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1. - Dr Reenaa Mohan
Assistant Professor
Dept of community medicine
SMVMCH
Community
Nutrition
Programmes

2. Write down the Nutritional Problems
of Public Health Importance

3. • Low birth weight
• Protein energy malnutrition
• Vitamin A deficiency disorders
• Nutritional anemia
• Iodine Deficiency Disorders
• Endemic fluorosis
• Trace elements deficiency – Zinc
• Lathyrism

4. • https://forms.gle/q2moiBACEjt7Seyi6
• Link also posted in whatsapp group

5. 12/09/2025 5
Nutrition programs in India
1. Integrated Child Development
Scheme
2. Vitamin A Prophylaxis Program
3. National Nutritional Anemia
Prophylaxis Program
4. National Iodine Deficiency Disorders
Control Program
5. Mid Day Meal Program

7. EVOLUTION OF ICDS
1. Applied nutrition programme (1963)
2. Special nutrition programme (1970-71)
3. Balwadi nutrition programme (1970-71)
These programmes were implemented through agencies like
balwadi, panchayats, mahila mandals and municipalities.
But these programmes reached only a small percentage of
children and there was lack of co-ordination at local level
and welfare activities of different department.
ICDS was inaugurated on 2nd
October 1975 by the then prime
minister Smt. Indira Gandhi

8. • It was started on an experimental basis as 33 projects
(4urban, 19rural, 10tribal) involving 22 states.
• As on march 2009, there were 6,120 ICDS projects
spread across the entire country.
• Currently 7,076 Projects and 14 lakh AWCs have
been approved. This also includes provision of
20,000 AWCs 'on demand'.
(source- Annual report of ministry of women and child development-2014-15)

9. OBJECTIVES
1. To improve the nutritional and health status of
children in the age group of 0-6years.
2. To lay the foundation for proper psychological,
physical and social development of child
3. To reduce the mortality and morbidity,
malnutrition and school drop-outs
4. To achieve an effective co-ordination of policy
and implementation among the various
departments working for the promotion of child
development

10. 5. To enhance the capability of the
mother and nutritional needs of
the child through proper nutrition
and health education.

11. BENEFICIARIES OF ICDS
• Pregnant women
• Nursing mothers
• Children from 0-6 years
• Adolescent girls(11-18 years)

12. SERVICES UNDER ICDS
• Package of services, such as
1. Supplementary nutrition
2. Immunization
3. Health check up
4. Referral services
5. Pre-school non-formal education

13. 1. Supplementary nutrition programme
• Most important service rendered in
Anganwadi under ICDS.
• An attempt to bridge the calorie gap
between the national recommended and
average intake of children and women in
low income and under-privileged
communities.

14. • Growth monitoring and nutritional surveillance
 Recording the weight of the children(below
6years) and maintaining the weight for age
growth cards.
 Detecting any growth faltering and assessing
the nutritional status.
Severely malnourished children referred to
higher medical services.

15. • Supplementary nutrition
Given as weaning food for children
below one year and morning snacks and
hot cooked meal for children from 1-6
years.
Take home rations are given to pregnant
ladies, nursing mothers and adolescent
girls.
Provided for three hundred days a year.
Anganwadi worker has the responsibility
of placing the indent.

16. NORMS OF SUPPLEMENTARY NUTRITION

17. 2. Immunization services
Aim of protecting children against vaccine
preventable diseases- Tuberculosis, Polio,
Diphtheria, Tetanus, Measles, Hepatitis-B,
Haemophilus influenza and Pertusis.
Immunization of pregnant women against
tetanus.
Joint responsibility of ICDS and RCH
programme under the ministry of health and
family welfare.
Anganwadi worker assists health functionaries in
covering target population.

18. 3. Health and Referral services
• It includes
Antenatal care of expectant mothers
Post-natal care of nursing mothers
Health care of children below 6 years
Activities such as regular health check-ups,
recording of weights and heights at periodical
intervals, treating of ailments like diarrhea,
dysentery, respiratory tract infections,
deworming of children and vitamin-A
supplementation are undertaken.

19. 4. Nutritional and health education
• Main objective is to help individual to
establish food habits and practices that
are consistent with nutritional needs of
the body
• Long term goal of capacity building of
women in the age group of 15-45years to
look after their own health, nutrition and
development needs as well as that of their
children.

