Abstract

Statement of the Problem: ‘Integrated child development services’ is a scheme started in India in 1975. It was identified as one of the three flagship programs in India to ensure food security in rural, tribal and urban slums. The present study was undertaken to analyze the impact of the program in ensuring food security to the beneficiaries. Methodology: A sample of 640 children from different clusters of Integrated child development services’ scheme serving about 25 villages was selected for the study. The children were assessed for nutritional status and health, through anthropometric measurements and compared with the standard measurements. The nutritional status of the children was evaluated by McLaren and Read classification of height, Rao and Singh index of weight for height and Gomez classification of Weight for age. Findings: The results indicated that food security was ensured through ICDS scheme, as indicated by various parameters. McLaren and Read classification indicated that the children with normal nutritional status were high. Rao and Singh index which considers both weight and height, projected that on average 48 % girls and 34 % boys were normal while 50 % girls and 62 % boys of 0-5 years of age were suffering from PEM. The evaluation based on Gomez classification indicated that 39 % and 36 % of girls and boys respectively were normal while 47 % and 51 % of girls and boys were in Grade I malnutrition. About 13 % in either sex were in Grade II while only 1 % of girls were in Grade III. This positive anthropometric profile is achieved by the diet provided at ICDS which met about 30-60 % of RDA of children. However, the infants were more malnourished. It is felt that the diet during pregnancy and the pregnancy outcome are still at stake resulting in Low Birth weight and severe malnutrition during infancy. It was observed, that the diet given to the pregnant women was deficient in iron meeting only 11 % of the RDA, while the fat was 106 % of RDA and other nutrients were about 30 % of RDA. The low iron intake is reflected in low Hb levels and anemia, which is on par with the incidence reported in different regions of India. The key cause of malnutrition is poor dietary intakes among vulnerable population. Since, iron deficiency is highly prevalent, among pregnant women, the supplementary diet should be aimed at providing iron rich foods like egg, rice flakes, jaggery, dry fruits and nuts, which helps in preventing pregnancy wastage, MMR, IMR, LBW etc. The nutritional status was better in the 2-3 years age group. The supplementary diet is provided to infants as well, which would have improved the nutritional status after the first year and brought about a shift from moderate and severe malnutrition to the normal and mild state of malnutrition. It is also very interesting to note that as the children progressed into 4 and 5 years age, the mild malnutrition again surfaced indicating that the diet provided at the ICDS was not sufficient to meet the nutritional requirements of the children. So, the home diet has to be improved to sustain the nutritional benefits obtained at ICDS until 5 years.

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