1. 1

2. 2

3. Large scale supplementary nutrition programmes.
Main aim is to improve nutritional status in targeted groups.
And overcome specific diseases to combat malnutrition.

4. Vitamin A prophylaxis programme
Prophylaxis against nutritional anaemia
Control of iodine deficiency disorders
Special nutrition programme
Balwadi nutrition programme
ICDS programme
Mid-day meal programme
Mid-day meal scheme

5. Programme
Ministry
Vitamin A Prophylaxis Programme Prophylaxis Against Nutritional anaemia
IDD Control Programme
Health and family welfare
Special Nutritional Programme Balwadi Nutritional Programme
Social welfare
ICDS Scheme
Women and child development
Mid Day Meal Programme Mid Day Meal Scheme
Human Resource Development

6. VITAMIN-A PROPHYLAXIS PROGRAMME

7. Initiated in 1970
Beneficiary: age group 6mo - 5 year
Objective: Prevent blindness due to VAD
Implemented by: PHCand subcenter
Asingle massive dose of Vitamin-A2 lac IU (retinol palmitate 110mg) orally every 6 months above 1 year

8. Prevent respiratory infection
Maintain GITepithelium integrity
Immunity
Prevent Nutritional blindness

9. PROPHYLAXIS AGAINST NUTRITIONAL ANAEMIA

10. Initiated in 1970
Centrally sponsored
Over 50%pregnant woman suffer from anemia
Causes LBWand perinatal mortality, maternal death
Objectives: Assess prevalence, Give treatment, Give prophylaxis, Monitoring, Education

11. Implemented by: PHC and subcenters
Beneficiaries:
Children aged 1 to 5 years
Pregnant and nursing mother
Female acceptor of terminal method of family planning and IUDS
Implemented by: PHC and subcenters

12. Children between 1 to 5years Iron fortification of salt
Dosage of tablets:
Pregnant women: 100 mg Fe& 0.5mg folic acid
Children 6 to 60 months : 20mg Fe& 0.1 mgfolic acid
Should be given 100 days
Adolescent girls: 100 mg Fe& 0.5mg folicacid
Children between 1 to 5years
Screening test for anemia done at 6 mo, 1, 2years
Iron fortification of salt

13. IODINE DEFICIENCY DISORDER CONTROL PROGRAMME

14. National goiter control programme in1962
IDD Control Programme
Replace the entire edible salt by iodidesalt
Fortification of salt with iodine

15. SPECIAL NUTRITIONAL PROGRAMME

16. Started in 1970 in urban slums, tribal areas and backward rural areas
Main aim is to improve nutritional statusin
children <6 years
pregnant and lactating women
Gradual y being merged into ICDS

17. APPLIED NUTRITIONAL PROGRAMME

18. This project was started in Orissa on 1963 Later extended to TN and UP
Objectives:
Promoting production and of protective food such vegetables and fruits
Ensure their consumption by pregnant & lactating women and children.
In 1973 extended to all states in INDIA

19. Later converted into ICDS
Major components
Nutritional Services
Health services
Communication
Monitoring and evaluation
Later converted into ICDS

20. BALWADI NUTRITION PROGRAMME

21. This was started in 1970 by the department of social welfare
Beneficiary:
Preschool children 3-6 years of age
Activities
300 kcal and 10 g protein
Preschool education
Phased out because universalization of ICDS

22. INTEGRATED CHILD DEVELOPMENT SERVICES (ICDS) SCHEME

23. India’s response to the chal engeof
Launched on 2nd October1975
One of the world’s largest and most unique programmes for early childhooddevelopment
India’s response to the chal engeof
Providing pre-school education on one hand and
Breaking the vicious cycle of malnutrition, morbidity, reduced learning capacity and mortality, on theother
Foremost symbol of India’s commitment to her children

24. Routine MCHservices not reaching target Population
Nutritional component not covered by Health services
Need for communityparticipation

