NEW DELHI (WOMENSENEWS)--Three young women here hold court in the middle of the room, bedecked in their finest jewelry: necklaces, earrings, bangles. They haven't been this dressed up since their weddings. Lavish gold and red saris drape over them, nearly concealing their swollen bellies.
They are surrounded by their mothers and sisters, aunts and cousins and friends, who are seated on the floor or standing up against the wall of the community center. A few attendees beat drums, and all of them sing joyously.
The mothers-to-be, all in their third trimesters, are participating in godh bharai, the Hindi word for a ceremony that any American mother would recognize: a baby shower. Like baby showers in the United States, the women play various games--guess the gender! suggest names!--and men are usually forbidden.
Godh bharai has a long history in India. The Hindi phrase translates to "fill the lap"; traditionally, family members at these events deposit gifts of food, money, clothes and jewelry in the laps of expectant mothers. And it's not just a tradition in North India. They call it shad in Bengal, seemandham in Kerala and valakappu in Tamil Nadu. Among ceremonial variations there's one common element: celebration of a forthcoming child.
The government has relocated families from overcrowded urban slums within Delhi to Holumbi Khurd and Holumbi Kalan, on the outskirts of this large city. Here, a nongovernmental group, Child Survival India, has begun working with community leaders and health workers to introduce new elements to the festivities.
Now, older women in equally festive colors step forward to present the mothers-to-be with platters bearing peanuts, leafy greens and fruit; foods rich in iron and vitamin C. They explain how the young women--all of whom look to be in their teens--should eat to remain healthy during their pregnancies and how to continue nourishing themselves and their children after the births.
Kashyap Doshi works for the telecommunications company Vodafone India, but he's spending several months volunteering with Child Survival India.
"Baby showers have been going on for ages, everywhere in India," Doshi says. "But this form of baby shower; that is something from Child Survival India."
India has the highest number of child deaths in the world: More than 1.6 million Indian children under the age of 5 died in 2011, according to Save the Children's "State of the World's Mothers 2013" report. That means 24 percent of under-5 child deaths in the world happen in India.
More than a third of these children's deaths are due to malnutrition. In India, 28 percent of infants are underweight at birth and 44 percent of children under 5 are underweight.
"India is home to 42 percent of the world's underweight children and ranked a dismal 65 out of 79 countries covered in the Global Hunger Index 2012," Kunal Kumar Kundu reported for The Wall Street Journal late last year. A lack of food at an early age has long-lasting effects on a child's health and development.
A key factor in a child's health is his mother's health. "More than half of all married women are anemic and one-third of them are malnourished," UNICEF reports. Pregnancy, birth and breastfeeding place high demands on a malnourished woman's already poor health, and only 41 percent of new Indian mothers introduce early breastfeeding.
It is key, therefore, to reach out to women as early as possible in order to improve their health and the well-being of their families.
Doshi says that the mothers in Holumbi Khurd and Holumbi Kalan have embraced the altered baby shower traditions. "For them, it's the celebration," he says. "They all come, dressed up. They wear whatever jewelry that they have. They're all decked out for this. Not only the pregnant ladies, but even the community."
Nutritional support of soon-to-be-mothers doesn't start here. "The moment it is known in the community that the lady is pregnant, the nongovernmental organization tracks them," Doshi says. Child Survival India provides expectant mothers with information about neonatal nutrition and other health services.
But at the baby showers, Doshi says, "it's more of a learning for fun."
The celebration of nutrition reaches beyond expectant and new mothers to the many impressionable young girls who also attend the showers. It also reaches women who have relocated to the area with their families. They may already have children, but for some this is their first introduction to a nutrition-focused godh bharai.
The best part? It barely costs a thing. The community health workers use grains, vegetables and fruits from their own kitchens, but the gifts are more symbolic than substantial.
By using existing customs to drive home their messages gently, Child Survival India opens up the lines of communications for other health campaigns, such as encouraging mothers to have their babies delivered at hospitals.
In order to enact real change in child health, however, the status of women must first change. Studies have shown that the poor health of women and their children is directly linked to the low socioeconomic status of those women.
Innovative reinventions of traditions like this can only help elevate more women. For now, the three young women at the center of this are obviously benefiting. Dazzlingly dressed and seated at the center of a boisterous party, they smile widely.
Also on HuffPost:
<strong>Japan:</strong> Female life expectancy at birth is 87 years
<strong>Croatia:</strong> Under 5 mortality rate is 6 in 1,000
<strong>Poland:</strong> The lifetime rate of maternal death is 1 in 13,300
<strong>Austria:</strong> The gross secondary education enrollment ratio is 100%
26. Czech Republic
<strong>Czech Republic:</strong> The under 5 mortality rate is 4 in 1,000
25. The United States
<strong>The United States:</strong> The lifetime rate of maternal death is 1 in 2,100
<strong>Belarus:</strong> Percent of seats in national government held by women: 32%
<strong>Lithuania:</strong> Gross secondary education enrollment ratio: 98%
<strong>Hungary:</strong> Lifetime rate of maternal death: 1 in 3,500
<strong>Italy:</strong> Lifetime rate of maternal death: 1 in 15,200
<strong>Greece:</strong> Lifetime rate of maternal death: 1 in 31,800
<strong>Canada:</strong> Canada gives 52 weeks of maternity leave to new mothers
<strong>Switzerland:</strong> Gross pre-primary enrollment ratio: 102%
<strong>Estonia:</strong> Estonia's under 5 mortality rate is 5 in 1,000
<strong>Spain:</strong> Gross pre-primary education enrollment ratio is 126%
<strong>Portugal:</strong> Gross secondary education enrollment ratio: 107%
<strong>France:</strong> France's female life expectancy at birth is 85 years.
<strong>Slovenia:</strong> Expected number of years of formal female schooling: 18
<strong>Germany:</strong> Lifetime rate of maternal death: 1 in 11,100
11. United Kingdom
<strong>United Kingdom:</strong> The UK Gives 52 weeks of maternity leave to new mothers
10. The Netherlands
<strong>The Netherlands:</strong> Percentage of seats in national government held by women: 39%
<strong>Ireland:</strong> Expected number of years of formal female schooling: 19
<strong>Belgium:</strong> Percentage of seats in national government held by women: 39%
<strong>Australia:</strong> Expected number of years of formal female schooling: 20
<strong> Finland:</strong> Percentage of seats in national government held by women: 43%
<strong>Denmark:</strong> Lifetime rate of maternal death: 1 in 10,900
4. New Zealand
<strong>New Zealand:</strong> Expected number of years of formal female schooling: 20
<strong>Sweden:</strong> Percentage of seats in national government held by women: 45%
<strong>Iceland:</strong> Ranks #1 in the Children's Index (out of 44 countries)
Norway ranks among the very best (top 5) countries in all indicators including female education, political representation, and the second lowest under-5 mortality rate. It offers one of the most generous maternity leave policies in the developed world. The extreme contrast between top-ranked country, Norway, and the lowest-ranked country, Niger is shown in a number of indicators. In Norway, nearly 40 percent of parliamentary seats are held by women compared to Niger's 13 percent. A Norwegian girl can expect to receive 18 years of formal education and will live to be over 83 years old. In Niger, a typical girl receives only 4 years of education and lives to only 56. Every mother in Niger is likely to suffer the loss of a child. 1 child in 7 dies before his or her fifth birthday.