha Jaiswal Girdhari Bora ASHISH DADWAL Rakesh Singh Konsam Daya Shankar Singh Shantanu Shrivastava Dr. Nimisha Bhatu Kimi Sima Toppo Smita Gowala Iarapbhathik Nongrum Shangrit Dr. Bounty Marvellous Suliang Einisha Siangshai Dr. Graceleen Kynter

09/05/2026

Not Every Classroom Has Walls: KMC beyond Facilities

In the remote hills of Amlarem Block, West Jaintia Hills, some of the most important lessons in newborn care are not being taught inside facilities or training halls. They are happening along narrow village pathways, roadside resting spaces, and open community gatherings where mothers pause, listen, and learn together.

Under the MNCH-HCD Programme, Tattva Foundation teams are taking Kangaroo Mother Care (KMC) directly into hard-to-reach communities, ensuring that life-saving knowledge travels beyond facility walls.

This initiative is being undertaken with the guidance and support of State Health Systems Resource Center (SHSRC), Meghalaya, along with NHM Meghalaya and UNICEF India, with Assam Don Bosco University, Guwahati Bosco University (ADBU) and Indian Institute of Technology, Bombay as partners under the MNCH-HCD collaborative.

For preterm and low birth weight babies, KMC is one of the simplest yet most effective newborn care practices. Skin-to-skin care helps keep babies warm, improves breastfeeding, reduces infections, and significantly improves survival chances during the most fragile days of life.

India records nearly 3.5 million preterm births every year, and in geographically challenging regions like Meghalaya, community awareness can become just as critical as clinical care.

What these moments truly represent is not just training - it is trust, effort, and human connection.

A reminder that meaningful healthcare does not always need a classroom.
Sometimes, it simply needs people willing to walk the extra mile so no mother is left behind.

Einisha Siangshai Dr. Graceleen Kynter

05/05/2026

World Immunization Week, we're not sharing data. We're sharing faces.

Faces of children who almost slipped through. Mothers who said no, then yes. Fathers who became our loudest advocates. Frontline workers who climbed broken roads so a vaccine could reach a doorstep.

Across 672 high-risk villages in Meghalaya, Mizoram, and Nagaland, under the GAVI HSS3 programme, our teams alongside UNICEF India, World Health Organization, National Health Mission & FLWs - ANMs, ASHAs, AWWs are working on the hardest part of immunization: the last mile, the last household, the last unconvinced parent.

Every story in this carousel is real. Every village, every conversation, every conversion. This is what Immunization for All actually looks like.
Swipe through. And if any of these stories stay with you, share them because reach begins where awareness begins.

Tattva Foundation with Gavi, the Vaccine Alliance · UNICEF India · National Health Mission · World Health Organization

Girdhari Bora, Akanksha Jaiswal, Shantanu Shrivastava, Dr. Nimisha Bhatu, Kimi Sima Toppo

26/04/2026

It’s Not Just About Vaccines - It’s About Trust!

Sometimes, the most important part of our work doesn’t happen in offices or meeting rooms - it happens here, in quiet conversations, on doorsteps, within communities.

This is not just a job. It is a space where empathy meets understanding, where listening becomes intervention, and where trust is built - slowly, patiently, and meaningfully.

Moments like these remind us that behind every data point is a family, behind every hesitation is a story, and behind every breakthrough is a relationship built on respect and care.

In public health, outcomes don’t change overnight - they change when people feel heard, supported, and understood.

And that begins with simply showing up, sitting down, and listening.

21/04/2026

Reaching the Last Mile: Turning Refusal into Trust in Tuli Block

In some of the most remote and hard-to-access habitations - Yajang A, B, and C (Tuli Block, bordering Assam) a focused outreach vaccination drive set out to do one thing: reach children who had been left out for too long.

With strong administrative backing and collaboration across PRI members, women’s groups, SHGs, WHO External Monitor (EM), DCM/BCM teams, and frontline health workers, the effort brought services closer to communities where access and hesitation often intersect.

The result wasn’t just numbers - it was trust built on the ground:
>: 3 chronic refusal zero-dose families chose to vaccinate
>: 2 potential zero-dose children were identified and covered
>: 1 dropout child was brought back into the immunization schedule

This is what last-mile delivery looks like - patient engagement, community partnership, and systems coming together to ensure no child is missed.

Because every child reached is a step closer to immunization for all.

Wapang Imsong

20/04/2026

Bridging the Last Mile Between Risk and Response in Maternal Health

At Byrnihat PHC, Umling Block (Ri-Bhoi, Meghalaya), a critical shift is underway moving from knowing risk to acting on it in time.

As part of the MNCH-HCD initiative, facility-level HRP interventions have begun with a strong focus on early identification and timely response. The “MAMA ALERT” HRP poster is now prominently placed within the facility designed to make danger signs more visible, easier to understand, and quicker to act upon, it ensures that both frontline workers and families stay alert to early warning signs.

