MPDC 405 (Community Services)

course material (UNIT-III) Programmes and policies of government

and non government organization for vulnerable group

NUTRITIONAL PROGRAMMES FOR ADOLESCENT AND WOMEN

Dr. Neetu Singh

Associate Professor

School for Home Science

Babasaheb Bhimrao Ambedkar (A Central) University,

Lucknow (226025)

NUTRITIONAL PROGRAMMES

Government of India has ini t iated

several large scale supplementary

feeding program. And programmes

aimed at over coming specif ic

deficiency disease through various

ministers to carinate malnutr i t ion.

NUTRITON

‘Science of food and its relationship to

health. I t is concerned primari ly with the

part played by the nutr ients in body

growth development and maintenance. ’

Ministry Of Rural

Development

Applied Nutrition

Programme (ANP)

Ministry Of Social

Welfare

Integrated Child

Development Services

Scheme

Balwadi Nutrition

Programme

Special Nutrition

Programme

Ministry Of Health And

Family Welfare

National nutritional

•Anemia Prophylaxis

Programme

National Prophylaxis

Programme for prevention

of blindness

National Iodine

Deficiency Disorder

Control Programme

Ministry Of Education

Mid-day Meal

Programme

Programmes and ministry

Kishori Shakti

Yojana

Nutrition

Programme

for

Adolescent

Girls (NPAG)

Weekly iron

and folic acid

supplementati

on (WIFS)

Rashtriya

Kishor

Swasthya

Karyakram

(RKSK)

The Ministry

of Health &

Family

Welfare

Women and

child

development

Ministry Of

Social

Welfare

The Ministry

of Health &

Family

Welfare

Wheat Based

Supplementary

Nutrition

Programme

(WNP)

The Ministry

of Health &

Family

Welfare

Applied Nutrition Programme (ANP)

• ANP star ted f i rs t in Or issa on 1963.

• la ter extended whole country through the government of India.

Objectives:

• Promoting product ion and of protect ive food such vegetables and f ru i ts.

• Ensure thei r consumption by pregnant and lactat ing women and chi ldren.

Activit ies:

• Nutr i t ional educat ion

• Nutr i t ion worth 25 paisa for ch i ldren and 50 paise for pregnant and lactat ing women for 52 days in

a year.

Integrated Child Development Services Scheme (ICDS)

• In i t ia ted in October 2 nd ,1975, in 33 CD Blocks under 5 th F ive Year P lan

• Wor ld ’s largest program for ear ly ch i ldhood development .

• I t is the symbol o f count ry ’s commi tment to i ts ch i ldren and nurs ing mothers to prov id ing pre -school

nonformal educat ion on one hand and break ing the v ic ious cyc le of malnut r i t ion , morb id i ty, reduced learn ing

capaci ty and morta l i t y on the other.

Object ives:

• To improve the nut r i t ional and heal th s ta tus of ch i ld ren in the age -group 0-6 years .

• To lay the foundat ion for proper psycho log ica l , phys ica l and soc ia l deve lopment of the ch i ld .

• To reduce the inc idence of mor ta l i t y, morb id i ty, malnu t r i t ion and schoo l dropout .

• To enhance the capab i l i t y o f the mother to look af ter the normal heal th and nut r i t ional needs of the ch i ld

through proper nut r i t ion and heal th educat ion .

• Achieve effect ive coord inat ion among var ious depar tments

Beneficiary and Services

Pregnant women Health check-ups, TT, supplementary nutrition, health

education

Nursing Mothers Health check-us supplementary nutrition, health education

Children less than 3 years supplementary nutrition, health check-ups,

immunization, referral services

Children between 3-6 years supplementary nutrition, health check-ups,

Immunization, referral services, non formal education

Adolescent girls( 11-18 years) supplementary nutrition, health education

Balwadi Nutrition Programme

• Th is was s ta r ted in 1970 under the depar tment o f soc ia l we l f a re th rough vo lun ta ry o rgan iza t ions .

• I t i s a nu t r i t ion p rogramme f o r p reschoo l ch i l d ren .

• The Mah i la Manda ls run these ba lwad is .

Objec t ives:

• To p reven t nu t r i t i ona l anemia in mo thers and ch i ld ren .

• To assess p reva lence , g i ve t rea tment , g i ve p rophy lax is , mon i to r ing

& educa te .

Benef ic iary:

Preschoo l ch i l d ren 3 -5yea rs o f age .

Services:

• 300kca l and 10gm p ro te in f o r 270 days in a yea r.

• Also p rov ide w i th p re schoo l educa t ion

Special Nutrition Programme (SNP)

• launched in 1970-71 by the Min is t ry of Socia l Wel fare, Government of India.

