NUTRITIONAL PROGRAMMES IN INDIA BY: Dr.Ravikrishnan R MAPIMS
Programmes in India Ministry of social welfare: Integrated child development services scheme Balwadi nutritional programme Special nutrition programme 2. Minstry of health and family welfare: National nutritional anaemia prophylaxis National prophylaxis programme for prevention and control of blindness National iodine deficency disorder control programme
Programmes in India 3. Ministry of education: Mid-day meal programme
Aims: To provide additional nutrients to target groups . To fulfill the gap between food intake and requirement. Beneficiaries: Pre-school children School children Pregnant women Lactating mother
ICDS scheme Objectives: To improve the nutritional and health status of children in the age of 0-6 yrs To lay foundation for proper psychological,physical and social development of the child To reduce the incidence of mortality,morbidity , malnutrition and school dropout.
ICDS scheme 4. To achieve effective co-ordination of policy and implementation amongst the various departments to promote child development; 5. To enhance the capability of the mother to look after the normal health and nutritional needs of the child through proper nutrition and health education.
ICDS scheme Beneficiary group: Children in the age of 0-6yrs Pregnant women Lactating mothers Women in 15-45 yrs Adolescent girls
Balwadi nutrition programme Was started in 1970 under the department of social welfare through voluntary organisations. Beneficiary group: Pre-school children 3-5 yrs of age Services: 300kcal and 100 gm protein for 270 days in a year Also pre school education Balwadis are now being phased out because universalization of ICDS
Special nutrition programme Operation in urban slums, tribal areas and backward rural areas. Operated under minimum need programme. Aim: To improve nutritional status in targted group. Beneficiary group: Children below 6yrs Pregnant and lactating women
Special nutrition programme Services: Preschool children:300kcal and 10-12gm protein Pregnant and lactating mothers:500kcal and 25 gm protein. Total of 300 days in year Iron and folic acid tablets Now it is merged with ICDS
NATIONAL NUTRITIONAL ANEMIA PROPHYLAXIS PROGRAMME
National nutritional anemia prophylaxis programme Programme was launched during fourth 5-year plan by minstry of health and family welfare. Aim : For prevention of nutritional anemia in mothers and children
National nutritional anemia prophylaxis programme Rationale: Supplementary iron on daily basis is considered necessary in developing countries because approaches like food fortification and dietary modifications are long term options. Requirements during 2 nd and 3 rd trimester can’t be made by daily intake. Majority of girls are anemic,even in their adolescence
Beneficiaries and services : Pregnant , lactating mother and acceptor of family planning 1 tab.iron and folic acid -100mg elemental iron -0.5mg folic acid 100 days Children 1-12 years 1 tab.iron and folic acid -20mg elemental iron -0.1mg folic acid 100 days
National prophylaxis programme against nutritional blindness due to vitamin –A deficiency
National prophylaxis program against nutritional blindness(NPPNB) It is centrally sponsored scheme by minstry of health and family welfare. In 8 th 5 year plan vit -A supplementation linked with immunization. Target groups: All children 1-5 yeras of age Activity: Children are given massive dose of vit -A i.e., 1 lakh IU at 6-12 months 2 lakhs IU at 6 month interval till 5 years of age.
National prophylaxis program against nutritional blindness(NPPNB) Treatment of vit - A deficiency: Immediately after diagnosis 2 lakh IU followed by another dose of 2 lakh IU 1-4 weeks later.
National iodine deficiency disorder control programme (NIDDCP)
National iodine deficiency disorder control programme National goitre control programme launched in 2 nd 5 year plan by minstry of health and family welfare. Now it is replaced by NIDDCP. Aim: To bring the prevelance of IDD to below 5%in the country To ensure 100%consumption of adequately iodized salt(15ppm)at the household level.
National iodine deficiency disorder control programme Objectives: Surveys to assess the magnitude of the iodine deficiency disorders. Supply of iodised salt in place of common salt Resurvey after 5 yrs to assess the extent of iodine deficiency disorders and the impact of iodised salt Laboratory monitoring of iodised salt and urinary iodine excretion. Health education
Mid-day meal programme
Mid-day meal programme Also called as School Lunch Programme. First started in Tamilnadu , under the ministry of education. Aim: To provide at least one nourishing meal to school going children per day. Beneficiaries: Primary school children(6-11) Given for 250 days per year
Mid-day meal programme Objectives: To improve school attendance Reduce school drop outs Beneficial impact on children nutrition Principles: Supplement NOT A SUBSTITUTE to home diet. Supply at least 1/3 of the energy requirement and ½ of protein needed.
Mid-day meal programme The cost of meal should be reasonably low. Meal prepared easily in schools , no complicating cooking procedures. Locally available foods should be used. The menu should be changed frequently.