This document discusses undernutrition in young children in India. It provides statistics showing high levels of stunting, wasting, underweight, and anemia among children in India and the state of Bihar. The main causes of undernutrition discussed are early marriage and teenage pregnancy, low birth weight, poor infant and young child feeding practices, frequent births and short birth intervals, lack of maternal education, and issues of food security at both the national and household levels. Prevention efforts need to address these underlying determinants to reduce undernutrition in India.
This document discusses various approaches to nutritional rehabilitation for malnutrition, including hospital-based, centre-based, and community-based rehabilitation. It describes diets used in rehabilitation such as milk-based diets and ready-to-use therapeutic foods. It also discusses criteria for transferring patients to rehabilitation, staffing of rehabilitation centres, community nutrition programs, and developmental stimulation techniques.
The document discusses a study presented on a Nutritional Rehabilitation Centre (NRC) in India. It provides background on malnutrition rates for children under 5 in India and the state of Karnataka. It then describes the services provided at NRCs, including treatment, nutritional support, and education for caregivers. NRCs follow three phases - stabilization, transition, and rehabilitation - to treat severely acutely malnourished children. The study aims to analyze the effects of the NRC in improving child health and evaluate the services and education provided to mothers.
The document discusses child and infant mortality rates globally and in India. It provides definitions for under-five mortality rate, infant mortality rate, and neonatal mortality rate. The three main causes of under-five mortality are neonatal mortality (0-4 weeks), post-neonatal mortality (1-12 months), and factors like low birth weight, prematurity, and infectious diseases. While global under-five mortality has decreased 53% from 1990-2015, Africa still has the highest rate. India accounts for 20% of global under-five deaths despite its rate decreasing 61% from 1990-2015. Preventive measures discussed include prenatal nutrition, immunizations, breastfeeding, and improved access to primary healthcare.
This document outlines the objectives and services provided by the Integrated Child Development Services (ICDS) program in India. The key objectives of ICDS include improving nutrition, health and development of children aged 0-6 years. ICDS provides anganwadi centers staffed by trained workers who deliver services like supplementary nutrition, immunizations, health checkups, and preschool education. Other services target adolescent girls, pregnant women, and nursing mothers. The document details norms for staffing, infrastructure, training programs and delivery of various ICDS services.
This document discusses nutritional anemia (iron deficiency anemia) in India. It defines anemia, describes the causes and risk factors, prevalence rates in different states and groups, signs and symptoms, consequences, control programs and strategies. Some key points are:
- Nutritional anemia is the most common micronutrient deficiency globally, affecting over 2 billion people worldwide.
- In India, prevalence is highest among young children (6-59 months), with Bihar having the highest rate at 78%.
- Causes include inadequate intake of iron-rich foods, poor absorption from diets high in phytates, blood loss from hookworm infection, and increased demands from pregnancy and growth.
- Control programs
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.
Infant mortality in India has decreased significantly from 204 per 1000 live births in 1911-1915 to 41 per 1000 live births in 2012. However, rates still vary greatly between states, with Madhya Pradesh having an IMR of 56 and Kerala only 12. Biological factors like low birth weight, young or older maternal age, high fertility, and cultural factors like breastfeeding practices, maternal education, and access to healthcare impact infant mortality rates. Preventive measures include improving prenatal nutrition and sanitation, promoting breastfeeding and growth monitoring, increasing access to primary healthcare and education, and encouraging family planning.
National nutritional anemia prophylaxis programmemitali1903
This document discusses anemia as a serious health concern that can negatively impact cognitive, behavioral, motor, and language development as well as scholastic achievement. It outlines the hemoglobin classification for anemia and describes India's National Iron Plus Initiative launched in 1970 to prevent nutritional anemia in at-risk groups like pregnant women, lactating mothers, and children under 12. The initiative focuses on iron and folic acid supplementation, iron fortification, and other strategies. It provides details on supplementation dosages for different groups and aims to ensure every child has a healthy hemoglobin level of 12g by age 12 through public awareness campaigns, screenings, and iron supplements.
This document discusses various approaches to nutritional rehabilitation for malnutrition, including hospital-based, centre-based, and community-based rehabilitation. It describes diets used in rehabilitation such as milk-based diets and ready-to-use therapeutic foods. It also discusses criteria for transferring patients to rehabilitation, staffing of rehabilitation centres, community nutrition programs, and developmental stimulation techniques.
The document discusses a study presented on a Nutritional Rehabilitation Centre (NRC) in India. It provides background on malnutrition rates for children under 5 in India and the state of Karnataka. It then describes the services provided at NRCs, including treatment, nutritional support, and education for caregivers. NRCs follow three phases - stabilization, transition, and rehabilitation - to treat severely acutely malnourished children. The study aims to analyze the effects of the NRC in improving child health and evaluate the services and education provided to mothers.
The document discusses child and infant mortality rates globally and in India. It provides definitions for under-five mortality rate, infant mortality rate, and neonatal mortality rate. The three main causes of under-five mortality are neonatal mortality (0-4 weeks), post-neonatal mortality (1-12 months), and factors like low birth weight, prematurity, and infectious diseases. While global under-five mortality has decreased 53% from 1990-2015, Africa still has the highest rate. India accounts for 20% of global under-five deaths despite its rate decreasing 61% from 1990-2015. Preventive measures discussed include prenatal nutrition, immunizations, breastfeeding, and improved access to primary healthcare.
This document outlines the objectives and services provided by the Integrated Child Development Services (ICDS) program in India. The key objectives of ICDS include improving nutrition, health and development of children aged 0-6 years. ICDS provides anganwadi centers staffed by trained workers who deliver services like supplementary nutrition, immunizations, health checkups, and preschool education. Other services target adolescent girls, pregnant women, and nursing mothers. The document details norms for staffing, infrastructure, training programs and delivery of various ICDS services.
This document discusses nutritional anemia (iron deficiency anemia) in India. It defines anemia, describes the causes and risk factors, prevalence rates in different states and groups, signs and symptoms, consequences, control programs and strategies. Some key points are:
- Nutritional anemia is the most common micronutrient deficiency globally, affecting over 2 billion people worldwide.
- In India, prevalence is highest among young children (6-59 months), with Bihar having the highest rate at 78%.
- Causes include inadequate intake of iron-rich foods, poor absorption from diets high in phytates, blood loss from hookworm infection, and increased demands from pregnancy and growth.
- Control programs
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.
Infant mortality in India has decreased significantly from 204 per 1000 live births in 1911-1915 to 41 per 1000 live births in 2012. However, rates still vary greatly between states, with Madhya Pradesh having an IMR of 56 and Kerala only 12. Biological factors like low birth weight, young or older maternal age, high fertility, and cultural factors like breastfeeding practices, maternal education, and access to healthcare impact infant mortality rates. Preventive measures include improving prenatal nutrition and sanitation, promoting breastfeeding and growth monitoring, increasing access to primary healthcare and education, and encouraging family planning.
