This document summarizes India's Community Nutritional Anaemia Prophylaxis programme. The programme aims to reduce anemia among women and children through distribution of iron and folic acid supplements. It targets pregnant and lactating mothers, children aged 1-5, and family planning acceptors. Frontline health workers distribute the supplements and provide nutrition education to encourage consumption. The programme is implemented through primary health centers and their subcenters, with assistance from integrated child development services.

1. Community Nutritional Anaemia
Prophylaxis programme
Presented by - Swati Singh
Batch - 2014

2. CONTENTS
i. ANAEMIA
ii. VITAMIN A PROPHYLAXIS
iii. Prophylaxis against Nutritional anaemia
iv. Objectives
v. Beneficiaries
vi. Activities
vii. Organisation

5. VITAMIN-A PROPHYLAXIS:
This programme was launched by the
ministry of health of family welfare in
1970 on the basis of technology
developed at national institute of
nutrition at Hyderabad.
One of the component of the National
programme for control of blindness is
to administer a single massive dose of
an oily preparation of vitamin a
containing 200,000iv(10 mg of retinol
palmate orally to all preschool
children in the community every 6
months through peripheral health
worker.
Community Nutritional
Programme

6. Prophylaxis Against Nutritional Anaemia
 India has probably the high prevalence
of nutritional anaemia in women &
children.
 Iron deficiency is seen in almost 50% of
children below the age of 5 yrs & 50% of
women during their reproductive life.
 Govt. of India launched National
program for the prevention of
nutritional anaemia during the 4th 5yr
plan.

7. • This program consist of distribution of iron & folic
acid Tabs to the pregnant women & young children.
• Mother and child health centres in rural areas; ICDS
(Integrated Child Develop Service Scheme projects
are engaged in the implementation of this program.

8. Objectives
The programme aim at significantly using the
prevalence and incidence of anaemia in women
in reproductive age group, especially pregnant &
lactating women; & pre-school children.
Special objectives are;
 To asses the baseline prevalence of nutritional
anaemia in mothers & young children through
estimation of hb levels.

9.  To put the mother & children with low Hb levels( less
than 10g and less than 8g respectively) on anti-
anaemia reaction.
 To put the mother with Hb level more than 10g/dl
and children with Hb more than 8g/dl on the
prophylaxis programme.
 To monitor continuously the quality of tablets;
distribution & consumption of the supplements.

10.  To assess periodically the hb levels of the
beneficiaries.
 To motivate the mothers to consume the tablets
through relevant nutrition education (and to give
their children also).

11. Beneficiaries
 The scheme beneficiaries are children in 1-5yrs of
age; pregnant and nursing mothers, female acceptor
of terminal methods of family planning and IUDs.
 The target beneficiaries of the scheme are 50% of
total pregnant and nursing mothers & 25% of total
women acceptors of terminal and IUDs.
 The target child population is 50% of total
population in age group of 1-5 yrs.

12. Activities
The program focuses on the following activities:
 Promotion of regular consumption of foods rich in
iron.
 Supply of iron and foliate supplements in the form of
tablets ( folifer tablets ) to the target group.

13.  Identification and reaction of
severely anaemic cases.
 The recommended daily
dosage of iron and folic acid
(IFA) tablets is as follows:
 Adult women : 60mg elemental
iron + 0.5mg folic acid.
 Children acid : 20mg elemental
iron + 0.1mg folic acid.

16. Organisation
The program is implemented through the PHCs and
its sub-centres. The multipurpose worker female and
other Para-medics in the PHCs are responsible for
the distribution of IFA tablets (adult and paediatric
doses) to beneficiaries.
The functionaries of ICDs scheme assist in
implement of programme.