DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20220239

Impact of supplementary nutrition on the nutritional status of children below six years of age registered under ICDS in Gandhinagar

Mallika V. Chavada, Jagruti D. Prajapati, Jayprakash Macwana, Jaydip R. Oza, Twinkle R. Patel, Drashtant R. Prajapati

Abstract


Background: Under nutrition has significant impact on morbidity and mortality of the children of age group 0-6 years. ICDS is working to combat under nutrition of these children since many years by providing supplementary nutrition. Objective of this study is to determine the progress in the nutritional status of the children of age group 0-6 years registered under ICDS who are taking benefit of supplementary nutrition from anganwadi.

Methods: To determine the progress in the nutritional status of the children of age group 0-6 years registered under ICDS who are taking benefit of supplementary nutrition from anganwadi.

Results: A cross sectional study was conducted at anganwadi centers under field practice area of urban health and training centre, Sector -24, GMERS Medical College, Gandhinagar in the month of November and December 2019. Total 200 children fit to inclusion and exclusion criteria were enrolled from 3 anganwadi centre. The structured baseline questionnaire was used to include basic socio-demographic detail, detail of anthropometry measurement and regularity in attendance etc. WHO growth chart V 3.2.2 was used to calculate the Z score for the weight for height (wasting), weight for age (underweight) and height for age (stunting).

Conclusions: High prevalence of Stunting and wasting in anganwadi children is alarming as may have overall developmental effect in future. Engagement of community and family members and focus on other socio demographic risk factors from childhood malnutrition is need of the ICDS program. 


Keywords


Under nutrition, Supplementary nutrition, ICDS

Full Text:

PDF

References


Children in India 2012 – A Statistical Appraisal, Social Statistics Division. Ministry of Statistics & Programme Implementation. Available at: http://mospi.nic.in/mospi_new/upload/children_in_india_2012.pdf. Accessed on 20 October 2022.

International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-4), 2015–16: India. Available at: http://rchiips.org/nfhs/. Accessed on 20 October 2022.

Malnutrition. Available at: https://www.who.int/ news-room/fact-sheets/detail/malnutrition. Accessed on 20 October 2022.

Hooshmand S, Udipi S. Anthropometric measurements determinant nutritional status of urban primary school children in selected areas of Iran and India: a comparative study. Int J Nutr Food Sci. 2014; 3(5):455-61.

Martins VJ. Long-lasting effects of undernutrition. Int J Enviorn Res Public Health. 2011;8(6):1817-46.

Sachdev HPS. Assessing child malnutrition - some basic issues. Nutr Found India Arch. 1996;4(7):12-9.

Wang Y, Hsin-Jen C. Use of Percentiles and Z -Scores in Anthropometry, Handbook of Anthropometry: Physical Measures 29 of Human Form in Health and Disease. Newzeland: Springer; 2012.

Mercedes de Onis and Monika Blössner. Programme of nutrition, world health organization, global data base on child growth and malnutrition. Int J Epidemol. 2003; 32(4):518-26.

Integrated child development services (ICDS) mission: the broad framework for implementation, ministry of women and child development government of India, 2013. Available at: https://icds-wcd.nic.in/icdsimg/icds_english_03-12-2013.pdf. Accessed on 20 October 2022.

Das Gupta M, Lokshin M, and Ivaschenko O. Improving child nutrition ? the integrated child development services in India. Develop Change J. 2005;36(4):613-40.

Attaining the Millennium Development Goals in India: How Likely and What Will it Take to Reduce Infant Mortality, Child Malnutrition, Gender Disparities and Hunger-Poverty and to Increase School Enrollment and Completion. Available at: https://openknowledge.worldbank.org/handle/10986/15738?locale-attribute=fr. Accessed on 20 October 2022.

Gragnolati M. India’s Undernourished Children- A Call for Reform and Action. Available at: https://openknowledge.worldbank.org/handle/10986/13644. Accessed on 20 October 2022.

Growth monitoring manual, National institute of public cooperation and child development. Available at: https://hetv.org/pdf/growth-monitoring-manual-india.pdf. Accessed on 20 October 2022.

Moluguri A. A study on health and nutritional status of children in rural and urban ICDS projects in Karimnagar. Int J Community Med Public Health. 2019;6(4):1747-53.

Silva VGP, Silva SGP. Nutritional Status of Anganwadi Children under the Integrated Child Development Services Scheme in a Rural Area in Goa. Int J Sci Study. 2015;3(7):217-21.

Patel B, Dulari J. Gandhi, Nutritional status of rural children aged six months to five years in Vadodara district of Gujarat. J Evol Med Dent Sci. 2014;3(14):3644-51.

Dixit P, Gupta A, Dwivedi LK, Coomar D. Impact evaluation of integrated child development services in rural India: propensity score matching analysis. SAGE J. 2018;4(5):52-9.

International Institute for Population Sciences & Macro International (2007). National Family Health Survey (NFHS-3), 2005-06: India. Available at: http://rchiips.org/nfhs/nfhs3.shtml. Accessed on 20 October 2022.

Ahmed T. Determinants of undernutrition in Children under 2 years of age from rural Bangladesh. Indian Pediatr. 2012;19(16):821-4.

Kavosi E, Rostami Z, Kavosi Z, Nasihatkon A, Moghadami M, Heidari M, et al. Prevalence and determinants of under-nutrition among children under six: a cross-sectional survey in Fars province, Iran. Int J Health Policy Manag. 2014;3:71-6.

Sengupta P, Philip N, Benjamin AI. Epidemiological correlates of under-nutrition in under-5 years children in an urban slum of Ludhiana. Health Popul: Perspect Issues. 2010;33(1):1-9.

Maken T, Varte TL. Nutritional status of children as indicated by Z-scores of the Hmars: A tribe of N.E. India. Antrocom J Anthropol. 2012;8:213-27.

Pavithra G, Kumar SG, Roy G. Effectiveness of a community-based intervention on nutrition education of mothers of malnourished children in a rural coastal area of South India. Indian J Public Health. 2019; 63(1):4-9.