National nutritional anemia prophylaxis programmemitali1903
This document discusses anemia as a serious health concern that can negatively impact cognitive, behavioral, motor, and language development as well as scholastic achievement. It outlines the hemoglobin classification for anemia and describes India's National Iron Plus Initiative launched in 1970 to prevent nutritional anemia in at-risk groups like pregnant women, lactating mothers, and children under 12. The initiative focuses on iron and folic acid supplementation, iron fortification, and other strategies. It provides details on supplementation dosages for different groups and aims to ensure every child has a healthy hemoglobin level of 12g by age 12 through public awareness campaigns, screenings, and iron supplements.
The document discusses India's adoption of the Integrated Management of Neonatal and Childhood Illness (IMNCI) strategy. IMNCI aims to reduce mortality, illness, and disability in children under 5 by improving case management skills, health systems, and family/community health practices. It standardizes the assessment and treatment of common pediatric problems in children under 2 months and 2 months to 5 years. The integrated approach has advantages like speeding treatment, recognizing serious conditions, involving parents, cost-effectiveness, and reducing resource duplication.
Imnci -Integrated Management of Neonatal & Childhood IllnessRoselin V
This document provides an overview of Integrated Management of Neonatal and Childhood Illness (IMNCI). It discusses:
1) IMNCI was developed by WHO and UNICEF to reduce childhood mortality by improving family and community care practices and health worker case management skills.
2) IMNCI integrates prevention and treatment of major childhood illnesses like pneumonia, diarrhea and malnutrition through a syndromic approach.
3) Studies show IMNCI improves health worker performance and quality of care, and can reduce under-five mortality if well implemented. However, more focus is needed on strengthening family and community interventions.
This document discusses pediatric growth charts. It begins by introducing growth charts and their uses, such as monitoring a child's growth over time and identifying high-risk children. It then focuses on the WHO growth charts, describing their development based on a multinational study and how they establish breastfeeding as the biological norm. The basics of growth chart construction and interpretations are explained. Advantages include being a gold standard and better suiting aboriginal populations, while limitations include not reflecting all feeding practices and potentially discouraging breastfeeding.
Moderate Acute Malnutrition is defined as moderate wasting or a mid-upper arm circumference between 115-125mm in children aged 6-59 months. The dietary management focuses on using locally available foods to improve nutrition and prevent worsening. In situations of food shortage, supplementary foods have been used to treat moderate malnutrition. Children with prior undernutrition are at higher risk of health issues, and giving high-energy supplements indiscriminately risks promoting unhealthy weight gain later in life. The WHO recommends nutrient-dense foods to meet extra needs, but routinely providing supplementary foods is not advised unless there is high community malnutrition or food insecurity, and other factors are addressed.
Infant and young child feeding ppt describe the nutritional needs of infant and child. Exclusive breastfeeding for six months and complementary feeding for the child. avoid formula feeding for the child and continue breastfeeding for 24 months.
This document discusses vitamin A deficiency, its causes, effects, and prevention through supplementation programs in India. It notes that vitamin A is essential for vision, immunity, growth and reproduction. Deficiency can lead to increased infections and blindness in children. India has a high prevalence of deficiency, especially in preschoolers and pregnant women. The national prophylaxis program aims to prevent blindness through supplementation of vitamin A to children from 9 months to 5 years at doses of 100,000 IU every 6 months. Food fortification and dietary diversification can also help prevent deficiency. Regular supplementation is important as vitamin A stores deplete within 4-6 months.
The Integrated Child Development Services (ICDS) scheme was initiated in 1975 to improve nutritional and health status of children under 6 years, pregnant and lactating mothers. It provides supplementary nutrition, immunization, health checkups, referral services, and non-formal preschool education. The scheme is implemented through Anganwadi centers by Anganwadi workers with support from helpers, ASHA workers, and the health department. Over the years it has expanded its coverage and enhanced services but continues to face issues like irregular food supply and lack of community participation.
The Rastriya Bal Swasthya Karyakram (RBSK) program aims to screen over 27 crore children aged 0-18 years in India for various health conditions. It will implement screening at Anganwadi centers, schools, and through dedicated mobile health teams. Children will be screened for deficiencies, diseases, developmental delays, and disabilities. Those requiring treatment will be referred to District Early Intervention Centers. The program aims to improve child health outcomes through early identification and management of health conditions. Implementation challenges include the massive scale of screening all Indian children, coordination between various health programs, and ensuring follow-up treatment.
This document discusses several nutrition programs run by the government of India, including vitamin A supplementation, control of iron deficiency anemia, control of iodine deficiency disorders, special nutrition programs, Anganwadi centers under ICDS, and mid-day meal programs in schools. It provides details on the objectives, target groups, and food and nutrient provisions of these large-scale community nutrition programs aimed at improving public health and nutrition in India.
NATIONAL IODINE DEFICIENCY DISORDER CONTROL PROGRAMpramod kumar
The document discusses India's National Iodine Deficiency Disorder Control Program. Key points:
- Iodine deficiency can cause developmental issues and goiter. India launched the program in 1962 to distribute iodated salt to populations at risk.
- Over 350 million people in India are at risk of iodine deficiency. The program aims to reduce prevalence of disorders to below 10% by 2012 through iodated salt distribution, education, and monitoring.
- It is implemented through central coordination and state-level cells. Achievements include banning non-iodated salt, establishing quality standards, and expanding production and distribution of iodated salt nationwide.
National nutritional programmes for children in India aim to reduce malnutrition, which causes 12% of deaths and 16% disability globally. Key programmes introduced since the 1960s include the mid-day meal scheme providing free lunch to over 100 million schoolchildren, the iodine deficiency programme adding iodine to salt to prevent disorders, and the Integrated Child Development Services programme providing supplementary nutrition, immunization, and education to children and mothers. The programmes have helped reduce morbidity and mortality from malnutrition in India over the decades.
The document outlines the Indian Public Health Standards (IPHS) guidelines for sub-centres from 2012. It discusses the background and objectives of the IPHS, which are to specify minimum essential services and maintain quality of care. Sub-centres are categorized as Type A or B depending on delivery services provided. Manpower requirements and services to be provided, including maternal and child health, family planning, immunization, and disease surveillance are described. Logistics like drug kits, registers, and equipment/furniture requirements are also outlined. The IPHS aims to strengthen sub-centres and assure accessible quality healthcare services.
The document discusses growth charts and child development scales. It provides background on the WHO growth chart, including that it was developed based on data from healthy breastfed children in diverse settings. The MGRS from 1997-2003 aimed to establish new growth curves. The WHO charts use 2nd and 98th percentiles to identify abnormal growth. In India, the WHO growth chart was incorporated into the "Mother and Child Protection Card" in 2009. The Trivandrum Developmental Screening Chart is also discussed as a tool to screen motor, mental, hearing and visual development in children under 2 years.
