2. Divided in two Section
 Section I – About Project
 Section II – My understanding
Why Adolescent, not other??
 50% of adult weight-skeletal mass
 Above 20% of adult height is attained
 About 70-80% of this weight-height gain
 Big in number and future of countries

3.  Prevalence of Anaemia in the developing countries
tends to be three to four times higher than in the
developed countries.
 In case of India, the reported prevalence was 55%.
 Because of, In June 2000 a pilot project was lunched
by state namely ‘Adolescent Anaemia Control
Programme’ in Vadodara district of Gujarat.
 Tri-party program – UNICEF Gujarat, Ministry of
Education as well as Health and family welfare.
 Currently, programme covers 10 lakh schoolgirls and
2.6 lakh out of school girls with a compliance rate of
over 90% as reported by education dept.

4.  Covering over 69000 school girls from 426 schools
and also out of school girls (OSG).
 To approach out of school girls they use two
approach; one was to ask schoolgirls to find 3 OSG
and provide them education and with IFA tablets
and other was through Integrated Child
Development Services Aanganwadi worker.
 Provide once weekly fixed day (Wednesday)
supervised iron folic acid (IFA) supplements to all
adolescent girls in Grade 8-12.
 Each IFA tablet contained 100 mg elemental iron
and 0.5 mg folic acid. (Count…)

5.  Use of two type IEC material – 1. Brochure for girls
and teacher, 2. Poster set of three poster each.
 Training of two leady teacher by dept. of education
who deginated as liaison teacher.
 Baseline and impact study was important part of
project.
 After 17 month intervention in November 2001
impact evaluation was done.

6.  Purpose of Baseline – Know current status and also
knowledge and practices of the adolescent girls with
reference to their dietary habits.
 All 3 geographical area was Covered for study i.e. Urban,
Rural and Tribal.
 Sample size for of both the studies was 816. For that, 2860
girls were enrolled in baseline and 2766 girls in impact study.
 Consent note was given to every participant and they were
allowed to withdraw from the study if they wanted.
 Blood sample was collected in two vacuum tubes by PG
students of Department of Preventive and Social Medicine,
Medical College, Vadodara in supervision of the first author.
First, EDTA tube was for the blood indices and second, plain
tube for the serum and collected at Central Laboratory of the
Medical College, Vadodara for analysis.

7.  Reduction of anaemia prevalence – From 74.7% at the
baseline to 53.2% after intervention.
 Maximum reduction noted in rural; minimum in tribal.
 Severe anaemia prevalence reduced from 1.6% at baseline to
0.5% in the impact study.
 Improvement of iron store after intervention mean
proportion with low serum ferritin declined from 49.7% to
39.4%.
 Increase in % of non-anemic girl from 25.3% to 46.8%.
 In overall, improvement in BMI among the girls.
 Three fourth (72.4%) girls mentioned that they received the
brochure and majority (87.2%) of the girls had read the
brochure.
 Initially 29.7% of the girls had complaints of side
effect, which reduced to 14.3% by the end of one year.
 Girls knowledge about anemia was improved.

8.  Reduction of anaemia prevalence – From 74.7% at the
baseline to 53.2% after intervention.
 Maximum reduction noted in rural; minimum in tribal.
 Severe anaemia prevalence reduced from 1.6% at baseline to
0.5% in the impact study.
 Improvement of iron store after intervention mean
proportion with low serum ferritin declined from 49.7% to
39.4%.
 Increase in % of non-anemic girl from 25.3% to 46.8%.
 In overall, improvement in BMI among the girls.
 Three fourth (72.4%) girls mentioned that they received the
brochure and majority (87.2%) of the girls had read the
brochure.
 Initially 29.7% of the girls had complaints of side
effect, which reduced to 14.3% by the end of one year.
 Girls knowledge about anemia was improved.

9. Simplicity of program;
Active participation of government
functionaries;
Ownership of program;
Political will;
Evidence based approach.

10.  Impact on system
 Due to failure
 When able to control
 Issues
 Related with failure
 Related with success

11. Due to failure-
 Stunting;
 Wasting;
 Underweight;
 High morbidity and
mortality ;
 Generational impact;
 Low Cognitive
development;
 Low economic
growth, etc.
Able to control-
 Low morbidity and
mortality ;
 Low IMR & MMR;
 Better Cognitive
development;
 Better economic
growth;
 Pride for nation, etc.

12. With failure-
 Socioeconomic
challenges;
 Problem of access ;
 Cultural values;
 Lack of awareness;
 Discrimination ,etc.
With success-
 Awareness generation;
 Political will;
 Equal opportunity;
 Right to access;
 Empowerment, etc.

13.  Kotecha, P. V., S. Nirupam, and P. D. Karkar. "Adolescent
girls’ anaemia control programme, Gujarat, India."
Indian Journal For Medical Research, November 2009:
584-589.