20. • It includes basic education regarding
1. Child care and development
2. Infant feeding practices
3. Utilization of health services
4. Family planning and environment sanitation
5. Maternal nutrition and antenatal care
6. Management of diarrhea and respiratory
infections
Imparted through specially organized sessions in
villages during home visits by Anganwadi workers.

21. 5. Pre-school non-formal education
Imparted to children aged 3-6years in an
Anganwadi.
Objective is to provide opportunities to develop
desirable attitudes, values and behavior patterns
among children
Activities include story telling, counting
numbers, drawing, painting, matching colours,
reading simple words, recognizing pictures etc.
Considered most joyous daily activity of ICDS
programme sustained for 3 hours a day.

22. Each Anganwadi centre is supplied by PSE
(pre school education) -kit which contain-
flash cards, building blocks, models on fruits,
vegetables, stuffed toys, dolls for role play,
colours and numbers.
Children will be fully prepared to enter class-1
at the age of 6 years under Sarva Shiksha
Abhiyan(SSA) and District Primary
Education Programme(DPEP)

23. PRE-SCHOOL EDUCATION KITS

26. ANGANWADI CENTRES

27. • ANGANWADI literally means a
“ COURTYARD.”
• A focal point for delivery of services that
normally operates daily for four hours
except Sunday’s and holidays .
• Has an Anganwadi worker (AWW) and
Anganwadi helper (AWH)

28. POPULATION NORMS FOR AWC

29. • According to the guidelines of MWCD, an
Anganwadi centre should be child friendly and
should have
1. Separate sitting room for women and children
2. Separate kitchen
3. Store room for storing food items
4. Child friendly toilets
5. Space for playing of children(both for indoor and
outdoor activities) and the space should be at least
600 sq feet.

30. 6. Infrastructure facilities such as electricity,
water facility, out door playing equipments.
7. Furniture, vessels, gas connection
8. Baby and adult weighing scales
9. Registers
10. Medicine kits

31. WEIGHING INSTRUMENTS

32. PRE-SCHOOL EDUCATION KITS

33. GROWTH CHARTS IN ANGANWADI’S

34. • Anganwadi worker (AWW) - A woman selected
from a local community, a frontline honorary
worker who acts as a community mobilizer.
• Each block has a primary health centre and sub-
centre’s
• Medical officers in charge, lady health visitor (LHV),
ANM’S, female health workers carry out the health
related services under the ICDS.

35. THE ICDS TEAM
• District programme officer(DPO)
• Child development project officer(CDPO)
• Supervisors
• The Anganwadi worker
• Anganwadi helper

36. SCHEMES UNDER ICDS
Kishori shakti yojana
• A holistic initiative for the development of adolescent
girls.
• A redesign of already existing “ADOLESCENT
GIRL SCHEME” involving girls of age group 11-18
years.
• Addresses needs of self development, nutrition,
health status, literacy and vocational skills.

37. SERVICES UNDER KSY
• Educational activities through non-formal and
functioned literacy pattern
• General health check-up once in every 6 months
• De-worming
• Prophylaxis against anemia, goiter, vitamin
deficiencies,
• Referral services in case of acute needs
• Supplementary nutrition

38. Vit A prophylaxis programme
• Single massive dose of a Vit A (2 Lakh IU)
• To all pre school children
• Every 6 months

39. Prophylaxis against nutritional anemia
• Comes under ICDS program

40. Control of Iodine deficiency disorders
• For goitre endemic areas to supply
iodized salt in place of common salt.

41. University Questions for SGD
1. Reference man & reference women
2. Net protein utilization
3. Balanced diet
4. Prudent diet
5. Name the national nutrition programmes. Explain in
detail about ICDS
6. Main difference between growth and development
7. Food fortification
8. Food supplementation

42. University Questions for SGD
1. Food enrichment
2. Calorie and amount of protein provided to the
children under mid-day meal scheme
3. Name some foods rich in dietary fibres
4. Why rice and dhal should be eaten together
5. Difference between micronutrients and
macronutrients
6. Name some Food items that increases iron absorption
7. Difference between wasting and stunting
8. Name some Vitamin A rich foods
9. Name some Vitamin C rich foods

43. THANK YOU