Bsc hons nursing 4th yr Community health nursing-2

3. Government of India have
initiated several large scale
supplementary feeding
programme, and programme aimed
at overcoming specific deficiency
disease through various Ministries
to combat malnutrition.

4. NUTRITION : it may be defined as
the science of food and its
relationship to health. It is
concerned primarily with the part
played by nutrients in body growth,
development and maintenance.
NUTRIENT : “food factor” is used
for specific dietary constituents such
as protein, vitamins and minerals.

5. PROGRAMME MINISTRY
1. VIT A. prophylaxis programme Ministry of Health and Family Welfare
2. Prophylaxis against nutritional anaemia Ministry of Health and Family Welfare
3. Iodine deficiency disorders control programme Ministry of Health and Family Welfare
4. Special Nutritional Programme Ministry of Social Welfare
5. Balwadi nutrition programme Ministry of Social Welfare
6. ICDS Programme Ministry of Social Welfare
7. Mid-day meal programme Ministry of Education
8. Mid-day meal scheme Ministry of Human Resources Development

6.  One of the components of National
Programme for Color Blindness.
 This programme was launched by Ministry of
Health and Family Welfare in 1970
 A single massive dose of an oily preparation
of vit A. containing 200,000 IU (110mg of
retinol palmitate)is administered orally to
preschool children in the community every 6
months through health workers.
VITAMIN A PROPHYLAXIS PROGRAMME

7. Deficiency of Vit A.
Night blindness
Xerophthalmia
Conjuctival Xerosis
Prevention :-
1 dose of 100,000IU vit A solution is given to children of age 6
months- 11 months of age.
1 dose of 200,000 IU Vit A solution is given to children of age 1-5
yr.
Child receives a total of 9 doses of vit A by the age of 5 yr.

8.  A national programme for the prevention of nutritional
anaemia was launched by govt. of India during fourth 5
YEAR PLAN.
 The programme consists of distribution of iron and folic
acid tablets to pregnant women and young children (1-12
yr).
 MCH Centers in urban areas, primary health centers in
rural areas and ICDS are engaged in the implementation of
this programme.
PROPHYLAXIS AGAINST NUTRITIONAL
ANAEMIA( 1970)

9. BENEFICIARIES:
• Expecting and lactating mothers
• Children 1-5 yr of age.
• Children 6-10yr of age {acc. to 2007 new directives}
• Adolescents 11-18 yr of age {acc. to 2007 new
directives}
• Family planning {IUD} acceptor

10. RECOMMENDED DOSES:
• Expecting and lactating mother along with IUD
acceptors -100mg of elemental iron + 0.5 mg of folate
everyday for 100 days.
• Children at the age 1-5 yr - 20 mg of elemental iron +
0.1 mg of folate everyday for 100 days.
• Children at the age 6-10 yr- 30mg of elemental iron
+0.25 mg of folate everyday for 100 days

11. CONTROL OF IODINE DEFICIENCY
DISORDERS

13.  Started in 1970 by the Ministry of Social Welfare.
 Main aim is to improve the nutritional status in the
targeted group.
 Operated under minimum need programme.
 Focused on the slum areas, tribal areas and backward
rural areas.
SPECIAL NUTRITION
PROGRAMME

14. BENEFICIARIES:
• Children below 6 yr of age
• Pregnant and lactating women.
SERVICES
• Preschool children: 300kcal and 10-12gm protein.
• Pregnant and lactating women: 500kcal and 25gm of
protein.

15.  This programme was started in 1970 for the
benefit of children in the age group of 3-6 yr.
 Voluntary organizations receiving grants are
responsible for the running of the programme.
 The programme is implemented through
Balwadis which also provide pre primary
education to these children.
 The food supplement provides 300kcal and
10gm of protein per child per day.
BALWADI NUTRITION PROGRAMME

16.  Integrated child development services programme
was started in 1975 in pursuance of the National
Policy of Children.
 Services consists of the following:-
i. supplementary nutrition
ii. immunization
iii. health check ups
iv. medical referral services
v. nutrition and health education for women
vi. non formal education for children below 6yr of age.
ICDS PROGRAMME

18. OBJECTIVES OF ICDS PROGRAMME
 To improve the nutritional status of the children (0-6yr).
 To lay foundation for proper psychological, physical and
social development of the children.
 To reduce the mortality and morbidly nutritional school
dropouts.
 To achieve an effective coordination of the policy and the
implementation among various departments.
 To enhance the capacity of mother and nutritional oral
needs of the children through proper nutrition and health
education.