25. Improve. the. nutritional. and. health. status
Improve the nutritional and health status of children in the age-group 0-6years
Foundation for proper psychological, physical and social development of the child
Reduce the incidence of mortality, morbidity, malnutrition and school dropout
Co-ordination of departments to promote child development
Nutrition and health education to the mother

26. Pregnant women
Nursing Mothers
Children less than 3 years
Children between 3-6 years
Adolescent girls( years)

27. District Programme Officer (DPO)
Child Development Project Officer (CDPO)
Supervisor (Mukhyasevika)
Anganwadi Workers (AWW)
Anganwadi Helpers (AWH)

28. Package of services: Supplementary nutrition Immunization
Health check-up
Referral services
Pre-school non-formal education
Nutrition & healtheducation

30. Supplementary Nutrition Children below 6 years, PLW
Services
Target Group
Supplementary Nutrition
Children below 6 years, PLW
Immunization
Children below 6 years, Pregnant Women
Health Check-up
Referral Services
Pre-School Education
Children 3-6 years
Nutrition & Health Education
Women (15-45 years), Children years, PLW 3

31. COMPONENTS OF ICDS 31

32. Supplementary feeding and growth monitoring
Prophylaxis against vitamin Adeficiency and control of nutritional anemia
Growth Monitoring and nutrition surveillance
children <3 years of age of age are weighed once a month
children 3-6 years of age are weighed quarterly
Supplementary feeding for 300 days in ayear 32

33. Severely malnourished children (6-72 months) 800 20-25
Beneficiary
Calorie
Protein
Children (6-72 months)
500
12-15
Severely malnourished
children (6-72 months)
800
20-25
Pregnant & Lactatingwomen
600
18-20 33

34. Immunization of pregnant women and children
Protects against tetanus and reduces maternal and neonatal mortality
Protects children from sevenvaccine preventable diseases
Provided by the health department 34

35. For children <6 years, antenatal care, postnatal care of nursing mothers
Consists of weight recording, immunisation, management of malnutrition, treatment of diarrhea, de-worming, simple medicines for common il nesses 35

36. Sick or malnourished children, in need of prompt medical attention, are referred tothe Primary Health Centre or its sub-centre 36

37. Anganwadi – a village courtyard Backbone of the ICDS For 3-6 year olds
Providing a natural, joyful and stimulating environment 37

38. Key element of the work of the anganwadi worker
This forms part of BCC (Behaviour Change Communication) strategy 38

39. Toelicit communitysupport Weigh & record eachchild every month
Refer cases
Organize pre-school activities
Provide supplementary
nutrition
Provide health & nutrition education and counseling
Make home visits
Coordinate with other staff 39

40. Clean the Anganwadi premises Cleanliness of smal children
Cook & serve food
Clean the Anganwadi premises
Cleanliness of smal children
Bring smal children to Anganwadi 40

41. For Rural/Urban Projects
– 400 to AWC
– 800 to AWCs
– 1600 to AWCs
Thereafter in multiples of 800 perAWC
For Mini-AWC
150 to Mini AWC 41

42. Practical y children 3-6 year Pregnant & Lactating not covered
Irregular food supplies
Quality of Nutrition supplement?
Poor supervision
Lack of community ownership/ participation
Nutrition education only on papers
Children come only for food 42

43. MID DAY MEAL PROGRAMME 43

44. School Lunch Programme Objectives
Improve school attendance
Improve child nutrition
Principles
Supplement, not substitute to homediet
1/3rd of energy and ½ of protein requirement/day
low cost, easily prepared at schools
locally available food, change menu frequently 44

45. MID-DAY MEAL SCHEME 45

46. National Programme of Nutritional Support to Primary Education
Objectives:
Universalization of primary education by increasing enrollment (class 1 to 5) and
Improve nutritional status of children (class1-5)
300 kcal and 8-12 g protein 46

47.  Good for improving nutrition of the underprivileged children
But it requiressustainability
Repeated incidence of food poisoning in the mid day meal causing seriousthreat 47

48. Thank You