This document provides guidance on complementary feeding or weaning for infants after 6 months of age. It states that breast milk alone is not sufficient to meet nutritional needs after 6 months and other foods should be gradually introduced along with continued breastfeeding. It provides recommendations on appropriate food consistencies, frequencies and amounts at different ages, ensuring hygienic preparation and storage of weaning foods. The document also outlines signs that an infant is ready for complementary feeding and the advantages and disadvantages of weaning.
IMNCI - Intregrated Management of Neonatal and childhood illnessLiniVivek
IMNCI is an integrated approach to child health that focuses on the major causes of child mortality for children aged 1 week to 5 years. It assesses children's nutritional status, illness symptoms, and provides clinical classifications and home or facility-based treatment recommendations. The goal is to reduce child mortality by training health workers to properly examine, classify, counsel and treat children according to the IMNCI guidelines.
The document discusses India's Vitamin A Prophylaxis Programme launched in 1970. The goals were to eliminate vitamin A deficiency as a public health problem and reduce associated conditions like Bitot's spot and night blindness. Initially, children aged 2-6 years received biannual doses of vitamin A. Starting in 1992, the strategy shifted to providing children aged 9 months to 3 years with 5 mega doses of vitamin A orally to eliminate nutritional blindness and other deficiencies. Food fortification and nutrition education were also emphasized as long term measures to combat vitamin A deficiency.
Vitamin A deficiency can cause vision problems and increase risk of infection. The document discusses vitamin A deficiency assessment and control programs in India. It provides details on vitamin A sources, functions, deficiency symptoms, assessment criteria used in India, supplementation programs, and recommended daily intake amounts. Prevention strategies for vitamin A deficiency include improving dietary intake of vitamin A rich foods and mass supplementation of children every 6 months.
The document discusses maternal mortality, defining it as the death of a woman during or within 42 days of pregnancy termination from pregnancy-related causes. It provides global and Indian statistics on maternal mortality and approaches to measure it. The leading causes of maternal death worldwide and in India are discussed. Preventive measures to reduce maternal mortality are outlined, including antenatal care, skilled birth attendance, emergency obstetric care, and addressing social determinants. Initiatives taken in India like maternal death audits and clinical guidelines developed in Kerala are also summarized.
National health programs related to maternal and child healthSharon Treesa Antony
The document summarizes several key national health programs related to maternal and child health in India, including:
1) The Integrated Child Development Scheme launched in 1975 to provide services to pregnant women, nursing mothers and children under 6 including health checkups, immunizations, supplementary nutrition and education.
2) The National Family Welfare Program launched in 1952 to provide family planning services through rural and urban programs including village health posts and full family planning services at community health centers.
3) The Universal Immunization Program launched in 1978 and expanded in 1985 to provide vaccines to pregnant women, infants and children through a national immunization schedule.
The document summarizes India's Universal Immunization Programme (UIP). It discusses how the program was launched in 1978 to reduce mortality from vaccine-preventable diseases. Over time, it expanded its vaccine coverage and introduced new vaccines. Coverage rates increased significantly from 29-41% in 1985-86 to over 70% for most vaccines by 2014. The program continues to introduce new vaccines and aims to vaccinate all children through intensified drives like Mission Indradhanush. India has achieved the major successes of eliminating smallpox and becoming polio-free. The UIP demonstrates how immunization can significantly reduce deaths from vaccine-preventable diseases.
Working multisectorally to improve maternal and child nutrition in India: The...POSHAN-IFPRI
This document discusses malnutrition in India and proposes multi-sectoral solutions. Some key points:
- India has high levels of malnutrition, with over 40% of underweight children globally. Malnutrition has multiple causes including poverty, lack of access to water/sanitation, and lack of nutrition awareness.
- Malnutrition affects all ages and is intergenerational - with undernourished mothers more likely to have low birth weight babies who become undernourished children.
- A multi-sectoral approach is needed that addresses the various physical, socioeconomic, governance and behavioral causes. Key sectors include women and child development, health, food, agriculture, education and rural development.
- Proposed essential
This document discusses malnutrition in India. It states that India is home to the largest number of hungry people in the world, with over 200 million malnourished. Nearly half of Indian children under age 5 are stunted and underweight. Malnutrition contributes to over 50% of child deaths in India and costs the country 2.95% of its GDP annually. While the government has implemented programs to address malnutrition, such as mid-day meals in schools, challenges remain and innovative solutions are still needed to fully tackle this problem.
The document discusses India's adoption of the Integrated Management of Neonatal and Childhood Illness (IMNCI) strategy. IMNCI aims to reduce mortality, illness, and disability in children under 5 by improving case management skills, health systems, and family/community health practices. It standardizes the assessment and treatment of common pediatric problems in children under 2 months and 2 months to 5 years. The integrated approach has advantages like speeding treatment, recognizing serious conditions, involving parents, cost-effectiveness, and reducing resource duplication.
Imnci -Integrated Management of Neonatal & Childhood IllnessRoselin V
This document provides an overview of Integrated Management of Neonatal and Childhood Illness (IMNCI). It discusses:
1) IMNCI was developed by WHO and UNICEF to reduce childhood mortality by improving family and community care practices and health worker case management skills.
2) IMNCI integrates prevention and treatment of major childhood illnesses like pneumonia, diarrhea and malnutrition through a syndromic approach.
3) Studies show IMNCI improves health worker performance and quality of care, and can reduce under-five mortality if well implemented. However, more focus is needed on strengthening family and community interventions.
This document discusses pediatric growth charts. It begins by introducing growth charts and their uses, such as monitoring a child's growth over time and identifying high-risk children. It then focuses on the WHO growth charts, describing their development based on a multinational study and how they establish breastfeeding as the biological norm. The basics of growth chart construction and interpretations are explained. Advantages include being a gold standard and better suiting aboriginal populations, while limitations include not reflecting all feeding practices and potentially discouraging breastfeeding.
Moderate Acute Malnutrition is defined as moderate wasting or a mid-upper arm circumference between 115-125mm in children aged 6-59 months. The dietary management focuses on using locally available foods to improve nutrition and prevent worsening. In situations of food shortage, supplementary foods have been used to treat moderate malnutrition. Children with prior undernutrition are at higher risk of health issues, and giving high-energy supplements indiscriminately risks promoting unhealthy weight gain later in life. The WHO recommends nutrient-dense foods to meet extra needs, but routinely providing supplementary foods is not advised unless there is high community malnutrition or food insecurity, and other factors are addressed.
Infant and young child feeding ppt describe the nutritional needs of infant and child. Exclusive breastfeeding for six months and complementary feeding for the child. avoid formula feeding for the child and continue breastfeeding for 24 months.