• Operated under min imum need programme

• Main a im is to improve nutr i t ional s tatus in targeted group.

Objectives:

• The object ives of the programme is to improve the, nutr i t ional of preschool ch i ldren, pregnant and lactat ing mothers of poor socio -economic groups in urban s lums, t r iba l areas and drought prone rura l areas.

Beneficiary:

• Chi ldren below 6 years

• Pregnant and lactat ing women

Services:

Preschool ch i ldren : 300kcal and 10 -12gm prote in

Pregnant & lactat ing mothers :500kcal and 25 gm prote in

National Nutritional Anemia Prophylaxis Programme

• Programme was launched dur ing 4th 5 -year p lan in 1970.

• 1991-Renamed as ‘Nat ional nut r i t ional anemia contro l programme’ .

Object ives:

To prevent nut r i t iona l Anemia in ch i ldren & mother.

Bene f ic ia ry:

• Chi ldren 1 -5years of age

• Expect ing and lactat ing mothers

• Fami ly p lanning ( IUD) acceptors

Services

• IFA tab le t to targe t populat ion on weekly bas is on a f ixedday (Monday) for 52 weeks .

• Biannua l deworming (February and August )

National Prophylaxis Programme for prevention of blindness due to vitamin-A deficiency (NPPNB)

• NPPNB launched in 1970. I t Was 1st ini t iated in 11 states.

• Subsequent years: program extended to whole of the country.

Objectives:

• reduction of bl indness & prevention of bl indness due to vi t -A.

Beneficiary:

• al l chi ldren 1-3 years of age.

Activities:

• Children are given a massive dose of vi t A i .e 1 lakh IU at 6-12 month & subsequently 2

lakhs IU at 6 month interval t i l l the chi ld is 5 yrs old.

National Iodine Deficiency Disorder Control Programme

• Na t i ona l G o i t re Con t r o l P r og r amme l aunc hed i n 1962 , a t t he end o f 2nd5 - yea r p l an by Min i s t r y o f H&FW , G o I .

• 1 9 9 2 - p r og ramme r enam ed as ‘Na t i ona l i od ine de f i c i enc y d i s o r de r c on t r o l ’ s

O b ject ives:

• Sur veys t o as s es s t he m ag n i t ude o f I DD .

• Supp l y o f i od i s ed s a l t

• Res u r veys 5yea r l y t o as s es s im pac t o f i od i s ed s a l t & I DD

• L a b m on i t e r i ng o f i od i s ed s a l t and U I E

• Hea l t h educ a t i on .

Act i v i t i es :

• Us e o f I od i zed o i l I n j ec t i on t o t hos e s u f f e r i ng f r om I DD, O r a l adm in i s t ra t i on as p r ophy lax i s i n I DD s eve r e a r eas .

• Foc us es on us e o f I od i s ed Sa l t – Rep lac e o f c om m on s a l t w i t h i od i s eds a l t , Cheapes t m e t hod t o c on t ro l I DD .

Mid-day Meal Programme

• First s tar ted in Tami lnadu s ince 1961. Also known as School lunch programme.

• The programme was revised in the year 2004.

Objectives:

• Improve the school at tendance

• Reduce school drop outs

• Benef ic ia l impact on chi ld ’s nutr i t ion

Beneficiary:

• School going chi ldren

Services:

Provide lunch in schools.

RASHTRIYA KISHOR SWASTHYA KARYAKRAM (RKSK)

• Launche d on 7th Jan 2014, i n 231 d i st r i c t s in countr y.

Object ives:

• Improve nutr i t i o n

• Enab le S exua l and Reprodu c t i ve Hea l th .

• Enhance Menta l Hea l t h .

• Prevent In jur ie s and V io len ce (Gend er Based V io lenc e )

• Prevent S ubstan ce Misu se .

• Address cond i t i o n s for Non C ommun icab l e D i sea s e s .

Benefic iary:

• 10-14 years and 15-19 years wi th un iversal coverage, i .e . males and females; urban and rura l ; in

school and out o f school ; marr ied and unmarr ied; and vu lnerable and under -served.

KISHORI SHAKTI YOJANA

• L aunc hed i n 31 aug us t 2007 by W omen and c h i l d deve lopm en t .

O bject ives:

• To improve the nutr i t i o na l and hea l th statu s o f g i r l s in the age group of 11 -18 years ;

• To prov ide the requ i red l i teracy and numerac y sk i l l s throug h the non - for ma l st ream of educat i o n , to st im ul ate a des i re for

more soc ia l expos ure and knowle dge and to he lp them improve the i r dec i s i o n mak ing capab i l i t ie s .

