Positive Deviance Approach and Supplementary Nutrition Under ICDS Scheme on Improvement of Nutritional Status Of 2–6 Year Children in Rural Bangalore

Authors

  • Mohammed Imran Dr BR Ambedkar Medical College & Hospital, Bangalore
  • Mangala Subramanian Vydehi Institute of Medical Sciences and Research Centre, Bangalore
  • Subrahmanyam G Vydehi Institute of Medical Sciences and Research Centre, Bangalore
  • Jayashree Seeri Sapthagiri Institute of Medical Sciences & Research Centre, Bengaluru
  • Pradeep C Vydehi Institute of Medical Sciences and Research Centre, Bangalore
  • Mini Jayan Vydehi Institute of Medical Sciences and Research Centre, Bangalore

Keywords:

malnutrition, Positive deviance approach, Supplementary nutrition, Anganwadi centres

Abstract

Introduction: Childhood malnutrition is a significant health problem in India and important cause for childhood morbidity and mortality. Lack of knowledge about child feeding contributes significantly to poor nutritional status among children. A system to deliver nutrition education effectively would be of value in India. Hence, the present study was designed to assess nutritional status of 2 to 6 year Anganwadi children and to evaluate effect of nutrition education and supplementary nutrition on nutritional status of malnourished Anganwadi children

Methods: An Interventional study was carried out in rural anganwadi centres selected by cluster sampling technique. Intervention was done in the form of Nutrition education based on positive deviance approach, supplementary nutrition and supervision. Weight for age of study participants was measured every quarter for a period of one year.

Results: The prevalence of underweight initially was 47.3%. After intervention prevalence reduced to 43%, 40%, 32% and 30 % during first, second, third and fourth quarter assessment. The improvement was significant between baseline and first quarter assessment (P<0.01), between second and third quarter assessment (P<0.001) and between third and fourth quarter assessment (P = 0.03) though not significant between first and second quarter assessment.

Conclusion: Nutrition education based on positive deviance approach and supplementary nutrition helps to improve the nutritional status of the anganwadi children.

References

BhalwarRajvir, Rajesh Vaidya, RinaTilak et al. Text book of Public Health and Community Medicine, 1st ed. Pune: Department of Community Medicine, Armed Forces Medical College; 2009. p 713.

Tripathi MS, Sharma V. Assessment of nutritional status of pre schoolers in slum areas of Udaipur city. Indian J Public Health 2006;50(1):33–4.

International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS. Available at: http://www.measuredhs.com/pubs/pdf/FRIND3/00FrontMatter00.pdf. Accessed May 01st 2011

WHO Messages for World Health Day 2005. Available at: http://www.who.int/world-health-day/previous/2005/toolkit/messages/en/index1.html. Accessed May 01st, 2011.

Kilaru A, Griffiths P.L, Ganapathy S, et al. Community-based Nutrition Education for Improving Infant Growth in Rural Karnataka. Indian pediatrics 2005;42:425-32.

Kishore J. National Health Programmes of India, 7thed. New Delhi: Century publications; 2007. p 351.

Gopal Chandra Mandal, Kaushik Bose, SamiranBisal. Thinness among rural children in Bengal. Indian J Pediatr 2009;76:817-19.

8. Mandal GC, Bose K, Bisai S, et al. Undernutrition among ICDS scheme children aged2 – 6 years of Arambag, Hoogly District, West Bengal, India: A serious public health problem.IJPH 2008; 5(1):28-33.

Ehtisham Ahmad, Zulfia khan, Najamkhalique, et al. A study of utilization of integrated child development services in 1 – 5 years old children registered with rural health training center, Jawan, Aligarh, UP. Indian J PrevSoc Med 2005;36(3&4):137-42.

Chakraborty S, Gupta SB, Chaturvedi B, et al. A study of protein energy malnutrition (PEM) in children (0 to 6 year) in a rural population of Jhansi district (U.P). Indian J Community Med 2006; 31(4):164-8.

Md Salim Shakur, Melek MA, NasreenBano, et al. Serum and hair zinc in severely malnourished Bangladeshi children associated with or without acute lower respiratory infection. Indian J Pediatr 2009;76:609-14.

Chuanalai Hu, Dongquing Ye, Yingchun Li, et al. Evaluation of a Kindergarten nutrition education intervention for pre-school children in China. Public Health Nutrition 2010;13(2):253-60.

Ghoneim EH, Hassan MH, Amine EK. An intervention programme for improving the nutritional status of children aged 2-5 years in Alexandria. East Mediterr Health J 2004;10(6):828-43.

Amani R, Soflaei M. Nutrition education alone improves dietary practices but not hematologic indices of adolescent girls in Iran. Food nutr Bull 2006;27(3):260-4.

U. Agnes Trinh Mackintosh, David R. Marsh, Dirk G. Schroeder. Sustained positive deviant child care practices and their effects on child growth in Viet Nam. Food and Nutrition Bulletin 2002;23(4):16-25.

Downloads

Published

2014-03-31

How to Cite

1.
Imran M, Subramanian M, Subrahmanyam G, Seeri J, Pradeep C, Jayan M. Positive Deviance Approach and Supplementary Nutrition Under ICDS Scheme on Improvement of Nutritional Status Of 2–6 Year Children in Rural Bangalore. Natl J Community Med [Internet]. 2014 Mar. 31 [cited 2024 Nov. 3];5(01):109-13. Available from: https://njcmindia.com/index.php/file/article/view/1330

Issue

Section

Original Research Articles