This document discusses vitamin A deficiency, its causes, effects, and prevention through supplementation programs in India. It notes that vitamin A is essential for vision, immunity, growth and reproduction. Deficiency can lead to increased infections and blindness in children. India has a high prevalence of deficiency, especially in preschoolers and pregnant women. The national prophylaxis program aims to prevent blindness through supplementation of vitamin A to children from 9 months to 5 years at doses of 100,000 IU every 6 months. Food fortification and dietary diversification can also help prevent deficiency. Regular supplementation is important as vitamin A stores deplete within 4-6 months.
The Integrated Child Development Services (ICDS) scheme was initiated in 1975 to improve nutritional and health status of children under 6 years, pregnant and lactating mothers. It provides supplementary nutrition, immunization, health checkups, referral services, and non-formal preschool education. The scheme is implemented through Anganwadi centers by Anganwadi workers with support from helpers, ASHA workers, and the health department. Over the years it has expanded its coverage and enhanced services but continues to face issues like irregular food supply and lack of community participation.
The Rastriya Bal Swasthya Karyakram (RBSK) program aims to screen over 27 crore children aged 0-18 years in India for various health conditions. It will implement screening at Anganwadi centers, schools, and through dedicated mobile health teams. Children will be screened for deficiencies, diseases, developmental delays, and disabilities. Those requiring treatment will be referred to District Early Intervention Centers. The program aims to improve child health outcomes through early identification and management of health conditions. Implementation challenges include the massive scale of screening all Indian children, coordination between various health programs, and ensuring follow-up treatment.
This document discusses several nutrition programs run by the government of India, including vitamin A supplementation, control of iron deficiency anemia, control of iodine deficiency disorders, special nutrition programs, Anganwadi centers under ICDS, and mid-day meal programs in schools. It provides details on the objectives, target groups, and food and nutrient provisions of these large-scale community nutrition programs aimed at improving public health and nutrition in India.
NATIONAL IODINE DEFICIENCY DISORDER CONTROL PROGRAMpramod kumar
The document discusses India's National Iodine Deficiency Disorder Control Program. Key points:
- Iodine deficiency can cause developmental issues and goiter. India launched the program in 1962 to distribute iodated salt to populations at risk.
- Over 350 million people in India are at risk of iodine deficiency. The program aims to reduce prevalence of disorders to below 10% by 2012 through iodated salt distribution, education, and monitoring.
- It is implemented through central coordination and state-level cells. Achievements include banning non-iodated salt, establishing quality standards, and expanding production and distribution of iodated salt nationwide.
National nutritional programmes for children in India aim to reduce malnutrition, which causes 12% of deaths and 16% disability globally. Key programmes introduced since the 1960s include the mid-day meal scheme providing free lunch to over 100 million schoolchildren, the iodine deficiency programme adding iodine to salt to prevent disorders, and the Integrated Child Development Services programme providing supplementary nutrition, immunization, and education to children and mothers. The programmes have helped reduce morbidity and mortality from malnutrition in India over the decades.
The document outlines the Indian Public Health Standards (IPHS) guidelines for sub-centres from 2012. It discusses the background and objectives of the IPHS, which are to specify minimum essential services and maintain quality of care. Sub-centres are categorized as Type A or B depending on delivery services provided. Manpower requirements and services to be provided, including maternal and child health, family planning, immunization, and disease surveillance are described. Logistics like drug kits, registers, and equipment/furniture requirements are also outlined. The IPHS aims to strengthen sub-centres and assure accessible quality healthcare services.
The document discusses growth charts and child development scales. It provides background on the WHO growth chart, including that it was developed based on data from healthy breastfed children in diverse settings. The MGRS from 1997-2003 aimed to establish new growth curves. The WHO charts use 2nd and 98th percentiles to identify abnormal growth. In India, the WHO growth chart was incorporated into the "Mother and Child Protection Card" in 2009. The Trivandrum Developmental Screening Chart is also discussed as a tool to screen motor, mental, hearing and visual development in children under 2 years.
This document provides guidance on complementary feeding or weaning for infants after 6 months of age. It states that breast milk alone is not sufficient to meet nutritional needs after 6 months and other foods should be gradually introduced along with continued breastfeeding. It provides recommendations on appropriate food consistencies, frequencies and amounts at different ages, ensuring hygienic preparation and storage of weaning foods. The document also outlines signs that an infant is ready for complementary feeding and the advantages and disadvantages of weaning.
IMNCI - Intregrated Management of Neonatal and childhood illnessLiniVivek
IMNCI is an integrated approach to child health that focuses on the major causes of child mortality for children aged 1 week to 5 years. It assesses children's nutritional status, illness symptoms, and provides clinical classifications and home or facility-based treatment recommendations. The goal is to reduce child mortality by training health workers to properly examine, classify, counsel and treat children according to the IMNCI guidelines.
The document discusses India's Vitamin A Prophylaxis Programme launched in 1970. The goals were to eliminate vitamin A deficiency as a public health problem and reduce associated conditions like Bitot's spot and night blindness. Initially, children aged 2-6 years received biannual doses of vitamin A. Starting in 1992, the strategy shifted to providing children aged 9 months to 3 years with 5 mega doses of vitamin A orally to eliminate nutritional blindness and other deficiencies. Food fortification and nutrition education were also emphasized as long term measures to combat vitamin A deficiency.
Vitamin A deficiency can cause vision problems and increase risk of infection. The document discusses vitamin A deficiency assessment and control programs in India. It provides details on vitamin A sources, functions, deficiency symptoms, assessment criteria used in India, supplementation programs, and recommended daily intake amounts. Prevention strategies for vitamin A deficiency include improving dietary intake of vitamin A rich foods and mass supplementation of children every 6 months.
The document discusses maternal mortality, defining it as the death of a woman during or within 42 days of pregnancy termination from pregnancy-related causes. It provides global and Indian statistics on maternal mortality and approaches to measure it. The leading causes of maternal death worldwide and in India are discussed. Preventive measures to reduce maternal mortality are outlined, including antenatal care, skilled birth attendance, emergency obstetric care, and addressing social determinants. Initiatives taken in India like maternal death audits and clinical guidelines developed in Kerala are also summarized.
National health programs related to maternal and child healthSharon Treesa Antony
The document summarizes several key national health programs related to maternal and child health in India, including:
1) The Integrated Child Development Scheme launched in 1975 to provide services to pregnant women, nursing mothers and children under 6 including health checkups, immunizations, supplementary nutrition and education.
2) The National Family Welfare Program launched in 1952 to provide family planning services through rural and urban programs including village health posts and full family planning services at community health centers.
3) The Universal Immunization Program launched in 1978 and expanded in 1985 to provide vaccines to pregnant women, infants and children through a national immunization schedule.