• To t ra in and equ ip the ado le sc ent g i r l s to improve/ upgrade home - b a s ed and vocat io na l sk i l l s ;

• to promo te awarenes s o f hea l t h , hyg iene , nutr i t i o n and fami ly we l fare , home manage me nt and ch i ld care , and to take a l l

measure as to fac i l i ta te the i r marr y ing on ly af ter atta in i ng the age of 18 years and i f poss i b le , even later ;

• to ga in a better understa nd i ng o f the i r env i ro n me nt re lated soc ia l i s su e s and the impact on the i r l i ves ; and

• to encoura ge ado les ce nt g i r l s to in i t ia te var iou s ac t iv i t i e s to be produc t ive and usefu l members o f the soc iety.

Bene f ic ia ry :

• Ado les c en t G i r l s ( 11 - 18 y r s . )

NUTRITION PROGRAMME FOR ADOLESCENT GIRLS (NPAG)

• Introduced in the year 2002-2003 with 100% Central Assistance

Objectives:

• Improve Nutri t ional and health status adolescent gir ls.

• Provide nutr i t ion and health education to the beneficiaries.

• Empower adolescent gir ls through increased awareness to take better care of

• their personal health and nutr i t ion needs.

Beneficiary:

• Adolescent gir ls <35 Kg

• Pregnant women <45 kg

Services:

• 6 Kg rat ion per month for three months consecutively.

• Implemented through the A.W. Centres

• Weighing four t imes in a year

• on the basis of the body weight, issuance of l ive r ice wi l l continue for 3 months.

• In Assam, Kokrajhar and Karbi -Anglong as pi lot distr icts

WEEKLY IRON AND FOLIC ACID SUPPLEMENTATION (WIFS)

• A ls o k n o wn a s W I F S - B lu e c a m p a ig n .

O b j e c t i v e s :

• T o ens u r e adm in i s t ra t i on o f I FA t ab le t onc e p e r week a n d A lbendazo le t w i c e a yea r f o r d e - wo r m ing .

• T o i n f o rm ado les c en t boys a n d g i r l s o f t he c o r r ec t d i e t a r y p r ac t i c es f o r i n c r eas ing i r on i n t ak e .

• To d i ssem ina te in f o rmat ion on p reven t ing worm i n f es ta t ion among ado lesc ences and encourage

adop t i on o f co r rec t hyg iene p rac t i ces , i n c l ud ing use o f f oo t wear t o preven t worm in f es ta t ion .

S t r a tegy

B e n e f i c i a r y :

• Ad o le s c e n t g i r l s / b o y s e n r o l l e d i n s c h o o l , 6 t h - 1 2 t h s t d .

• Ad o le s c e n t g i r l s n o t e n r o l l e d i n s c h o o l s

Se r v i c e s :

• I F A t a b l e t t o t a r g e t p o p u la t i o n o n we e k l y b a s i s o n a f i x e d d a y( M o n d a y ) f o r 5 2 we e k s .

• Ministry of women and chi ld development

• I t was int roduced in 1986.

Objective:

• The programme aims to enlarge the scope of exis t ing nutr i t ion programme by cover ing addi t ional

benef ic iar ies i .e . pre -school ch i ldren and nurs ing and expectant mothers through wheat -based

supplementary nutr i t ion

Beneficiary:

• Chi ld below 6 years of age and expectant/ lactat ing women f rom disadvantaged sect ion.

Services:

• provid ing nutr i t ious/ energy food to the benef ic iar ies.

WHEAT BASED SUPPLEMENTARY NUTRITION PROGRAMME (WNP)

• Ministry of women and chi ld development

• I t was int roduced in 1986.

Objective:

• The programme aims to enlarge the scope of exis t ing nutr i t ion programme by cover ing addi t ional

benef ic iar ies i .e . pre -school ch i ldren and nurs ing and expectant mothers through wheat -based

supplementary nutr i t ion

Beneficiary:

• Chi ld below 6 years of age and expectant/ lactat ing women f rom disadvantaged sect ion.

Services:

• provid ing nutr i t ious/ energy food to the benef ic iar ies.

MOTHERS’ ABSOLUTE AFFECTION PROGRAMME (MAA)

• Programme was launched at the national level on 5th August 2016.

Objective:

a) Build an enabling environment for breastfeeding through awareness generation activities,

targeting pregnant and lactating mothers, family members and society in order to promote

optimal breastfeeding practices. Breastfeeding to be positioned as an important

intervention for child survival and development.

b) Reinforce lactation support services at public health facilities through trained healthcare

providers and through skilled community health workers.

c) To incentivize and recognize those health facilities that show high rates of breastfeeding

along with processes in place for lactation management.