Integrated child development services

Clinical nutrition

1. Integrated Child Development Services ( ICDS) k. S oundararajan K. Soundararajan, SRIHER 1

2. Objectives Introduction ICDS Objectives of ICDS Services Key services Nutritional & feeding Norms Various National program Mid – day meal program Conclusion K. Soundararajan, SRIHER 2

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4. Introduction on 2nd october, 1975 the Goverment of India initiated an integrated approach for delivery of health care as well as nutrition Education service for health Wellbeing of children aged from 0 to 6 Years of deprived population at the village level In urban slums through centers called "Anganwadi centers" K. Soundararajan, SRIHER 4

5. ICDS It is a National Program It begans with 33 Projects Now covers approximately 6284 Projects It is world's largest program on "Early Child Development" K. Soundararajan, SRIHER 5

6. Objectives of ICDS To improve the nutritional & health status of children 0-6 years of age To lay the foundation for proper psychological development of the child To reduce incidence of mortality, morbidity, malnutrition and school dropouts. To enhance the capacity of the mother to look after the normal health And nutritional needs of the child, through proper health & nutritional education K. Soundararajan, SRIHER 6

7. Continue ... To achieve effective coordination of policy And implementation among various department to promote child development K. Soundararajan, SRIHER 7

8. Services Children 0-3 Years Children 3-6 Years Pregnant & lactating women Adolescent girl Women ( 15 - 45 Years ) K. Soundararajan, SRIHER 8

9. Key Service of ICDS Nutritional and health education and information education and communication (IEC) Growth promotion and monitoring Iron- Folate supplements K. Soundararajan, SRIHER 9

10. Nutritional and health education and information education and communication (IEC) Intensive innovative media campaign and IEC on key issue such as Increased rest during pregnancy-especially in the last trimester Appropriate new born care Promotion of early and exclusive breastfeeding for first 6 months Initiation of feeding on completion of 6 months of age along with breast milk Personal hygiene & hand washing before feeding / after defecation K. Soundararajan, SRIHER 10

11. Continue … Delayed pregnancy better birth spacing and adequate maternal care during pregnancy Prevention of STDs and RTI ( to prevent low-birth weight) Iron folate supplementation during pregnancy Bi-annual vitamin A supplementation for all children 1-5 years of age Twice annual de- worming for all (include school children, adolescent girls and adults) K. Soundararajan, SRIHER 11

12. Growth promotion and monitoring To strengthen the growth monitoring and promotion component, the project design will pay adequate attention on counseling skills And quality of training of AWWs Provide enough information skills and motivation to refer sick children & weak borns to health facilities also for counseling and outreach services K. Soundararajan, SRIHER 12

13. Others Referral sick children & weak borns to health facilities ( referral card, transport vouchers for mother of sick children etc) Iron folate supplement for adolescent girls Convergence with NRHM (National Rural Health Mission). K. Soundararajan, SRIHER 13

14. Nutritional and Feeding Norms Children 0 - 6 Months Children 6 Months – 3 Years Children 3 – 6 Years For severely underweight children – in addition to above K. Soundararajan, SRIHER 14

15. Children 0 - 6 Months Early initiation (within 1 hour of birth) Exclusive breast feeding for the first 6 months of life K. Soundararajan, SRIHER 15

16. Children 6 Months – 3 Years Appropriate complementary feeding upon completion of 6 months Continued breastfeeding for 2 years or beyond ICDS supplementary nutritional program (SNP) The supplements should provide 500 calories of energy, 12-15 g of protein per child per day Existing pattern of taken home ration (THR)- small frequent meals to the child – ICDS SNP for severely underweight children Locally appropriate feeding and care Health referrals and interventions K. Soundararajan, SRIHER 16

17. Children 3 – 6 Years ICDS SNP supplements home feeding 500 calories of energy 12-15 g of protein per child per day May provide as morning snacks and meal Hot cooked meals at anganwadi centers K. Soundararajan, SRIHER 17

18. For severely underweight children – in addition to above Additional 300 calories of energy Additional 8-10 g of protein per child per day (THR) Locally appropriate feeding and care Health referrals and interventions. K. Soundararajan, SRIHER 18

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21. Mid – Day Meals Program This was started in 1995 Children between 6-11 years of age are given food supplementation in schools only Each child gets 100g food grain/day Cooked food like khichri , upma , rice, sambar etc are given Food provides roughtly one-third of RDA for energy and one-half of RDA for protein K. Soundararajan, SRIHER 21

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26. Various National Programs School Mid Day Meals Program Kishori Shakti Yojana Swarna Jayanthi Gram Swarozgar Yojana Sampurna Gramin Rozgar Yojana Mahatma Gandhi National Rural Employment Gurantee Program Rajiv Gandhi Scheme for Empowerment of Adolescent Girls National Rural Health Mission (NRHM) National Urban Health Mission (NUHM) Rajiv Gandhi Drinking Water Mission Total Sanitation Campaign Rashtriya Krishi Vikas Yojana National Horticulture Mission Food Security Act (FSA) National Food Security Mission National Food Security Bill K. Soundararajan, SRIHER 26

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28. Reference K. Soundararajan, SRIHER 28

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