The document summarizes India's Universal Immunization Programme (UIP). It discusses how the program was launched in 1978 to reduce mortality from vaccine-preventable diseases. Over time, it expanded its vaccine coverage and introduced new vaccines. Coverage rates increased significantly from 29-41% in 1985-86 to over 70% for most vaccines by 2014. The program continues to introduce new vaccines and aims to vaccinate all children through intensified drives like Mission Indradhanush. India has achieved the major successes of eliminating smallpox and becoming polio-free. The UIP demonstrates how immunization can significantly reduce deaths from vaccine-preventable diseases.
Working multisectorally to improve maternal and child nutrition in India: The...POSHAN-IFPRI
This document discusses malnutrition in India and proposes multi-sectoral solutions. Some key points:
- India has high levels of malnutrition, with over 40% of underweight children globally. Malnutrition has multiple causes including poverty, lack of access to water/sanitation, and lack of nutrition awareness.
- Malnutrition affects all ages and is intergenerational - with undernourished mothers more likely to have low birth weight babies who become undernourished children.
- A multi-sectoral approach is needed that addresses the various physical, socioeconomic, governance and behavioral causes. Key sectors include women and child development, health, food, agriculture, education and rural development.
- Proposed essential
This document discusses malnutrition in India. It states that India is home to the largest number of hungry people in the world, with over 200 million malnourished. Nearly half of Indian children under age 5 are stunted and underweight. Malnutrition contributes to over 50% of child deaths in India and costs the country 2.95% of its GDP annually. While the government has implemented programs to address malnutrition, such as mid-day meals in schools, challenges remain and innovative solutions are still needed to fully tackle this problem.
This document discusses the problem of malnutrition in India. It reports that 46% of Indian children under 3 are underweight, the highest rate in the world. While India has experienced economic growth, malnutrition levels remain disproportionately high compared to countries with lower incomes. The document examines several myths around the causes of malnutrition, finding that factors like poverty, food availability and cultural practices do not fully explain the problem. It argues that the low status of women in Indian society is a key underlying cause, as malnourished mothers are more likely to have low birth weight babies who face risks of ongoing malnutrition. Community-based interventions to educate mothers on feeding practices are discussed as part of addressing this challenge.
Undernutrition is a lack of quantity or quality of food required for optimal growth and health.
Undernutrition includes: Undernourished people (insufficient calorie intake), being underweight for one’s age, too short for one’s age (stunted), dangerously thin (wasted), and deficient in vitamins and minerals (micronutrient malnutrition).
“I would take the next 1000 children born, randomize them in two different groups and have half of them eat nothing but fresh fruits and vegetables for the rest of their lives, and other half eat nothing but fried snacks and cola; and then I will measure their susceptibility to NCD’s”
Presented at the Pulses for Sustainable Agriculture and Human Health” on 31 May-1 June 2016 at NASC, New Delhi, India. The conference was jointly organised by the International Food Policy Research Institute (IFPRI), National Academy of Agricultural Sciences (NAAS), TCi of Cornell University (TCi-CU) and Agriculture Today.
The document discusses malnutrition among children in India. Some key points:
- Nearly half (48%) of Indian children under five are stunted. One in three malnourished children globally lives in India.
- Malnutrition is caused by lack of proper nutrition from foods like pulses, vegetables, fruits, milk, meat and eggs. Poverty prevents many families from accessing nutritious foods.
- Several government programs provide supplementary nutrition to children and mothers. However, malnutrition levels remain high, especially in poorer states.
- Solutions proposed include increasing access to nutritious foods, educating mothers, improving food storage, and strengthening public distribution systems. Establishing Nutritional Communication Bodies could help
Prevalence of malnutrition among under five children of RukaminiNagar, BelgaumSawan Kumar
synopsis of prevalence of malnutrition among under five years children in Rukmini Nagar, Belgaum
Reaserche:- Mr. Sawan Kumar Yadav
Guide:- Dr. Mubashir Angolkar,
Coordinator and Assistant Professor
Department of Public Health,
J.N. Medical college, Belgaum, Karnataka, India
The document discusses reducing child malnutrition in India. It outlines several causes of malnutrition including lack of a nutritious diet, indigestive food, irregular eating, dirty environments, lack of sleep and exercise, negligence, diseases, and heavy work. It proposes solutions like expanding existing nutrition programs, improving targeting, strengthening implementation, increasing public investment, improving women's education, increasing food supplies, promoting healthful environments, and investing in agriculture. The goal is to make progress through multi-sector efforts to reduce malnutrition in India.
1) The document discusses malnutrition in India, noting that 47% of Indian children under 3 are malnourished. It outlines various government programs to address malnutrition and the challenges in implementing them effectively.
2) A key challenge is food wastage of over $6 billion worth of grains annually due to inadequate storage infrastructure. This wasted food could feed over 70 million people per year.
3) The document proposes that the government hold missions to systematically work towards eradicating malnutrition in India through reducing infant and maternal mortality, improving access to healthcare, and promoting healthy lifestyles.
POSHAN District Nutrition Profile_Sambalpur_OdishaPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
POSHAN District Nutrition Profile_Mayurbhanj_OdishaPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
This document discusses malnutrition in India. It defines malnutrition and notes that India ranks among the top 6 most malnourished nations in the world. It then examines the underlying causes of malnutrition, including poverty, lack of access to healthcare and sanitation, inadequate feeding practices, and diseases. The document outlines essential interventions to address malnutrition, including improving maternal and child health, increasing access to nutritious foods, and promoting female education and empowerment. It argues that India needs a comprehensive nutrition strategy and multisectoral actions that focus on improving services, incentives, and community participation to successfully reduce child malnutrition.
The document discusses malnutrition among children in India. It defines protein energy malnutrition and outlines the different types. It notes that India has a high proportion of malnourished children, with approximately 47% of children under 3 being undernourished. The main causes of malnutrition in India are inadequate food intake and infections like diarrhea, which increase nutrient needs and decrease absorption.
The National Nutrition Programme aims to achieve nutrition well-being for all Nepalis through improved implementation of nutrition programs. Its goals are to reduce malnutrition in children and women and increase dietary diversity. Key interventions include breastfeeding promotion, growth monitoring, micronutrient supplementation, deworming, food fortification, and management of acute malnutrition. The program aims to meet global and national targets to reduce stunting, anemia, and wasting by 2025.
Nutrition is a very confusing topic for most people these days. If you pick up a woman’s magazine or watch any morning television programme you are likely to find that an article or presentation about nutrition is trying to convince you that a particular fad diet, or a particular group of nutrients, will be the one secret that positively changes your life forever. Yet, the more you read magazine articles or watch television shows, the more you are likely to be in the dark as to which advice to follow, because many of them are contradictory.
POSHAN District Nutrition Profile_Balesore_OdishaPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
POSHAN District Nutrition Profile_Subarnapur_OdishaPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
POSHAN District Nutrition Profile_Balangir_OdishaPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
1) India has high rates of malnutrition, with 1 in 3 malnourished children worldwide living in India. Nearly half of Indian children under 3 are too small for their age. Malnutrition contributes to many childhood deaths and costs India billions in lost GDP and productivity each year.
