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NATIONAL NUTRITIONAL
PROGRAMS AND ROLE OF NURSE
Asst. professor
(MSN)
Nutritional Problems in India
Definition:
Nutritional problems refer to health
conditions that occur due to deficiency,
excess, or imbalance of nutrients in the body.
Major Nutritional Problems in India
1. Protein Energy Malnutrition (PEM)
• Caused by deficiency of protein and calories
• Common in children under 5 years
Types
• Marasmus – severe wasting, thin body
• Kwashiorkor – edema, enlarged liver, hair changes
2. Anemia
• Mostly due to iron deficiency
• Very common in pregnant women, adolescents, and
children
Symptoms
• Fatigue
• Pale skin
• Breathlessness
• Weakness
• 3. Vitamin A Deficiency
• Causes night blindness and xerophthalmia
• Can lead to blindness in children
• 4. Iodine Deficiency Disorders (IDD)
• Caused by lack of iodine
• Leads to goitre, mental retardation, cretinism
5. Vitamin D Deficiency
• Causes rickets in children
• Causes osteomalacia in adults
6. Overnutrition
• Caused by excess intake of food
• Leads to obesity, diabetes, hypertension
Causes of Nutritional Problems
• Poverty
• Illiteracy
• Poor sanitation
• Inadequate food intake
• Large family size
• Lack of nutrition knowledge
• Food taboos
National Nutritional Policy (NNP)
• India launched the National Nutrition Policy in 1993
to improve the nutritional status of the population,
especially women and children.
• Objectives
• Reduce malnutrition
• Improve health of women and children
• Ensure food security
• Promote nutrition education
• Prevent micronutrient deficiencies
Strategies of National Nutrition Policy
1. Direct Interventions
• Supplementary nutrition
• Micronutrient supplementation
• Food fortification
• Growth monitoring
• Nutrition education
2. Indirect Interventions
• Poverty alleviation
• Agriculture development
• Food production
• Safe drinking water
• Women's education
• Health services
National Nutritional Programmers in India
1. Integrated Child Development Services (ICDS) – 1975
• Target group:
• Children 0–6 years
• Pregnant women
• Lactating mothers
• Services:
• Supplementary nutrition
• Immunization
• Health check-up
• Referral services
• Nutrition education
2. Mid Day Meal Programme (MDM)
• Started in 1995
• Objective:
• Improve nutritional status of school children
• Increase school attendance
• Target group:
• Children in primary and upper primary
schools
3. National Iron Plus Initiative (NIPI)
• Prevents iron deficiency anemia
Provides:
• Iron and folic acid tablets to
– children
– adolescents
– pregnant women
– lactating mothers
4. Vitamin A Prophylaxis Programme
• Prevents vitamin A deficiency
• Dose:
• Vitamin A given to children 6 months to 5 years
5. National Iodine Deficiency Disorders Control
Programme (NIDDCP)
• Objective:
• Prevent iodine deficiency disorders
• Method:
• Promotion of iodized salt
6. POSHAN Abhiyaan (National Nutrition
Mission) – 2018
Goal:
• Reduce stunting, undernutrition, anemia, and
low birth weight
• Target:
• Children
• Pregnant women
• Lactating mothers
• Adolescent girls
4. Role of Nurse in Nutritional Programmes
• Nurses play an important role in community
nutrition and maternal-child health.
1. Health Education
• Teach about balanced diet
• Promote breastfeeding
• Educate about complementary feeding
2. Nutritional Assessment
• Measure height, weight, BMI
• Monitor growth of children
3. Micronutrient Supplementation
• Distribute iron, folic acid, vitamin A
4. Early Detection
• Identify malnutrition
• Detect anemia and deficiency diseases
5. Counselling
• Guide pregnant and lactating mothers
• Advise families on proper diet
6. Implementation of Programs
• Participate in ICDS, school health programmes
• Coordinate with Anganwadi workers
7. Record and Reporting
• Maintain growth charts
• Document nutrition status