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HANDS has been working in rural remote non – LHW areas with the Marvi workers model for improving the nutritional status of under 5 year children, Pregnant and lactating women. The Marvi worker under the supervision of LHV conducts screening of malnourished children and provides services to identify malnourished including provision of supplements and counselling. Under this initiative the communities are mobilized to adopt healthy behaviors and prevent malnutrition focusing the under 5 years children