2) The document outlines several causes of malnutrition in India including inadequate breastfeeding, poor functioning of the Public Distribution System which is meant to provide essential foods, and failure to include nutrition concerns in agricultural practices.
3) Potential solutions discussed include improving breastfeeding awareness and support, reforming the PDS to provide more nutritious complementary foods, establishing regional agricultural institutes to promote sustainable, nutrient-rich local crops, and strengthening government
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3. 2.1
by 2030 end hunger and ensure access by all people, in particular the poor and
people in vulnerable situations including infants, to safe, nutritious and
sufficient food all year round
2.2
by 2030 end all forms of malnutrition, including achieving by 2025 the
internationally agreed targets on stunting and wasting in children under five
years of age, and address the nutritional needs of adolescent girls, pregnant
and lactating women, and older persons
2.3
by 2030 double the agricultural productivity and the incomes of small-scale
food producers, particularly women, indigenous peoples, family farmers,
pastoralists and fishers, including through secure and equal access to land,
other productive resources and inputs, knowledge, financial services, markets,
and opportunities for value addition and non-farm employment
SDG- 2
End hunger, achieve food security and improved nutrition
and promote sustainable agriculture
4. Introduction
• Preschool children are most vulnerable to the
effect of under nutrition because of rapid
growth.
• In SEAR the problem of under nutrition is
widespread and ranging from 30 to 63% in
form of stunting.
5. Introduction
• The cost of under nutrition in terms of
development and productivity are enormous.
• The number of people suffering from food
insecurity and hunger is growing- even though
food production has doubled In last 40 years.
• Under nutrition by far the most important
single cause of illness and death globally,
accounting for 12% of all deaths and 16% of
DALYs lost.
6. Malnutrition in young Children,
India/World
47 48.3 47.5 47.2
37.8
25.8
17.6
10.6
7.8
1.6 0
World development indicators-2006, NFHS-3
7. Problem statement- World
• Low birth weight is associated with more than
half of all deaths among young children ,
accounting for more than 6 millions deaths a
year.
• Every day 799 millions people in developing
countries , about 18% of world population
goes hungry.
8. • In SEAR one person in four goes hungry, is as
high as one in three.
• Around 175 million children under five are
estimated to be under weight.
• A third of preschool children are stunted, 16%
of newborn babies weighs less than 2.5 kg and
about 243 million adults are severely
malnourished.
Problem statement- World
9. • Two billion women and children are anemic ,
250 million children suffer from vitamin – A
deficiency .
• Two billion people are at risk from Iodine
deficiency.
Problem statement- World
10. India and Under nutrition
• India is home to over 65 million under five
children who have protein energy
malnutrition.
• The prevalence of underweight children in
India is among the highest in the world, and is
nearly double that of Sub- saharan Africa.
11. NFHS Stunted Wasted Under Weight
NFHS-3 (2005-06)
Total 38.4 19.1 45.9
Urban 31.1 16.9 36.4
Rural 40.7 19.8 49.0
NFHS-2 (1998-99) NA NA 46.7
NFHS-1 (1992-93) NA NA 51.5
UNDERNUTRITION- INDIA
12. Trends in prevalence according to
NNMB
78.6
18.1
77.5
65.1
19.9
68.6
63
16.7
63.6
Stunted wasted underweight
NNMB
(1975-1979)
NNMB
(1988-1990)
NNMB
(1994)
15. Micro nutrient deficiency( anaemia)
India
• The prevalence of anemia among pregnant
woman in India is 57.8%. (NFHS-3).
• 69.5% of 6-59 months of children are suffering
from iron deficiency anaemia.
Mild Moderate Severe
26.3
40.2
2.9
19. Nutritional Status Of Pregnant Women and
Children- India
58.8
61.7
58.7
22.2
64
58
60.5
31.8
63.5
58.3 60.3
30.4
CHILDREN( 6-35) ANAEMIC PREGNANT WOMEN EVER MARRIED WOMEN(
15-49)
BMI BELOW NORMAL
URBAN RURAL TOTAL
DATA SOURCE- NFHS-3
20. Nutritional Status Of Pregnant Women and
Children-Bihar
DATA SOURCE- NFHS-3
75.8
66.4 68.8
25.1
89
59.4
68.2
45.9
87.6
60.2
68.3
43
CHILDREN( 6-35)
ANAEMIC
PREGNANT WOMEN EVER MARRIED
WOMEN( 15-49)
BMI BELOW
NORMAL
URBAN RURAL TOTAL
22. Prevalence Of Severe PEM( NFHS-2)
Prevalence % States
≤5 Kerela, Goa, Sikkim
6 to 9
J/K, Punjab, AP, manipur,
Nagaland
10 to 18
Delhi, haryana, HP, WB ,
Assam, Meghalaya, Andhra
Pradesh, Karnatka,
Tamilnadu
>20
Rajasthan, Bihar, Odisha,
MP,UP
23. Measuring child Nutrition
• Anthropometric Measurements are mainstay
of assessment of PEM/ Undernutrition/
Overnutrition. These are-
1. Weight for age
2. Height for age
3. Weight for height
25. Causes Of Under nutrition
1. Early marriage and teenage Pregnancy
2. Low Birth weight
3. Infant feeding Practices
4. Infections and Environment
26. Causes Of Under nutrition
5. Birth Interval
6. Maternal education
7. Food security
8. Intra household food security
27. 1. Early marriage and teenage Pregnancy
• The majority (53.4%) of rural women in India
were married before they turned 18 years
(NFHS-3).
• According to DLHS-3( 2007-08) 43.7% of girl’s
marry before 18 years in Katihar District.
• In urban areas of India, the women marries
before 18 years id 30%.
28. Teenage Pregnancy In India( 2005-06)
14.5
4.6
19.1
6.3
2.4
8.7
Have had a live birth Pregnant women with first
child
have begun child bearing
Rural Urban
DATA SOURCE- NFHS-4
29. 2. Low Birth Weight
• In India, nearly 22% (NFHS-2) of newborns have
LBW.
• Males have less frequency of LBW than females.
• The North-east zone has the lowest prevalence of
LBW while the north zone has the highest.
• Mother's education, access to TV and nuclear
family, and intake of iron tablets are the most
important socio-economic influences on the
determination of birth weight in India.
30. 3. Infant Feeding Practices
• In India only 23.4% (NFHS-3) of newborn
babies are put on breast feeding within one
hour of Birth.
• Only 37% of mothers initiated breastfeeding
within one day.
• According to IRMS, in Bihar about 29% of
mother started breast feeding within in 24
hours.