But visibility alone isn’t enough, so the system is being strengthened alongside it:
• Mama Alert Flash Cards for instant identification
• Emergency Transport Rosters at both village & facility levels for 24×7 readiness
• CM-SMS (Dial 108) for free and timely transport
• “HUSIAR KO KMIE!” stickers helping families know when to act and seek care

In geographies like these, terrain, distance, and access challenges can often delay timely care. These interventions are designed to reduce that delay by enabling early identification, faster decision-making, and better coordination for referral.

With guidance and co-designed with NHM Meghalaya, State Health Systems Resource Center (SHSRC), Meghalaya, and UNICEF India, with Assam Don Bosco University, Guwahati and IIT Bombay as partners under the MNCH-HCD initiative, this work strengthens system responsiveness where it matters most.

Because timely care should not depend on geography, it should be enabled by systems that are prepared.

Shantanu Shrivastava Dr. Nimisha Bhatu Nibahun Diengdoh Ibakmen Suting Rebecca Sharma Chance Shimray Donaldo Lyngdoh Nonglait

17/04/2026

MNCH-HCD in Action: Bringing Care Closer to Communities

A meaningful step forward in strengthening maternal and newborn care Kangaroo Mother Care (KMC) and Kangaroo Father Care interventions have begun in Padu Village, Amlarem Block, West Jaintia Hills (Meghalaya).

IEC materials developed under the guidance and supervision of the Government are now being positioned to support frontline workers and families with simple, actionable guidance on KMC practices.

Implemented in partnership with NHM Meghalaya, State Health Systems Resource Center (SHSRC), Meghalaya, and UNICEF India, this initiative reflects a collaborative effort to strengthen MNCH outcomes through Human-Centric Design (HCD).

This is what Human-Centric Design (HCD) looks like on the ground
:> Solutions designed with communities
:> Delivered through existing government platforms
:> Enabling both mothers and fathers to play an active role in newborn care

Small shifts like creating awareness, building confidence, and enabling practice can lead to life-saving outcomes for newborns.

Because when care is simple, inclusive, and accessible, it becomes part of everyday life.

Shantanu Shrivastava Dr. Nimisha Bhatu Einisha Siangshai Dr. Graceleen Kynter

Shantanu Shrivastava

13/04/2026

Between Fear and a Smile, There Was a High-Five!

At the VHND session in Mawphlang Block, East Khasi Hills, this quiet yet powerful sequence of moments captured more than just a routine interaction, it reflected the journey of trust being built. In the first image, the child clings closely to the mother, visibly anxious and unsure in the unfamiliar setting. By the second, there is still hesitation, but curiosity begins to replace fear as the Tattva representative gently engages. In the third frame, a small breakthrough - an innocent high-five marks the turning point, where connection begins to outweigh apprehension. And finally, in the fourth image, the child’s face softens into a smile, comfort replacing fear.

This transformation, though subtle, speaks volumes. It reminds us that beyond systems and targets the real impact lies in these human connections. A few moments of patience, warmth, and empathy can reshape a child’s experience, turning fear of an injection into trust in care.

https://www.linkedin.com/feed/update/urn:li:activity:7448585263301165056


Girdhari Bora Akanksha Jaiswal Shantanu Shrivastava

Between Fear and a Smile, There Was a High-Five! At the VHND session in Mawphlang Block, East Khasi Hills, this quiet yet powerful sequence of moments captured more than just a routine interaction, it reflected the journey of trust being built. In the first image, the child clings closely to the mot...

10/04/2026

Convergence in Action: Strengthening Routine Immunization Across States

On 8th April 2026, we convened a State-Level Convergence Workshop at Shillong Club, bringing together stakeholders from Meghalaya, Mizoram, and Nagaland with a shared commitment to boost routine immunization and reduce zero-dose children . The workshop was chaired by the State Immunization Officer, Meghalaya, and saw participation from key government departments including NHM, DHS, District Health Offices (DMHO/DIO) and ICDS representatives, along with Meghalaya State Rural Livelihoods Society (MSRLS) and MSMDA.

The platform was further strengthened by the presence of UNICEF India (RI & SBC teams), World Health Organization, UNDP, JSI and technical partners, alongside the Tattva Foundation team across states and districts. District representatives from Ri-Bhoi, East Khasi Hills, West Khasi Hills, South West Khasi Hills, West Jaintia Hills, East & North Garo Hills, Mokokchung, and Lawngtlai shared field-driven insights on high-risk areas, behavioural barriers, and Phase I learnings, while outlining focused strategies and support needs for Phase II .

The convergence enabled cross-state learning, alignment on social mapping findings, and collaborative problem-solving, ensuring that district realities inform state strategies and implementation pathways. This collective effort reflects how strong systems, empowered districts, and aligned partnerships can accelerate progress towards reducing zero-dose children and strengthening immunization systems.

Dr Perosh R Marak, Valerie Laloo, Rakesh Singh Konsam, Dr Vinayak Mishra, Shantanu Shrivastava, Dr. Nimisha Bhatu, Kimi Sima Toppo, Iarapbhathik Nongrum Shangrit, Donaldo Lyngdoh Nonglait, Wapang Imsong, Alam Chakma, Ervin Nigel Tariang, Bounty Marvellous Suliang, Mathew G Momin, Vicky Lamare, Rikynti Thangkiew, Crownchi Marak