Anaemia mukk bharat

1. Anemia Mukt Bharat
Dr. Amrit Mishra
JR – 1, Community Medicine,
GMC Akola
Guide: Dr. Neelam Sukhsohale

2. Contents
• Introduction
• History
• Objective
• Strategies
• SWOT Analysis
• Summary
• References

3. Specific Learning Objectives (SLOs)
• To define anemia and describe the national
programmes for anemia
• To enumerate the objective and explain the
strategies of Anemia Mukt Bharat

4. Introduction
• Anemia is a condition in which the red blood cells
have lower hemoglobin level than the normal and
consequently their oxygen-carrying capacity is
insufficient to meet the body’s physiologic needs.
• Manifestation of various underlying deficiency and
diseases.
• Affects development of children, increases maternal
mortality, and reduces work efficiency.

5. Normal WHO Hemoglobin Levels
The normal levels are:
• Women: 12 g/dl
• Men: 13 g/dl
• Children: 11 - 16 g/dl
• Pregnant women: 11 g/dl

6. WHO – Anemia Adult Hemoglobin Levels
• Mild anemia: 10 – 11.9 g/dl
• Moderate anemia: 8 – 9.9 g/dl
• Severe anemia: <8 g/dl

7. Signs of anemia
Pale palpebral conjunctiva
Pale tongue
Pale nail bed
Palmar pallor

8. Clinical grading of pallor
• Mild : Conjunctival pallor and/or of
tongue.
• Moderate : Conjunctival pallor and/or of
tongue + palmer pallor.
• Severe : Conjunctival pallor and/or of
tongue + palmer pallor + pallor
of palmar creases.

9. History
NNAPP
1970
NNACP
1991
NIPI
2013
POSHAN abhiyaan
2018 – 22
Anemia Mukt Bharat

10. Objective of AMB
To reduce the
prevalence of anemia
by 3% per year
Children Adolescents
Women in
reproductive age group

11. Strategies of AMB
6 x 6 x 6
strategy
6
beneficiaries
6
interventions
6
institutional
mechanisms
1) Prophylactic IFA
Administration
2) Deworming
3) Behaviour change
communication
4) Test & Treat approach for
nutritional anemia
5) Food fortification
6) Addressing non
nutritional causes of anemia
1) Children 6 – 59 months
2) Children 5 – 10 years
3) Adolescents 10 – 19 years
4) Women in reproductive age
group
5) Pregnant women
6) Lactating women
1) Intra-ministerial
coordination
2) National Anemia Mukt
Bharat Unit
3) National Centres of
Excellence and Advance
Research on Anemia
Control – NCEAR-A
4) Convergence with other
ministries
5) Strengthening logistics
6) Digital dashboard

12. SWOT ANALYSIS
• Strengths
– Good Political
commitment
• Weakness
– Low patient
compliance
– Low stock of IFA
tablets
• Opportunities
– Linkage with Malaria
(NMEP)
– Mandating use of
fortified food in public
health programmes,
specially double fortified
salt (iron and iodine)
• Threats
– Shortage of healthcare
infrastructure and
professionals

13. Summary
• Anemia is a major public health concern.
• The current initiative to control anemia under
POSHAN abhiyaan is Anemia Mukt Bharat.
• Objective: To reduce the prevalence of anemia
by 3% each year.
• 6 x 6 x 6 strategies