32. Infant Feeding Practices- Bihar
6
31.6
44.2
3.8
27.3
58.3
4
27.9
57.3
Children under age 3 years
breastfed within one hour
of birth(%)
Children under age 6
months exclusively
breastfed(%)
Children age 6-8 months
receiving solid or semi-solid
food and breastmilk %
Urban Rural Total
DATA SOURCE- NFHS-3
33. Infant Feeding Practices- Bihar
41.8
46.8
41.2
34.2
54.2
29.5
34.9
53.5
30.7
Children under age 3 years
breastfed within one hour
of birth(%)
Children under age 6
months exclusively
breastfed(%)
Children age 6-8 months
receiving solid or semi-solid
food and breastmilk %
Urban Rural Total
DATA SOURCE- NFHS-4
34. Complementary feeding practices-
India
• Protein Energy Malnutrition ( PEM) is much
more common in age group of 6-24 months.
• The obvious reason is delay in the weaning-
complementary feeding in young children 9
month or beyond.
• Only 55.8% of breast fed children aged 6-9
months received solid – semisolid food.
DATA SOURCE- NFHS-3
36. 4. Birth Interval And Under- Nutrition
• Studies shows that prevalence of Under-
Nutrition was higher when interval between two
births were less that 2 years.
• Young children in family with four or ore siblings
were nutritionally the most disadvantaged as
observed in several studies.
• Deprivation of maternal care is also found in large
family.
• Female infants receive less attention than male,
especially where there is already several female
children.
37. 5. Maternal Education and Under-
Nutrition
50.3
4.8
15.1
46.9
0.4
12.9
42.9
3.7
11.8
41.7
2.4
7.3
22.9
2.1
6.7
Stunted Wasted LBW
No education Junior primary Senior Primary
Junior Secondary senior Secondary
The Impact of Maternal Education on Child Nutrition: Evidence from
Malawi, Tanzania, and Zimbabwe- Demographic and Health Survey 2013
39. • Spite of sufficient buffer stock, there is 26% of
population is still living below poverty line .
• Most ST and 40% of SC casual workers are
poor, the landless casual workers being the
poorest.
• Other Reasons are unfair/unequal distribution
of food, land wealth, less purchasing power
and Unemployment.
6. Food Security
40. • Though food production has been increase
through Green/white/ yellow revolutions, the
level of chronic food security in India is still
high.
• The increase in population size, low literacy
level, recurrent drought conditions, increasing
unemployment , and decreasing household
food security status contributing to the
dilution of effect of development.
6. Food Security
41. 7. Intra household Food security
• Food Security defined as physical, economic
and social access to balanced diet, safe
drinking water, environmental hygiene, and
Primary Health Care (M S Swaminathan) .
• Household food security means “ the access of
all people to sufficient, safe and nutritious
food to meet their dietary needs and food
preferences for an active and healthy life.
42. 7. Intra household Food security
• Household food security has four basic
components, availability, accessibility,
utilization and stabilization.
• Unequal distribution of food between Male,
Female and children in family .
• The reasons are lower status of women in
family, ignorance about child feeding, low
literacy, lack of awareness and poverty.
43. • 60% of farmers on an average own 0.4 hectare
while 20% holds 1.4 hectare.
• Such a meager land holding by large majority
of farmers is neither viable nor sustainable.
• The average land holding per head among
rural farmers in developing countries declined
from3.6 hectares in 1972 to 0.26 hectares in
1992 and continue to fall.
7. Intra household Food security
44. • The current wave of globalization and
linearization contribute to increase inequalities
with in both developing and developed countries.
• The organization for economic cooperation and
development ( OECD) controlled 90% of global
seed market.
• From1970to1996 OECD share of the volume of
world cereal export rose from 73 to 82%, making
US major exporter of commercial crops.
7. Intra household Food security
45. Prevention and control of under
nutrition
1. Feeding practices of infant and young
children
2. Immunization
3. Control of infection
4. female literacy
5. Population control and stabilization
6. School health programmes
46. Prevention and control of under
nutrition
7. Supplementary feeding programmes through
ICDS.
8. Growth monitoring and promotion .
9. Food production and distribution.
10.Public distribution system( PDS)/Annapurna
Yojana
11.Employment guarantee act and scheme.
12.Fight against hidden hunger.
47. 1. Feeding practices of infant and
young children- EBF
• Initiation of breastfeeding within the first hour of life
• Exclusive breastfeeding – that is the infant only
receives breast milk without any additional food or
drink, not even water
• Breastfeeding on demand – that is as often as the child
wants, day and night
• exclusive breastfeeding for 6 months is the optimal
way of feeding infants.
• Thereafter infants should receive complementary foods
with continued breastfeeding up to 2 years of age or
beyond.
48. Feeding Practices- Complementary
feeding
• The adequacy of complementary feeding
(adequacy in short for timely, adequate, safe and
appropriate) not only depends on the availability
of a variety of foods in the household, but also on
the feeding practices of caregivers.
• Feeding young infants requires active care and
stimulation, where the caregiver is responsive to
the child clues for hunger and also encourages
the child to eat.
• This is also referred to as active or responsive
feeding.
49. Feeding Practices- Complementary
feeding
• WHO recommends that infants start receiving
complementary foods at 6 months of age in
addition to breast milk, initially 2-3 times a
day between 6-8 months,
• increasing to 3-4 times daily between 9-11
months and
• 12-24 months with additional nutritious
snacks offered 1-2 times per day, as desired.
50. National Guidelines on infant and
Young child feeding
1. Early initiation of breast feeding within half
an hour of birth .
2. Feeding Of Colostrums.
3. Exclusive breastfeeding for first six months.
4. Introduction of complementary feeding after
six months.
5. Staple cereal of the family should be used to
make the first food for infant.
51. National Guidelines on infant and
Young child feeding
6. Encourage foods which are routinely cooked
in family.
7. Energy density of infant food should be
increased by adding tea spoonful of oil or
ghee in every feed or by adding sugar and
jaggery.
8. Infant and young children should fed 5-6
times a day.
52. National Guidelines on infant and
Young child feeding
9. Continue breast feeding up to age of two
years or beyond.
10.Appropriate feeding during or after illness.
11.Growth monitoring and promotion.
12. Feeding in difficult circumstances.
53. National Guidelines on infant and
Young child feeding
13.HIV and Breast feeding-WHO recommends that
all mothers, regardless of their HIV status,
practise exclusive breastfeeding – which means
no other liquids or food are given – in the first
six months.
• After six months, the baby should start on
complementary foods.
• Mothers who are not infected with HIV should
breastfeed until the infant is two years or older.
54. 2. Immunization
• Children should be given all recommended
vaccine according to Immunization schedule
(UIP).
• Vitamin A should be given with first dose of
Measles vaccine.
55. 3. Control Of Infection
• Washing of hands, clean food, use of safe
drinking water, safe disposal of human excreta
prevent diarrheal diseases, worm infestations.
• Home available foods, ORS, Zinc and
breastfeeding , if child develops diarrhea.
