Community Nutrition Programmes Dr Nikhil Bansal J.N.M.C.,Wardha
Vitamin A prophylaxis Programme 1970• Comes under Ministry of Health & Family welfare.• Under the National program for control of blindness adminstration of a single massive dose of Vit A containing 200,000 IU of Retinol Palmitate orally to all preschool kids in community every 6 months through peripheral health workers is recommended.• A flexible strategy combining short term, medium & long term interventions with nutritional education has been adopted.
Prophylaxis against Nutritional Anemia 1969 – 4th five year plan• Comes under Ministry of Health & Family welfare• This program includes distribution of iron & folic acid tabs to pregnant women and children up to age of 12 years.• Services are provided through MCHC in urban areas, PHC in rural areas & also through ICDS program.• Iron fortification of common Salt has also been accepted by GOI as a public health approach. Strategies of changing dietary habits, control of parasites , & nutritional education have been promoted.
National Goitre Control Program 1962• Comes under Ministry of Health & Family welfare• Objective is to identify Goitre endemic areas & to supply iodised salt in place of common salt & to assess the impact of program over a period of time.• The level of Iodization is fixed under PFA act.• “2 in 1 salt” - NIH, Hyderabad has come out with a new salt fortified with both iron & iodine.• Iodized oil injection in safflower, oral oil, sodium iodate tabs have also been used an alternate method
Special Nutrition Program 1970• Comes under Ministry of Social Welfare, now merged with ICDS program• Started for the benefit of Children below 6yrs, pregnant & nursing mothers and is in operation in urban slums , tribal & other backward areas.• Supplementary feed of about 300Kcal & 10-12 grams of protien per child per day. About 500 Kcal & 25 grams of protien to beneficiary mother.• Supplement is provided for atleast for 300days a year.
Balwadi Nutrition Program 1970• Comes under Ministry of Social Welfare• Started for the benefit of children b/w 3 – 6 yrs.• Program is implemented with the help of Balwadis who also provide pre-primary education to these children.• This program is being phased out due to universalisation of ICDS.
Integrated Child Development Scheme• Launched in 1975, ICDS Comes under Ministry of Social Welfare• Program is provided with a strong nutritional component in form of Fe & folic acid tabs, Vit A prophylaxis, & supplementary nutrition.• Beneficaries are preschool children, adolescent girls , pregnant & lactating mothers.• Services are delivered by AWW, Mahila Mandals, work is supervised by Mukhyasevikas, CDPO respectively
Mid Day Meal Program 1961• Comes under Ministry of Education• Main obj. is to attract more children for admission to schools & retain them for literacy improvement.• A model menu has been provided by National Institute of Nutrition, Hyderabad.• Food is to be provided for 250 days per years.• Other imp goals to be achieved are : Reorientation of eating habits, incorporating nutritional education in curriculum, encouraging use of local commodities
Mid Day Meal Scheme• Centrally sponsered Started on 15th Aug95, revised in 04• Objective is to universalise primary education by increasing enrollment, retention, attendance & impacting nutrition of students• Central assistance was in the form of free grain supply, & transport from FCI godown at subsidised rates. Around 100g per student/day for all children in class I to V.