Assessment of community nutrition program performance through data validation in the state of Chhattisgarh

Ashish Sinha, Srishti Dixit, G. P. Soni, Somen Kumar Pradhan, Sarwat Naqwi


Background: In India data shows that every 3rd child is underweight. There is a similar situation in Chhattisgarh with 37% children underweight. Women and Child Development Department initiated Nawa Jatan (“new care”), a state specific community based intervention by targeting undernourished children for Six month. Strategy of validation by ‘External technical support group’ can be an eye opener for strategic tactical and operational intervention to validate the data of ICDS scheme at field level.

Methods: By systematic random sampling methodology, Out of all targeted 2462 Gram Panchayats (GPs) 246 (i.e. 10%) was included in the survey. One day hands-on demonstration cum training for survey teams mixed with interns, postgraduate and volunteers were organized. Data collection done in pretested proforma.

Results: A total of 7155 children distributed in surveyed Gram Panchayats across 27 districts were covered. About 9.1% (651 out of 7155) children showed gap in reporting as they were reported normal grade of nutrition. Out of all children covered for actual field validation. There was 9.84% disagreement in weight recording in the state. Our analysis reveals 9 districts fall in poor performing districts, followed by below average performing 8 districts and average performing 10 districts.

Conclusions: There is wide gap in recorded result as normal children against the observation which was actually in the field level. In addition, there is significant proportion of disagreement of weight records when compared with actual weighing. Above observations might be possibly due to poor monitoring and supervision of weighing activity at the field level.



Integrated child development services, Anganwadi worker, Anganwadi centre, Pre-school education, Nutrition and health education

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UNICEF, The State of the World’s Children Report. New York: UNICEF; 1998.

International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-3), 2005-06. Vol. I. India: International Institute for Population Sciences; 2007.

Salganik MJ. Variance estimation, design effects, and sample size calculations for respondent-driven sampling. J Urban Health Bull New York Acad Med. 2006;83:98-112.

Wong's Nutritional assessment - Nursing care of Infants and children. 7th edition. Missouri: Mosby company; 2002: 1692.

Mamata T, Sarada D. 2009 Child Right, Discovery Publishing House Private Limited, New Delhi: p.6.

Nandy S, Irving M, Gordon D. Poverty, child under nutrition and morbidity: new evidence from India. Bull World Health Organ. 2005;83:210-6.

A Quick Evaluation Study of Anganwadis under ICDS, NITI AAYOG, Programme Evaluation Organisation Government of India New Delhi-110001 June 2015, PEO Report No.227.

Silva VG, Silva SG. Nutritional status of Anganwadi Children under the Integrated Child Development Services Scheme in a Rural Area in Goa. Int J Scientific Study. 2015;3(7):217-20.

Bhimisetti SC, Pamarthi K, Srinivas PJ. Nutritional Status of Under 5 Children Belonging to tribal Population Living in Visakhapatnam District, Andhra Pradesh. J Evidence based Med Healthcare. 2015;2(33):4975-80.

Philip RR, Vijayakumar K, Indu PS, Shrinivasa BM, Sreelal TP, Balaji J. Prevalence of undernutrition among tribal preschool children in Wayanad district of Kerala. Int J Advanced Med Health Res. 2015;2(1):33.

Gope A, Baruah KK, Ojah J. An Assessment of Nutritional Status of 1 to 5 Year Old Children in Slum Area under Urban Health Training Centre Guwahati. Int J Health Sci Res (IJHSR). 2016;6(8):29-33.

Agarwal L, Jain A, Pankaj JP, Jain A, Paruthy S. Current status of nutrition among under five children of slum areas of Agra. J Evol Med Dental Sci. 2014;3(58):13120-6.