Assessing gaps in Infant and Young Child Feeding (IYCF) practices and capacity building of functionaries and beneficiaries of Integrated Child Development Services (ICDS) for improved outcomes

Abstract

Knowledge, Attitude and Practices (KAP) of Anganwadi workers (AWW) i.e. ICDS functionaries and mothers regarding maternal health care practices during pregnancy and IYCF practices were assessed. The AWWs were well aware about the objectives of the ICDS program. Knowledge scores of functionaries regarding maternal health care and IYCF at baseline were good. Most AWWs had little information on the importance of the Nutrition Health Education (NHE) service and how it should be implemented. Knowledge scores of mothers regarding IYCF were sub optimal. Utilisation of antenatal care by mothers was good with 90% of mothers receiving more than three checkups. Utilisation of food supplements and attending sessions by mothers at the Anganwadi (ICDS centre) was sub-optimal at baseline. There was lack of convergence between ICDS and health sector. Appropriate interventions led to improved counseling and delivery of nutrition, health services by ICDS functionaries and adoption of optimal IYCF practices by mothers. Key Words: Infant and Young Child Feeding (IYCF); Antenatal Check up; Counseling; Integrated Child Development Services (ICDS) Program