CONTENT Applied nutrition programme Mid-day meal programme 1961 Principles Mid-day meal model menu Mid-day meal scheme benefits Suggestions for preparation of nutritious meal PM POSHAN Role of nurse in mid-day meal programme .
‘There is an interesting story about how K.KAMARAJ (3 rd CM of Tamil Nadu) got an idea of noon meal scheme. He saw a few boys busy with their cows and goats. He asked one small boy, “What are you doing with these cows? Why didn’t you go to school?” The boy immediately answered,: If I go to school, will you give me food to eat? I can learn only if I eat. The boy’s retort sparked the entire process into establishing the MID-DAY MEAL PROGRAMME.’
Applied nutrition programme (ANP): A nationwide village based ANP introduced in 1963. India signs a master plan of operation with UNICEF and other agencies , WHO and FAO for the improvement of health status of pregnant and lactating women and children. Objectives of ANP: Increase production of protective foods Encourage consumption of these foods by poor class, children and mother. Promote nutritional education.
MID-DAY MEAL PROGRAMME 1961 Is also called as SCHOOL LUNCH PROGRAMME. This was launched in 1961 by ministry of education . First started in Tamil Nadu. Major Objectives; Improve school attendance. Reduce school drop out. Beneficial impact on child’s nutrition.
Principles; Supplement and not to substitute to the home diet. Supply at-least 1/3 of energy requirement and ½ of protein needed. Cost of meal should be reasonably low. Meal prepared easily in school, no complicated cooking procedures. Locally available foods should be used. The menu should be changed frequently. The meal should be hygienic. The mid-day meal programme became part of the minimum needs programme in FIFTH FIVE YEAR PLAN.
MID-DAY MEAL MODEL MENU VVHUTRFYU FOOD STUFFS CEREALS AND MILLETS 2. PULSES 3. OILS AND FATS 4. LEAFY VEGETABLES 5. NON-LEAFY VEGETABLES G/DAY/CHILD 75 30 8 30 30
MID-DAY MEAL SCHEME; Also called as National programme of nutritional support to primary Education. Launched as a centrally sponsored scheme on 15 AUG 1995 and revised in 2004. Objective: Universalization of primary education by Increasing enrolment, retention and Attendance and simultaneously impacting On nutrition of students in primary classes. It was implemented in 2408 blocks in the First year covered the whole country in Phased manner by 1997-98.
Cont. The programme originally covered children of primary stage (1 to 5 classes) in govt. , local body and govt. aided schools and was extended in OCT 2002 to cover children studying in Education Guarantee Scheme and Alternative and Innovative Education Centers also. The central assistance provided to states by way of free supply of food grains from nearest Food Corporation of India godown at the rate of 100g per student per day and subsidy for transport of food grain. 300 calories and 8-12g of protein content will be provided to all the children in class 1 to 5.
Cont . In 2007 the scheme extended to cover 6 th to 7 th class in upper primary of educationally backward block. Benefits : Admissions in schools will be enhanced. Children attend school regularly. Enhance social interaction. Facilitate healthy growth of children. It is an opportunity to impart various good habits in children (hand washing). Fosters social and gender equality. Facilitates cognitive, emotional and social development of children.
SUGGESTIONS FOR PREPARATION 0F NUTRITIOUS MEAL Food be stored in tight containers. Use whole wheat or broken wheat. Rice par boiled or unpolished. Cereal pulse combination used. Sprouted pulses should be included. Wash the ingredients before cooking. Fermentation improves nutritive value. Cooking with lid to avoid wastage of nutrients. Avoid reheated oil. Overcooking should be avoided.
PM POSHAN The Union Cabinet Committee on Economic Affairs (CCEA) chaired by PM Narendra Modi approved the pradadhan mantri poshan shakti nirman (PM POSHAN) , a modified version of existing MDMS on 29 SEP 2021 . Meals will now be extended to students studying in pre-primary levels or Bal Vatikas of govt. and govt. aided primary schools in addition to those already covered under the scheme .
ROLE OF NURSE: Awareness to families in-order to improve health status, reduce dropouts, increase enrolment. Education about menu planning. Identifying malnourished and maintaining growth chart and in severe cases provision of referral services. Education about best and easy way to achieve nutritious diet. Educate about hygienic practices to prevent food poisoning.
Cont… Periodic health checkup of cook cum helper is done. Education regarding proper storage of food items. Collaboration with government and non-government agencies for betterment of children.
Reference Textbook of community health nursing 2 prof . RP SAXENA Essentials of community health nursing (5 th edition) K.PARK Textbook of community health nursing 2 SHYMALA D