Nutrition program

1. NIDDCP

2. Introduction
• Iodine – essential micronutrient
• 100 – 150 mg ( average daily requirement )
• Necessary for normal human growth & development
• 260 endemic districts – prevalence of IDD is > 10 %
• Disorders – abortions, stillbirth , mental retardation, dwarfism,
deafness, goiter, neuromotor disorders

3. NIDDCP
• 1962 – National Goitre control programme
* based on area specific use of iodized salt.
* problem statement – prevalence of the disease still high.
• 1992 - NIDDCP
* Nation wide
* National policy to fortify all edible salt by 1992

4. Nodal ministry
• MoH & FW

5. Goals
• prevalence in all age groups < 10 %
• Prevalnce in children ( 10 to 14 years ) < 5 %
• 100 & consumption of iodized salt at household level

6. Objectives
• Assess the magnitude of IDD – SURVEYS in districts
• Supply of iodized salt
• Assess impact of iodized salt – RESURVEYS – after every 5 years
• Lab monitoring of urinary iodine excretion
• Health education & publicity

7. Strategies
• Use of iodized salt
• Manpower training
• Mass communication
• Monitoring
• Surveillance

8. Achievements
• TGR reduced significantly in the entire country
• IDD control cells and monitoring labs are being set up
• Extensive IEC activities to create awareness
• Sale of non – iodized salt banned for human consumption

9. ANEMIA MUKT BHARAT / IIPI

10. Objectives
• To reduce prevalence of anemia by 3 % per year ( 2018 – 2022 ) –
among children, adolescents and women in reproductive age group

11. Strategy
• 6 beneficiaries
• 6 interventions
• 6 institutional mechanisms

12. Beneficiaries
• 6 months – 5 years
• 5 – 9 years
• 10 – 19 years
• Women in reproductive age
• Pregnant females
• Lactating females

13. Institutional mechanisms
• Convergence with other ministeries
• Intra ministerial co – ordination
• Strengthening supply chain & logistics
• National centre of excellence & advanced research on anemia control
• National anemia mukt bharat unit
• Anemia mukt bharat dashboard & digital portal

14. Interventions
• Prophylactic iron & folic acid supplementation
• Deworming
• BCC Campaign
• Testing for anemia
• Iron folic acid fotified foods
• Adressing non nutritional causes of anemia – awareness, screening
and treatment

15. Prophylactic iron folic acid supplementation
AGE IRON FOLIC ACID
6 MONTHS – 5 YEARS 20 MG 100 mcg
6 – 9 YEARS 45 MG 400 mcg
10 – 19 YEARS 60 MG 500 mcg
WOMEN 60 MG 500 mcg
PREGNANT WOMEN 60 MG 500 mcg

16. BCC Campaign
• compliance to IFA & deworming
• Appropriate infant and young child feeding ( emphasis on adequate
and age appropriate foods for children 6 months and above )
• Increased intake of iron – rich , protein rich, vitamin c rich foods
• Dietary diversification
• Food fortification

17. VITAMIN A PROPHYLAXIS

18. • VAD – leading cause of preventable blindness in young children
• Impair growth
• weaken the immune system
• more susceptible to infections

19. National program for the prevention of
nutritional blindness
• 1970
• Beneficiaries - Children upto 5 years
• PROMOTING CONSUMPTION OF VIT. A RICH FOODS
 Pregnant
 Lactating
 Children upto 5 years
• Doses of Vit. A in children upto 5 years
• XEROPHTHALMIA – treat at health facilities
• MEASLES – 1 dose of vitamin A
• Severe malnutrition – 1 additional dose of vitamin A