ASSESSMENT OF DISTRICT LEVEL TRAINING FOR BAL SWASTHYA POSHAN MAH DECEMBER 2009 Dr Neha Tyagi, Dr.Shama Shaikh & Dr.(Mrs )S.Dwivedi JR-I Department of Community Medicine Lecturer ,Department of Community Medicine Prof. & Head, Department of Community Medicine MLN MEDICAL COLLEGE ALLAHABAD
INTRODUCTION The state of UP has high Infant Mortality Rate (67 per thousand live births), next only to Madhya Pradesh (70 per thousand live births), while the Under-5-Mortality rate is 96 per thousand live births. Estimates show that under nutrition, which includes both micronutrient deficiency as well as protein energy malnutrition is associated with over half of all child deaths in developing countries.
Among micronutrients Vitamin A is important as it plays a crucial role in improving child survival. Along with other actions, it improves the immune response in a child. Most children receive first dose of Vitamin A along with Measles vaccine between 9-12 months while children over one year are, by and large, not reached through routine system.
Bal Swasthya Poshan Mah(BSPM) or Child Health and Nutrition Months, a joint strategy of Health and ICDS, to deliver key health and nutrition services to children below five years, is organized every year in June and December.
These activities were carried out in 18 districts as UNICEF supported pilot project in 2003 and were found to be successful. It was decided to involve Medical College faculty for training and monitoring activities. It included technical information and support and also support in planning, monitoring and reporting of BSPM activities.
OBJECTIVES Assessing the knowledge of district level officials of Health and ICDS regarding the Bal Swasthya Poshan Mah. Strengthening the BSPM activities by providing training to officials of Health and ICDS at the district level.
MATERIAL AND METHOD
STUDY AREA- 8 districts (Allahabad, Pratapgarh, Kaushambi,Fatehpur
Siddharth Nagar, Azamgarh, Mau, Ballia) were allocated to the Department of Community Medicine, MLN Medical College Allahabad with their consent.
STUDY PERIOD- District level training for one day on BSPM activities was undertaken in October and November 2009 prior to December 2009 round.
STUDY PARTICIPANTS were district and block level Health and ICDS officials. At the outset a pretested and predesigned questionnaire consisting of 15 knowledge based questions pertaining to BSPM, its objectives, importance of Vitamin A and Iodine, and prevention of malnutrition and their role in BSPM activities was administered.
This was followed by modular training. After this another set of same questionnaire was circulated for post test evaluation. The results obtained were analyzed.
PARTICIPATION STATUS OF RESOURCE PERSONS NUMBERS NAME OF RESOURCE PERSONS
PARTICIPANTS OF HEALTH & ICDS AMONG 8 DISTRICTS
PARTICIPATION STATUS OF TRAINEES (HEALTH)
PARTICIPATION STATUS OF TRAINEES (ICDS)
PRE AND POST TRAINING SCORES OF PARTICIPANTS
DIFFERENCE OF PRE AND POST TRAINING SCORES
The pre and the post test questionnaire showed a marked difference in awareness levels of BSPM activities among the Health and ICDS. Out of the 15 questions there were 5 questions answered incorrectly by most of the participants during pre test. They were - Why is vitamin A important for children? - How many doses of vitamin A is to be given? CONCLUSION -
-After opening the bottle of vitamin A ,up to how much time it can be used ? -Within how much time breast feeding should be initiated after normal delivery?
What is Colostrum and why is it important?
These knowledge gaps were given special stress during the training session.
Hence it is imperative that such training workshops are required for successful implementation of BSPM.