National nutritional programme

ICDs, Mid Day Meal Programme Etc.

1. SEMINAR ON: NATIONAL NUTRITIONAL PROGRAMMES Presented By: Mr. Mahesh Chand Lecturer

2. Nutritional programmes INTRODUCTION Government of India has initiated several large scale supplementary feeding program. And programmes aimed at over coming specific deficiency disease through various ministers to carinate malnutrition.

3. DEFINATION NUTRITON- ‘Science of food and its relationship to health. It is concerned primarily with the part played by the nutrients in body growth development and maintenance.’

4. I. INTEGRATED CHILD DEVELOPMENT SERVICES(ICDS ) INTRODUCTION- Blue print of scheme was prepared by department of social welfare in 1975. The experiment project was conducted in year 1975-1976. It was conducted in 4 urban,19 rural and 10 tribal areas. Spread over 22 states and the union territory of Delhi. The population norms for setting up of anganwadi centres and mini anganwadi centres has been revised to cover all habitations by SC,ST,Minorities. For the anganwadi centres in rural and urban project population range from 400-800.

5. SERVICES CONSIST OF ; SUPPLEMENTATRY NUTRION. IMMUNIZATION HEALTH CHECK UP MEDICAL REFERRAL SERVICES NUTRION AND HEALTH EDUCATION FOR WOMEN NON-FORMAL EDUCATION FOR CHILDREN UPTO AGE 6 YRS.

6. OBJECTIVES OF ICDS; To improve the nutritional health status of children.(0-6yrs) To lay foundation for proper psychological, physical and social development of children. To reduce the mortality and morbidly malnutrition school drop out. To achieve an effective coordination of policy and implementation among various departments. To enhance the capacity of mother and nutritional oral needs of children through proper nutrition and health education.

7. 1.SUPPLEMENTARY NUTRION THE AIM OF THIS SCHEME IS TO SUPPLMENT NUTRIONAL INTAKE AS FOLLOWS; A)Each child 6months to 6yrs – 500 kcal, 12- 15 grams of protein. Financial norms of Rs. 4.00 per child per day. B)several malnutrition child 6months to 6yrs – 800kal, and 20-25 grams proteins. Financial norms Rs.6 per child day.

8. conti …… C)Each pregnant and nursing women- 600 kcal and 18-20 grams of proteins. Financial norms rs.5 per day.

9. This supplementary nutrition is given for 300 days in yr Finance provided is by state plan. Weight of children is checked every monthly. Nutritional health education is given to mother and children suffering from 1st degree of malnutritonal . supplementary nutrition is given to 2 nd and 3 rd degree malnutrition. 4 th degree malnutrition are advised for hospitalization.

10. 2.NUTRITION AND HEALTH EDUCATION Nutrition and health education is given to all woman in age group 15-45 yrs. Priority is given to nursing expectant mother.

11. 3)IMMUNIZATION Immunization against 6 vaccine preventable diseases is been done. Mothers are immunized against tetanus.

12. 4)HEALTH CHECKUP THIS INCLUDES; a)Antenatal care of expectant mothers . b)Postnatal care of nursing mother and care of newborn. c)Care of children under 6 yrs of age. d)Minimum 3 physical examination are done. e)High risk mothers refer to appropriate institution for special care.

13. Health care of children under 6 year. Record of weight & hight of children at periodic interval. Watch over the miles stones. Immunization General check up every 3 to 6 months to detect diseases & malnutrition. Treatment of disease like diarrhoea, RTI. Deworming .

14. Prophylaxis against vitamin A deficiency and anaemia. Refer of serious cases to hospital. A card containing health record of child is given to mother.

15. Non Formal pre school Education Children of 3 to 5 years are imparted non formal and pre school education in an Anganwadi in each village in about 1000 population.

16. Objective: Provide opportunity to develop desirable attitude, values, behavioural pattern among children. In expensive toys and materials are used in organizing play and creative activity

17. II. MID DAY MEAL PROGRAM Introduction: Launched on 15 aug 1995. Revised in 2004. Also called as National Support to Primary Education

18. AIMS To fulfil one third nutritional requirement of school children. To create interest about school and education. To reduce absenteeism in school. To provide relief to parents of poor children.

19. Principles One third energy and half of protein req of the child must be met. Food should be free and at minimum cost. Food should be prepared in school itself. Locally available food should be used in preparing the meal. The menu should be change to avoid boredom among the children.

20. MIDDAY MEAL SCHEME In the schemes central govt provides a free supply of food grains through FCI. At least 300 cal and 12 gm protein is provided to all primary class students through this scheme.

21. III. “VITAMIN A” PROPHYLAXIX It is one of the component of National programme for Control of Blindness. It was launched by Ministry of health and family welfare(1970). They administer the single massive dose of an oily preparation of Vit A, containing 2,00,000 IU orally to all preschooler children every 6 months.

22. FUNCTIONS OF VIT A: It is indispensable for normal vision. It produces for retinal pigment which are needed for vision in dim light. It supports growth especially skeleton growth. It is anti infective.

23. DEFICIENCY OF VITAMIN A: Night blindness Conjunctival Xerosis Bitot's Spot Xerophthalmia

24. PREVENTION: Children are given Vit A solutions at every 6 month Interval 1 dose of 100000 IU of vit A solution. -1ml to infants between 6 to 11 months of age. 200000 IU of VIT A solution -2 ml of every 6 month between 1 to 5 years of age. In such way child receives 9 doses of vit A Solution, till he attains 5 years of age

25. Recommended by ICMR (2010) Group Intake of Vit A/day ADULT Men/Women Pregnancy Lactation INFANT 0-12 months CHILDREN 1-6 years 7-9 years ADOLESCENTS 10-17 years 600mcg 800mcg 950mcg 350mcg 400mcg 600mcg 600mcg