19.  Also known as School Lunch Programme.
 It was launched in 1995.
 Major objective of this programme is to attract more
children for admission to schools and retain them so
that literacy improvement of children could be
brought up.
• Mid Day Meal Programme became part of the
Minimum needs programme in the Fifth Five Year
Plan.
MID-DAY MEAL PROGRAMME

20. FOODSTUFFS g/day/child
1. Cereals and millet 75
2. Pulses 30
3. Oils and Fats 8
4. Leafy vegetables 30
5. Non leafy vegetables 30
 Model menu for a mid day
meal is given below:

21. Principles of mid day meal programme are:-
* the meal should be a supplement and not a substitute
to the home diet.
* the meal should supply at least one-third of the total
energy requirement, and half of the protein need.
* the cost of the meal should be reasonably low.
* the meal should be such that it can be prepared easily
in schools; no complicated cooking process should be
involved.
*as far as possible, locally available foods should be
used; this will reduce the cost of the meal, and
* the menu should be frequently changed to avoid
monotomy.

22. Also known as National Programme of Nutritional
Support to Primary Education.
launched on 15 August 1995 and revised in 2004.
objective being universalisation of primary
education by increasing enrollment , retention and
attendance and simultaneously impacting on
nutrition of the students in primary classes.
A cooked mid day meal with minimum 300 calories
and 8-12 gm of protein content will be provided to
all children.
MID-DAY MEAL SCHEME

23. Suggestions for preparation of nutritious and
economical mid-day meals are as under:-
a) food grains must be stored in a place away from moisture in
air tight containers to avoid infestation.
b) use whole wheat or broken wheat(dahlia) for preparing mid
day meal.
c) rice should be preferably unpolished.
d) cereal pulse combination is necessary to have a good quality
protein. The cereal pulse ratio could range from 3:1 or 5:1
!

24. e) sprouted pulse have more nutritious value and should
be incorporated in every meal.
f) leafy vegetables should be thoroughly washed before
cutting.
g) soaking of rice, dal, Bengal gram etc. reduces the
cooking time. Wash the grains thoroughly and soak in
just sufficient amount of water required for cooking.
h) cooking must be done with the lid on to avoid loss of
nutrients.

25. i) overcooking should be avoided.
j) reheating of oil used for frying is harmful and
should be avoided.
k) only “iodized salt” should be used for cooking
mid day meals. etc.

26.  Nurse have a responsibility to teach good nutrition.
 Nutritional education should be extended to the methods
of cooking, hygienic practices in the handling of food, and
preservation of foods.
 some other major topics are:-
i. PREGNANT AND NURSING MOTHERS
the need to include more protein , vitamins and minerals as
well as additional calories in daily diet- through inclusion of
milk, green leafy vegetables, dals and fruits in the diet.

27. ii. PRESCHOOL CHILDREN
• the continuation of breastfeed during the first year of life, as breast milk
can supply valuable protein to supplement the diet.
• the importance of mixing pulses with cereal to improve the quality of
protein.
• the need to include more protein and calories in the child's diet.
• the importance of cleanliness in the preparation and serving of food.
• the need to ensure that the child gets sufficient diet.
there is no single way for imparting nutritional education. Successful nutrition
education means that the individual has adopted new ideas.

28.  In this presentation, I have discussed National
Nutritional Programmes including its introduction,
definitions,varous programmes like Vit A
Prophylaxis, prophylaxis against nutritional anaemia,
iodine deficiency disorders control programme,
special nuritional programme, balwadi nutritional
programme, ICDS programme, mid-day meal
programme and mid-day meal scheme and the role
of nurse in nutritional programme.

29. K.Park, “textbook of preventive and social medicine” Bhanot
Publishers, 20th Edition, Chapter-11, Page no 573.
https://www.academia.edu/39631110/Chapter_2_National_Nutr
ition_Programmes_in_India
https://www.researchgate.net/publication/333866257_National_
Nutrition_Programmes_in_India