Refine your search
Collections
Co-Authors
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Prabhakar, Kamini
- Use of Mother Child Protection Card for Improving Infant Feeding Practices
Abstract Views :371 |
PDF Views:2
Authors
Affiliations
1 Nutrition Foundation of India, C-13, Qutab Institutional Area, New Delhi - 110 016, IN
2 Department of Food Science and Nutrition, Avinashilingam Institute for Home Science and Higher Education for Women, Coimbatore - 641 043, IN
1 Nutrition Foundation of India, C-13, Qutab Institutional Area, New Delhi - 110 016, IN
2 Department of Food Science and Nutrition, Avinashilingam Institute for Home Science and Higher Education for Women, Coimbatore - 641 043, IN
Source
The Indian Journal of Nutrition and Dietetics, Vol 56, No 4 (2019), Pagination: 351-364Abstract
For the last four decades India had invested in interventions for improving household food security, supplementary feeding programmes and health care to pre-school children. However under-nutrition rates in under-five children continue to be high. Poor infant and young child feeding and caring practices had been identified as the major modifiable factors associated with under-nutrition especially in the critical first two years. Mother Child Protection Card (MCPC) was introduced as the critical intervention tool for combating these two factors and improving nutritional status of the children. A community based mixed longitudinal study was taken up in urban low middle income group mothers with under-three children to assess feasibility and impact of using MCPC as a supportive tool for nutrition and health education regarding infant and young child feeding and care during illness. Mothers readily accepted MCPC, kept it safely and produced it when requested. MCPC with authentic pictorial messages was used by all health and nutrition front line workers and research team; this practice ensured uniformity in nutrition and health education messages. Over 90% of infants at 2 months and over 2/3rd at 5 months were solely breast-fed. By 8th month almost all infants received semi-solid food. Almost all families accessed health care during illness and followed the advice regarding feeding during illness and convalescence. As a result the mean z scores for weight-for-age did not show any deterioration in the first year. MCPC is a useful tool in providing nutrition and health education and improving infant feeding practices.Keywords
Mother Child Protection Card, Under-Three Children, Infant Feeding, Morbidity, Nutritional Status.
References
- Jones, G., Steketee, R. W., Black, R. E., Bhutta, Z. A. and Morris, S. S. Bellagio child survival study group. How many child deaths can we prevent this year? Lancet, 2003, 362, 65-71.
- Bhutta, Z.A., Ahmed, T., Black, R.E., Cousens, S., Dewey, K., Giugliani, E., Haider, B.A., Kirkwood, B., Morris, S.S., Sachdev, H.P. and Shekar, M. Maternal and child under nutrition study group. What works? Interventions for maternal and child under nutrition and survival. Lancet, 2008, 371, 417-440.
- Ramachandran, P. Nutrition transition in India, 2008, 1947-2007. http://wcd.nic/publications.htm accessed on 10.7.2018MDG doc
- Ramachandran. P. and Kalaivani, K. Nutrition transition in India: challenges in achieving global targets. Proc. Ind. Natn. Sci. Acad., 2018, 84, 821-833.
- Gupta, A. and Thakur, N. Infant and young feeding practices in India: Current status and progress towards SDG targets. Proc. Ind. Natn. Sci. Acad., 2018, 84, 853-865.
- Aggarwal, A., Verma, S., Faridi, M.M.A. and Dayachand. Complementary feeding-reasons for in appropriateness in timing, quantity and consistency. Ind. J. Pediat., 2008, 75, 49-53.
- Chaturvedi, A., Nakkeeran, N., Doshi, Patel, R. and Bhagwat, S. Capacity of frontline ICDS functionaries to support caregivers on Infant and Young Child Feeding (IYCF) practices in Gujarat, India. Asia Pac. J. Clini. Nutr., 2014, 23, S29-S37.
- Parikh, P. and Sharma, K. Knowledge and perceptions of ICDS anganwadi workers with reference to promotion of community based complementary feeding practices in semi tribal Gujarat. Nat. J. Commu. Med., 2011, 2, 457-464.
- Aruldas, K., Khan, M.E. and Hazra, A. Increasing appropriate complementary feeding in rural Uttar Pradesh. The J. Family Welfare, 2010, 56, 51-56.
- Imdad, A., Yakoob, M.Y. and Bhutta, Z.A. Impact of maternal education about complementary feeding and provision of complementary foods on child growth in developing countries. BMC Public Health, 2011, 11, S25.
- Kushwaha, K.P., Sankar, J., Sankar, M.J., Gupta A, Dadhich, J.P., Gupta, Y.P., Bhatt, G.C., Ansari, D.A. and Sharma, B. Effect of peer counselling by mother support groups on infant and young child feeding practices: the Lalitpur experience. PLoS One, 2014, 9, 1-8.
- Malhotra, N. Inadequate feeding of infant and young children in India: lack of nutritional information or food affordability? Public Health Nutr., 2012, 16, 1723-1731.
- International Institute for Population Sciences (IIPS). National Family Health Survey (NFHS-4), 2015–16 India report http://rchiips.org/NFHS/NFHS-4Reports/India.pdf
- Kalaivani, K. and Prema Ramachandran. Combating the triple burden of malnutrition: World Health Assembly targets for 2025 NFI Bulletin: 2017, 38, 1-8.
- FAO The State of Food Insecurity in the World. www.fao.org/publications/sofi/2013/en/ accessed on August 22, 2018.