• Increase frequency of feeding after diarrhea
helps catch-up growth in young children.
• Deworming is also essential.
56. Nutrition of adolescents, pregnant
women and lactating mothers
• Nutrition education
• Supplementation of IFA tablets to adolescents.
• Right age of marriage and adequate nutrition
of pregnant women/ supplementation of IFA
• Adequate nutrition of lactating women ensure
adequate breast milk, essential for child
survival, growth and development.
57. 4. Female literacy
• Female literacy is first determinant of child
under nutrition .
• it is inter-linked with various factors like
nutrition, maternal health, anaemia control,
spacing of pregnancies and antenatal care.,
hygiene and sanitation, immunization and
accessing health services.
59. Female literacy
• The bold decision to declare “ education as
the fundamental right” in April 2010 ensure
the free and compulsory education to fulfill
the constitutional commitment of “education
for all”.
• Effort is being made to reach the unreached
women and children through “ sarva shiksha
Abhiyan( SSA) launched in 2001.
60. 5. Population control and stabilization
• India was the first country in the world to have
launched a National Programme for Family
Planning in 1952.
• currently being repositioned to not only
achieve population stabilization goals but also
promote reproductive health and
reduce maternal, infant & child mortality and
morbidity.
• NPP (2000) agenda was to bring down birth rate
to 2.1 by 2010.
61. 6. School Health programme
• School Health program is a program for school
health service under National Rural Health
Mission, cover 12,88,750 Government and
private aided schools covering around 22
Crore students all over India.
62. Components of School Health Program
1. Screening, health care and referral
• Screening of general health, assessment of
Anaemia/Nutritional status, visual acuity, hearing
problems, dental check up, common skin conditions,
Heart defects, physical disabilities, learning disorders,
behavior problems, etc.
• Basic medicine kit will be provided to take care of
common ailments prevalent among young school going
children.
• Referral Cards for priority services at District / Sub-
District hospitals
63. Components of School Health Program
2. Immunisation:
• As per national schedule
• Fixed day activity
• Coupled with education about the issue
3. Micronutrient (Vitamin A & IFA) management:
• Weekly supervised distribution of Iron-Folate
tablets coupled with education about the issue
• Administration of Vitamin-A in needy cases.
64. Components of School Health Program
4. De-worming
• As per national guidelines
• Biannually supervised schedule
• Prior IEC
• Siblings of students also to be covered
65. Components of School Health Program
5. Health Promoting Schools
• Counseling services
• Regular practice of Yoga, Physical education,
health education
• Peer leaders as health educators.
• Adolescent health education-existing in few
places
• Linkages with the out of school children
• Health clubs, Health cabinets
• First Aid room/corners or clinics.
66. Components of School Health Program
6. Capacity building
7. Monitoring & Evaluation
8. Mid Day Meal
67. Mid day Meal Scheme/Programme
The objectives of the mid day meal scheme are:
1. Improving the nutritional status of children in
classes I – VIII in Government, Local Body and
Government aided schools, and EGS and AIE
centres
2. Encouraging poor children, belonging to
disadvantaged sections, to attend school more
regularly and help them concentrate on
classroom activities.
3. Providing nutritional support to children of
primary stage in drought-affected areas
68. 7. Supplementary Feeding Programme
through ICDS
• The Supplementary Nutrition is one of the six
services provided under the Integrated Child
Development Services (ICDS) Scheme which is
primarily designed to bridge the gap between
the Recommended Dietary Allowance (FDA)
and the Average Daily Intake (ADI).
• Supplementary Nutrition is given to the
children (6 months – 6 years) and pregnant
and lactating mothers under the ICDS Scheme.
70. World Food Program (WFP)
• The world Largest food aid organization
working with goal “ a world in which every
man, woman and child has access at all times
to the food needed for an active an healthy
life”
• In India under a new country strategic plan
2015-18, WFP supporting the GOI under
national food security act ( NFSA), including
ICDS Scheme/MDM Programme/TDPS.
71. Management of children with SAM
• Severe acute malnutrition (SAM) can be
categorized into:
1. SAM with medical complication.
2. SAM without medical complication.
• Nutrition rehabilitation centers( NRC) has
been established for SAM at district level.
• Community based programme should be in
place.
72. Prevention and control of under
nutrition
8. Growth monitoring and promotion .
children below the age of three year weighed
once in month and 3-6 years, once in three
month.
9. Food production and distribution.
Graduating from “ food security” to “
household food security” to “Nutrition and
health security” of all.
73. 10. Public distribution system
evolution
1. Public distribution System ( 1960)
2. Revamped Public Distribution System (RPDS)
was launched in June 1992 in 1775 blocks
throughout the country.
3. Targeted Public Distribution System (TPDS) was
introduced with effect from June 1997.
4. Antyodaya Anna Yojana” (AAY) was launched in
December, 2000 for one crore poorest of the
poor families.
5. Food security bill ( 2013)
74. Annapurna Scheme
• To providing food security to meet the requirement of
those senior citizens who though eligible have
remained uncovered under the National Old Age
Pension Scheme.
• The target group receives 10 kgs of food grains per
month free of cost.
• Gol has fixed a numerical ceiling of 64,800
beneficiaries under the scheme for the entire State.
• Target Group:
Senior citizens of 60 years and above, who are eligible
for all old age pension schemes, but not covered under
the same.
75. •The Mahatma gandhi National
Rural Employment Guarantee
Act (MNREGA) is an Indian job
guarantee scheme, enacted by
legislation on August 25, 2005.
•The scheme provides a legal
guarantee for one hundred days
of employment in every
financial year to adult members
of any rural household willing to
do public work-related unskilled
manual work at the statutory
minimum wage of 120 (US$2.43)
per day in 2009 prices.
11. Mahatma Gandhi national rural
employment gurantee act and scheme
76. DIDYOUKNOW?What are the Unique Features of NREGA?
•Time bound employment guarantee and wage payment within 15 days
Incentive-disincentive structure to the State Governments for providing
employment as 90 per cent of the cost for employment provided is
borne by the Centre
•payment of unemployment allowance at their own cost and emphasis
on labour intensive works prohibiting the use of contractors and
machinery.
•The Act mandates a 33 per-cent participation for women.
77. WORKING GROUPS IN PER-CENT
40
36
26
62
0
10
20
30
40
50
60
70
women SC ST SC/ST
78. 12. Fight against Hidden Hunger(
Micronutrient deficiency)
• Should focus on food based approach rather
than food fortification.
• Micronutrient supplementation programme of
Vit-A and IFA should be focused and targeted
to 1-3 years children.
• Universal Iodized salt consumption should be
strived.
79. Summary
• Integrated health, nutrition, educational
approach.
• Convergence of ICDS/self help groups/ village
panchayat at village level.
• EBF/supplementary feeding
• Eating clean/immunization/response to
infections.
• Supporting mothers and building their
capacities at household level.