- IIPS. National Family Health Survey-1, http://rchiips.org/nfhs/pub_nfhs-1.shtml, accessed on 10 Dec 2018.
- IIPS. National Family Health Survey-2, http://rchiips.org/nfhs/pub_nfhs-2.shtml, accessed on 10 Dec 2018.
- IIPS. National Family Health Survey-3, http://rchiips.org/nfhs/pub_nfhs-3.shtml, accessed on 10 Dec 2018.
- IIPS - District Level Household and Facility Survey DLHS-1 http://rchiips.org/PRCH-1.html accessed on 28 March 2019.
- IIPS - District Level Household and Facility Survey DLHS-2http://rchiips.org/PRCH-2.html accessed on 28 March 2019.
- IIPS - District Level Household and Facility Survey DLHS-3http://rchiips.org/PRCH-3.html accessed on 28 March 2019.
- IIPS District Level Household and Facility Survey (DLHS-4) 2014 https://data.gov.in/.../district-level-household-and-facility-survey-dlhs-4 accessed on 28 March 2019.
- RGI: Annual Health Survey CAB component: CAB State Fact Sheets www.http://www.censusindiagov.in/2011census/hh-series.cab.html accessed on 28.3.2019 AHS CAB
- Growth Monitoring in Under-Three Children Using the Mother Child Protection Card
Abstract Views :239 |
PDF Views:1
Authors
Affiliations
1 Nutrition Foundation of India, C-13, Qutab Institutional Area, New Delhi - 110 016, IN
2 Department of Food Science and Nutrition, Avinashilingam Institute for Home Science and Higher Education for Women, Coimbatore - 641 043, Tamil Nadu, IN
1 Nutrition Foundation of India, C-13, Qutab Institutional Area, New Delhi - 110 016, IN
2 Department of Food Science and Nutrition, Avinashilingam Institute for Home Science and Higher Education for Women, Coimbatore - 641 043, Tamil Nadu, IN
Source
The Indian Journal of Nutrition and Dietetics, Vol 57, No 4 (2020), Pagination: 368-386Abstract
Right from its inception, ICDS programme envisaged monthly weighing and monitoring of growth in under-three children for early detection of under-nutrition. Currently accurate portable digital balances are available in anganwadi and Mother Child Production Card (MCPC) with child growth charts has been provided to children. A community based mixed longitudinal study was taken up in under-three children from urban low middle income families to assess feasibility and impact of growth monitoring and appropriate nutrition education using MCPC. Monthly weighing of children and plotting the weight-for-age in the MCPC was carried out by the research staff. A total of 5708 children were enrolled and followed up over 32879 visits between 2015 and 2019. Plotting the weight-for-age of the child in growth chart enabled identification of underweight children at the time of the visit so that appropriate nutrition and health education and care can be provided. Monthly weighing and plotting weight-for-age in growth chart enabled identification of small children growing along their own trajectory and prevented them from being mislabelled as under-nourished. Children showing deterioration in Weight for age Z score (WAZ) as compared to earlier visit(s) were readily identified and given needed advice. Personalised nutrition and health education provided at each visit taking into account current nutritional status, morbidity and Infant and Young Child Feeding Practices (IYCF) helped in preventing rise in underweight rates in the first 18 months and brought about some improvement in nutritional status of moderate and severely underweight children. It is feasible to operationalize growth monitoring as envisaged in Poshan Abhiyaan and accelerate the pace of reduction in under-nutrition in under three children.Keywords
Urban, Under-Three Children, Low Middle Income Families, Growth Monitoring, Mother Child Protection Card, Nutritional Status.References
- National Nutrition Monitoring Bureau: Technical Report for the year 1979 and pooled report .1974-1979 available athttps://www.nin.res.in/downloads/Report_for_the_year_1979.pdf Accessed on 28 July2020
- ICDS programme Ministry of Women and Child Development: Integrated child development services program (ICDS) available at www./icds-wcd.nic.in/frameworkapip.pdf Accessed on 28 July 2020.
- Ramachandran, P. and Kalaivani, K. Nutrition transition in India: Challenges in achieving global targets. Proc. Ind. Nat. Sci. Acad., 2018, 84, 821-833.
- IIPS. National Family Health Survey-1 available at http://rchiips.org/nfhs/pub_nfhs-1.shtml, accessed on 28 July 2020
- IIPS. ‘National Family Health Survey-2 available at http://rchiips.org/nfhs/pub_nfhs-2.shtml, accessed on 28 July 2020
- IIPS. National Family Health Survey- 3. available at http://rchiips.org/nfhs/pub_nfhs-3.shtml, accessed on 28 July 2020
- IIPS ‘National Family Health Survey-4 Fact sheet available at http://rchiips.org/nfhs/pub_nfhs-4.shtml, accessed on 28 July 2020.
- NNMB technical reports 21 to 26 available at http://nnmbindia.org/NNMBREPORTS-web.pdf accessed on 28 July 2020
- Prabhakar, K., Kalaivani, K., Kowsalya, S. and Ramachandran, P. Use of mother child protection card for improving infant feeding practices. Ind. J. Nutr. Diet., 2019, 56, 351-364.
- Lakshmi, R.V., Subapriya, M., Kalaivani, K. and Ramachandran, P. Nutritional status of preschool children from urban low income families. Ind. J. Nutr. Diet., 2019, 56, 265-273.